Quality Management Coordinator - Wellstar Cobb Hospital

Wellstar Health System•Austell, GA

2d•Onsite

About The Position

Wellstar Cobb Hospital’s Safety & Quality Department is hiring a Quality Management Coordinator to lead and support quality-program activities, including Sepsis, Stroke, Heart Failure, PSI and HAC reviews, Mortality Review, and quality performance improvement. The coordinator works under the AVP/Director of Quality and Patient Safety and supports quality outcomes through chart and data abstraction, analysis and reporting, coordination with departments and service lines, process improvement, and education for physicians and staff. The role combines clinical expertise, leadership, liaison, education, research, consulting, and quality-improvement responsibilities. The coordinator evaluates workflows and recommends changes to strengthen compliance with quality guidelines, facilitate performance-improvement committees, and improve patient care and operational processes. The position also supports adherence to practice standards and organizational policies and assists with compliance with regulatory and legal requirements.

Requirements

Bachelor’s degree in another or related field.
At least 5 years of clinical or performance-improvement experience in nursing and/or clinical quality in a hospital or health system.
Advanced clinical knowledge and skills in the field of practice.
Knowledge of standards related to the field of practice.
Ability to coordinate patient-care activities across and within departments.
Strong attention to detail.
Ability to act as a change agent and use a range of theories to manage complex problems or resolve issues.
Critical-thinking skills to identify barriers and opportunities.
Exceptional interpersonal, team-building, and communication skills.
Ability to build consensus and foster organizational change.
Commitment to personal and professional growth; responsibility to self, team, and project; integrity, initiative, creativity, and passion.
Ability to perform duties with minimal direct supervision.
Ability to review and analyze metrics from multiple sources and compile and synthesize data.
Strong computer skills, including proficiency in Word, Excel, PowerPoint, Visio, and Outlook.
Excellent organizational and project-management skills and strong verbal and written communication.
Comfort interacting with physicians and team members at all organizational levels, sharing data results, and speaking to small or medium-sized groups.

Nice To Haves

Master’s degree in another or related field.
Georgia RN license or Lean certification.
Training as a Clinical Nurse Specialist.
Preference for a registered professional nurse, Industrial Engineer, or Healthcare Informatics professional.

Responsibilities

Review relevant cases, deaths, safety events, Hospital Acquired Conditions, mortalities, and AHRQ Patient Safety Indicators for improvement opportunities, depending on assignment.
Participate in mortality and patient-safety reviews to identify preventable harm and help implement processes to improve outcomes.
Assist with timelines for precursor, serious safety, and sentinel events, and complete chart reviews for regulatory and accreditation audits as directed.
Promote and participate in performance-improvement initiatives that enhance patient care, work processes, and efficiency.
Partner with physicians, managers, and staff to identify and implement process improvements and improve clinical care quality and value.
Foster teamwork, open communication, inclusion, and shared decision-making.
Research and present improvement ideas related to quality care, reporting, and clinical services.
Apply performance-improvement criteria when addressing issues or recommending practice, policy, and procedure changes.
Use Gemba quality processes to identify opportunities and actions to address gaps.
Serve as subject-matter expert and facilitator for the assigned Performance Improvement Committee, a subcommittee of the Quality Review Committee.
Analyze quality-improvement data and use lean and other quality methods to reduce waste and improve clinical and operational performance.
Provide clinical expertise to nursing staff, patients, and families.
Coordinate care for patient populations, including geriatric or pediatric patients, and ensure protocols are age appropriate.
Develop or provide input on clinical tools, including standing orders, bundles, nurse-driven interventions, and clinical decision-support applications.
Evaluate the feasibility of clinical outcome early-warning and response systems.
Provide input on nursing documentation standards and ensure compatibility with the existing EMR.
Engage leaders in decision-making and support patient-centered care and service excellence; use leadership, negotiation, and mediation skills.
Support clinical and non-clinical leaders and help ensure care-delivery processes function as intended.
Serve as a resource for physicians and leaders and accept additional leadership responsibilities.
Communicate effectively with diverse audiences and help establish and maintain performance standards related to sepsis care.
Promote a healthy workplace, resolve conflict when necessary, and support positive team dynamics.
Build partnerships with hospital leaders and medical staff; use reflective practice, coaching, and guidance to support effective working relationships.
Create opportunities for personal and leadership growth.
Identify improvement opportunities in leaders and clinical systems and sponsor projects to address them, including work to meet licensure, regulatory, and accreditation standards.
Use data and evidence to support clinical and operational decisions while observing legal and ethical requirements for patient and staff information and confidentiality.
Perform other duties as assigned and comply with Wellstar Health System policies, standards of work, and code of conduct.