Quality Improvement Coordinator - Custody Health Services

County of Santa Clara•Santa Clara, CA

2d•Onsite

About The Position

Under direction, the Quality Improvement Coordinator plans, coordinates, and implements quality improvement activities for the County of Santa Clara Health System (CSCHS), as required by State and Federal regulations and The Joint Commission (TJC). This recruitment is for one position in Custody Health Services (CHS), which provides medical, mental health, and dental services to patients in four County detention facilities. The position is listed as 0.5 FTE on the day shift. The coordinator supports compliance with the Quality Improvement Plan, applicable standards, and regulatory requirements. The role includes coordinating audits and surveys, supporting investigations and corrective actions, planning staff training, conducting chart reviews and analysis, assisting with accreditation and regulatory surveys, and collaborating with clinical staff, Risk Management, and other stakeholders. The selected candidate must be able to work in a correctional facility and pass a background check for security clearance. Travel to alternate locations may be required.

Requirements

Four years of full-time Registered Nursing (RN) experience in an accredited hospital, clinic, and/or healthcare setting.
Possess and maintain an active California Registered Nurse license without restrictions for the duration of employment.
Ability to travel to alternate locations in the course of work.
If driving, possess a valid California driver's license before appointment and qualify for and maintain County driver authorization.
Pass a background check for security clearance to work in a correctional facility.
Complete assigned Disaster Service Worker training and return to work as ordered in an emergency.
Knowledge of healthcare organizations, operations, and procedures; healthcare laws and regulations; quality improvement and risk management standards; The Joint Commission standards; Title XXII requirements; relevant Federal regulations; medical terminology; research methods; assessment techniques; record keeping and reporting; English usage; and common computer systems and applications.
Ability to analyze data, write reports, identify trends and corrective actions, and evaluate improvement programs.
Ability to interpret complex medical regimens in relation to quality-of-care standards.
Ability to plan, develop, and organize work; communicate effectively orally and in writing with people of diverse backgrounds; facilitate quality improvement teams; and plan and implement educational activities.
Ability to work effectively with minimal supervision, manage multiple projects and conflicting priorities, demonstrate organizational and leadership skills, maintain current knowledge of quality management trends and practices, and establish effective working relationships.

Nice To Haves

Nursing management experience is desirable but not required.

Responsibilities

Monitor Health System departments to ensure compliance with the Quality Improvement Plan.
Coordinate division and department quality improvement activities, including surveys and audits.
Ensure standards, policies, and procedures are consistent with professional standards and regulatory requirements.
Assess quality improvement training needs and plan, implement, or coordinate staff training.
Participate in organizational and departmental committees and task forces.
Help develop systems and procedures to meet Quality Improvement Plan goals and objectives.
Conduct and support investigations with medical, nursing, and other staff; plan quality improvement activities to address identified problem areas.
Promote and facilitate process and quality improvement activities within the Health System.
Collaborate with stakeholders on organizational standards, policies, and procedures; initiate changes based on quality improvement review.
Interpret policies and regulations for medical, nursing, and professional support staff and promote compliance with legal and regulatory requirements.
Plan accreditation and regulatory surveys and prepare responses and reports based on findings.
Help mitigate organizational and patient safety risks and collaborate with Risk Management staff on risk and quality issues.
Identify applicable local and national trends and evaluate the feasibility of new programs to enhance compliance.
Serve as a resource for quality improvement activities.
Perform concurrent and retrospective chart reviews and analyze selected department and organizational indicators.
Collaborate with clinical and professional support staff to develop, implement, and evaluate Patient Care Guidelines; collaborate with medical staff on peer review and quality support when indicated.
Initiate and participate in research related to standards, quality improvement, and risk management, and use research to support changes in standards and practice.
May be assigned as a Disaster Service Worker and perform other related duties as required.