Job Title: Quality Coordinator

General Description:

This position is located within the Chickasaw Nation Department of Health with the duty station at the Chickasaw Nation Medical Center. The purpose of this position is to perform a variety of functions designed to assist the Quality Department of the Chickasaw Nation Department of Health.

Supervision Received: CNDH Manager of Quality. Routine work is performed independently following written procedures, standards and regulations. Duties are performed with considerable independence and little supervision.

Supervision Exercised: None

Supervision Essential Job Functions:

• Manages performance improvement activities which include: performance improvement training, process assessment/data collection, identification of opportunities for improvement, and tracking of performance improvement group activities.
• Assist in facilitating the performance improvement activities and quality activities for the CNDH Departments.
• Provide content knowledge in the interpretation, implementation, and maintenance of standards to match external regulatory requirements.
• Active use of measure data within the quality software reporting system, ensuring any applicable updates are reflected with measure specificaiton.
• Manages improvement activities of CMS quality/outcome measures and coordinates champions for improvement with medical, nursing and ancillary staff.
• Conducts chart audits as directed by the Manager of Quality in an effort to demonstrate Department of Health performance and identify areas of concern.
• Compiles quarterly organization-wide performance improvement indicator data. Analyzes data and converts it into meaningful graphical reports for presentation to Leadership, Medical Executive Committee and Governing Body.
• Acts as a clearinghouse of information to all functional units of CNDH in relation to performance improvement activities and processes.
• When requested by Quality manager, assists in system-wide Joint Commission continuous preparation efforts. Assists in the annual completion of the organization's Intracycle Monitoring (ICM) to the Joint Commission.
• Assists with Quality by ensuring provision of both quality patient care and effective utilization or available health facilities and services by monitoring appropriate allocation of the hospital's resources by provision of quality patient care in the most cost effective manner.
• Participate in educational development related to performance improvement, focused review and regulatory requirements.
• Prepare monthly, quarterly, and annual reports as requested.
• Perform accurate statistical analysis and compilation of reports to facilitate data review.
• Assist with root cause analysis when unfavorable events occur throughout CNDH.
• Assists with the development and implementation of action plans for identified areas of improvement.
• Research quality data reporting requirements from CMS, Joint Commission, etc. to ensure optimal funding is received.
• Facilitate data collection for reporting requirements such as Ambulatory Surgery Center measures, Physician Quality Reporting System (PQRS), MIPS etc.
• Participate in and support statistical evaluation performance related to: medication usage, operative/invasive/non-invasive procedure review, medical record review, infection control practices, quality variance, sentinel event/unexpected event, preventable adverse event, mortality and department specific service and activity.
• Active participant as needed/requested in Quality Council, Perinatal Safety, Patient Safety, etc. committees.
• Arrange for meetings and conferences when requested.
• Abstracts and enters required data to contracted registries while maintaining submission guidelines and established deadlines.
• Required to obtain and maintain any mandated education/certification for all assigned contracted registries.
• Other duties as assigned.

Minimum Qualifications

Knowledge, Skills, and Abilities:

Required - Basic knowledge and usage of grammar, spelling and punctuation. Knowledge of medical terminology including prefixes, suffixes, standard abbreviations and pharmaceutical terminology is preferred, but not required. Required - Must have in-depth knowledge of data collection and analysis including statistical concepts of variation. Required - Ability to utilize the concepts the principles of quality and performance improvement in a healthcare setting. Required - Knowledge of The Privacy Act, Freedom of Information Act and HIPAA law. Must be able to maintain in strict confidence all information received on the job. Required - Resourcefulness and originality are required in handling the administrative duties delegated to this position. Required - Excellent problem solving and organization skills. Required - Must be organized and self-motivated with a flexible approach. Required - Must possess excellent communication skills with the demonstrated ability to work with all types of people. Required - Must be able to interpret Bylaws, policies, procedures and other rules and regulations and apply them to the work at hand. Required - Must be able to follow oral and written instructions and willing to take on new projects and tasks as directed. Required - Must be able function in a high pressure, busy environment, manage stress appropriately, manage multiple priorities, make decisions under pressure, work both in teams and independently, interpret/implement mandates while managing stringent deadlines. Required - Must be able to interact well and maintain a positive working relationship with medical staff providers, medical staff leadership, various upper level professionals, and all coworkers. Must have ability to work efficiently and effectively in a professional manner exhibiting courtesy and tact. Required - Demonstrates ability to create and maintain website portal and web based programs. Required - Working knowledge of the principles of medical coding and billing (diagnostic and procedural). Required - Knowledge of quality improvement methodology and regulatory requirements, including but not limited to Joint Commission and CMS. Required - Expertise in the use of Microsoft Office: Word, Excel, PowerPoint, Publisher, Visio, and Outlook (email).

Education:

Bachelors Required - • Bachelor’s degree in health related field, required. RN (BSN) or RHIA with five (5) years of experience in clinical quality required. Masters Required - • Master’s degree in health related field, required, or to be obtained within five (5) years of hire date.

Education Note:

Training And Experience:

Required Experience (3 -5 years) - • Three (3) – five (5) years of experience in health care quality management, quality assurance and/or quality improvement. Required Experience (6 months - 3 years) - • Current knowledge of and skill in ongoing monitoring techniques (indicator and criteria development and statistical analysis) Required Experience (6 months - 3 years) - • Current knowledge and experience with the Electronic Health Record (EHR) Required Experience (3 -5 years) - • Experience working in a deadline-driven environment. Required Experience (3 -5 years) - • Experience in the principles and theories of process measurement, performance improvement, methodologies and tools, team dynamics and facilitation, and data-driven decision-making.

Licenses, Certifications, Other:

Required - CPHQ required, or to be obtained within three (3) years of hire date Required - RN, BSN: Registered Nurse, with an active unrestricted Oklahoma license

Physical Requirements:

Required - The physical requirements to perform the essential job functions include the ability to attend to close visual detail for extended periods of time. Required - The work will require considerable sitting and walking. The work will include lifting and carrying boxes of paper or medical charts.

Work Environment:

Work is performed in the hospital and/or the ambulatory care environment. There is common exposure to contagious disease. The work may include a certain amount of exposure to hostile and emotionally disturbed patients, family members and visitors.

Job Types: Full-time, Part-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Holidays
• Monday to Friday
• Weekend availability

Work Location: One location

Please Note :
lionsolutions.net is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, lionsolutions.net provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.