Performs accurate data abstraction according to current CMS specifications, communicates outcomes, leads Core Measure performance improvement teams with employee and physician population, ensures team recommendations are implemented and provides education related to changes in core measures indicators and related processes. Assists in the development and maintenance of high quality evidence based care through education and training of staff. Assists in chart audits and provides feedback related to TJC Standards and Core Measure compliance issues to Nursing Directors, Clinical Managers and Staff. Works collaboratively with the Department Directors in the planning, development, implementation, and evaluation of education programs related to hospital initiatives. Provides specialized expertise in the areas of clinical competency, performance improvement and staff development. Provides education and support to staff in the usage of the computerized systems. Utilizes and maintains a system that monitors, measures and reports on the effectiveness of clinical learning programs. Assists in the development of education programs for clinical staff and patient care services. Maintains Hospital Program related registries. Reviews and analyzes quality management data and assists Director with developing and implementing plans to promote safety and evaluate effectiveness and efficiency. Develops standard and specialized analytic reports to support quality related initiatives throughout the hospital. Responsible for coordination and management of project deadlines for the department and assists with the implementation of the Quality management plan.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees