Registered Nurse Quality Coordinator

St. Josephs Medical Center•Houston, TX

6d•Onsite

About The Position

The Quality Coordinator coordinates all Medical Staff Performance Review Committees and provides expertise and advice to participants on regulatory compliance, medical staff bylaws, rules and regulations, core measures and SCIP, patient outcome studies, hospital processes, and trending information. The coordinator serves as a liaison between committees and departments and works with medical staff teams to improve patient outcomes. The role promotes patient and associate safety through performance improvement activities, facilitates committee work and education, ensures timely completion of minutes, reports, and projects, and supports regulatory compliance. It also involves summarizing findings and recommending cases for medical staff review, coordinating follow-up, responding to information requests, conducting performance improvement and outcome studies with statistical analysis, maintaining database knowledge, and integrating performance improvement and peer review findings with medical staff reappointment processes. The position requires professional knowledge of performance improvement functions, patient care practices, databases, and statistical analysis. The successful candidate is a Texas-licensed Registered Nurse with an ADN or higher and can work autonomously and collaboratively with medical staff and hospital teams.

Requirements

Licensed as a Registered Nurse in the State of Texas.
Registered Nursing degree (ADN or higher).
Professional knowledge of performance improvement functions, patient care practices, database literacy, and statistical analysis techniques.
Ability to plan, schedule, and develop tasks and timelines.
Ability to read and comprehend clinical information and complex standards and regulations.
Ability to lead work groups and communicate orally in small and large groups and in writing.
Ability to manage and define processes and projects to achieve goals within specified timelines.
Ability to manage records and file documentation in hard-copy and electronic formats.
Problem-solving abilities.
Understanding of hospital and health system organizations and operations.
Ability to work autonomously and as part of a medical staff team.
Ability to maintain the interests of the hospital while maintaining the confidence, respect, and trust of the medical staff.
Ability to integrate and interpret data from diverse sources on highly complex issues.
Ability to develop working relationships with customers, including medical staff, leaders, and associates.

Nice To Haves

CPHQ certification preferred.

Responsibilities

Coordinate all Medical Staff Performance Review Committees.
Provide committee participants with expertise and advice on regulatory compliance, medical staff bylaws, rules and regulations, core measures and SCIP, patient outcome studies, hospital processes, and trended information.
Serve as a liaison between committees and departments and work on medical staff teams to improve patient outcomes.
Promote a culture of safety for patients and associates through performance improvement activities.
Facilitate assigned medical staff and other committees, providing performance improvement expertise and education.
Plan, organize, and use resources appropriately.
Establish processes to ensure timely completion of committee minutes, reports, and projects and support regulatory compliance.
Communicate with associates at all levels, medical staff, and external customers to meet established goals.
Summarize findings for committee chairs and recommend findings and cases requiring medical staff review.
Coordinate timely follow-up tasks with departments, committees, and associates to support information flow and education.
Respond to routine and detailed information requests from hospital departments, administration, medical staff, and outside facilities.
Conduct performance improvement and outcome studies, including statistical analysis, trend identification, and identification of potential patient outcome improvements.
Maintain knowledge of database applications used to provide and analyze statistical data supporting performance improvement and medical staff activities.
Integrate performance improvement and peer review findings with the Medical Staff reappointment process.
Uphold the Code of Ethics and Corporate Compliance, adhere to and help enforce relevant compliance policies, and complete compliance education as requested.
Set an example for staff through daily activities.