About The Position

This position supports, coordinates and facilitates quality management, patient safety, regulatory, and performance improvement activities. This role serves as a resource to employees, management, physicians and teams on quality management activities and will handle patient sensitive and confidential information.

Requirements

  • Completion of an accredited nursing program required
  • Minimum of three (3) years acute care healthcare experience required
  • One (1) year healthcare-related quality management/performance improvement experience (e.g., participates in clinical ladder, PEP, or unit-based teams)
  • Excellent critical thinking, data analysis, team building, and leadership change management skills preferred.
  • Knowledge of Word, Excel, PowerPoint and supporting computer programs.
  • Knowledge of data reporting and regulatory/accreditation requirements for acute and ambulatory care services and federal, state and local healthcare related laws and regulations
  • Excellent interpersonal and communication skills.
  • Presentation skills necessary for quality subject matter.
  • Current California RN licensure or ability to obtain prior to start date
  • Current Nevada RN licensure or ability to obtain within 6 months
  • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider)

Nice To Haves

  • Bachelor’s degree in healthcare related field preferred
  • Experience in quality management/performance improvement methods, tools and techniques strongly preferred.
  • Experience as stroke coordinator, sepsis abstractor/coordinator, ACS trauma coordinator, STEMI/STS abstractor/coordinator, AAOS joints coordinator, patient safety officer, or performance improvement coordinator preferred.
  • Knowledge of The Joint Commission standards, California Title 22 regulations, and CMS Conditions of Participation preferred.
  • Certified Professional in Healthcare Quality (CPHQ) and/or Certified Joint Commission Professional (CJCP) and/or Certified Professional Patient Safety (CPPS) and/or Lean Six Sigma certification preferred.

Responsibilities

  • Provides consistently exceptional care at all times.
  • Gathers, analyzes and creates reports related to quality and performance improvement data, which meets reporting agency requirements.
  • Supports the patient safety program with duties to include, but not limited to, managing event reports, promoting culture of safety, performing investigations, completing chart reviews and conducting root cause analysis processes.
  • Performs accreditation, regulatory and licensing functions which include continuous readiness activities, leading and/or coordinating surveys, and serve as liaison to CDPH, TJC, and any other regulatory agencies.
  • Prepares quality-related reports, supports committees and task groups.
  • Communicates with all levels of staff, management and medical staff regarding quality, patient safety and regulatory activities.
  • Leads performance improvement committees, prepares materials and presents information.
  • Serves as back-up to the Quality & Patient Safety Director.
  • Responds to the needs of the department by performing other duties, as necessary.
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