Quality Nurse Coordinator

AHMC Healthcare•San Gabriel, CA

1d•Onsite

About The Position

Facilitates, in collaboration with the Manager of Quality Management, accurate, timely, and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx) and CMS. Reviews paper and electronic medical records, interpreting, analyzing medical record documentation, and extrapolating pertinent health information needed for determining clinical quality and core measures required by The Joint Commission, CMS, and other clinical reporting programs. Accurately enters the data directly into our electronic data collection database. Researches all available resources on missing, conflicting, or ambiguous information in the medical record. Applies skilled judgment in determining that deviations from these guidelines may indicate an omission or inaccuracy within the patient’s medical record. This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center’s strategic plan and the goals and direction of the Performance Improvement Plan (PIP).

Requirements

Requires either: (1) Registered Nurse license in the state of California with a bachelor’s degree in Nursing; or (2) Bachelor’s degree in a Healthcare-related field; (3) Master’s Degree or higher education.
Strong clinical background and broad knowledge base preferred.
Excellent verbal and written communication and computer skills.
Strong analytical and problem-solving skills.
Knowledge of quality improvement processes and techniques.
Two (2) to three (3) years’ experience in Performance Improvement or Risk Management, Preferred.
Thorough understanding of medical terminology.
Demonstrated computer skills.
Thorough understanding of formulary drugs and pharmacological indications.

Responsibilities

Demonstrates current knowledge of regulatory/accreditation standards, hospital policies and procedures, and medical staff by-laws.
Assists with the design of presentations that are meaningful to the intended audience.
Provides feedback and collaborates with staff in the effort to eliminate risks and improve performance and safety.
Demonstrates the ability to teach effectively to all levels of the organization.
Demonstrates skills in Medical Record review specific to abstraction criteria.
Demonstrates the ability to apply Quality Improvement methodology.
Performs review, investigation, and analysis of occurrences and cases identified through occurrence reporting, generic screens, etc., meeting criteria for peer review.
Coordinates internal departments and external entities to ensure compliance with company policies and State/Federal Regulatory and Accreditation standards.
Ability to formulate professional data reports and presentations for hospital committees and physician specialty groups.
Understands abstraction components, both inclusion and exclusion criteria, specific to measurements.
Adheres to established guidelines for criteria abstractions.
Completes patient data entry accurately and within established timeframes.
Analyzes data, both on aggregate and patient level as needed, to identify trends as well as quality improvement.
Maintains regular updates of policies and procedures.
Performs medical record reviews associated with QI; analyzes data collected for QI projects; tracks, trends, and prepares information to submit to appropriate committees.
Involvement in the daily operations of the department to include: PI database management; case review involving Patient Safety and Core Measures.
Generates ongoing physician-specific quality reports including tracking and trending of peer reviews and for OPPE, PPE purposes.
Performs other duties as assigned or required by the immediate supervisor or Administration.