Coord. Quality Resources

Job Summary

Executes activities for the following programs as directed by the Assistant Administrator Quality and Infection Control or designee: Quality and Performance Improvement, Patient Safety, Risk Management, Safety; collaborates with Quality and other leaders on survey readiness activities; conducts medical chart review, data abstraction and report preparation; serves as internal consultant to clinical departments on quality, performance improvement, patient safety and other related practices and processes. Requires a wide range of knowledge, skills and abilities in the healthcare profession, and is able to implement evidence-based practices and develop new approaches to improve regulatory compliance and patient outcomes.

Skills

• Ability to apply knowledge of TJC, CMS, and regulatory accrediting agency standards to assure compliance.
• Ability to communicate effectively; written and verbal skills required.
• Ability to understand, use and teach the principles of performance improvement.
• Ability to evaluate quality issues and present data to other professionals in a clear concise manner.
• Proficient in utilizing the principals of analytical assessment and creative problem solving.
• Knowledge of hospital systems and organizational relationships.
• Ability to use critical thinking skills to conduct research, and utilize interpersonal and problem solving skills.
• Ability to organize, delegate, implement, and evaluate effectiveness of processes.
• Ability to interview and work in teams.
• Ability to use a computer and related software applications.

Work Experience

• Three years of clinical experience as a Registered Nurse required.
• Experience with patient safety activities, clinical evidence-based practices and/or performance improvement preferred.

Licenses/Registrations/Certifications

• Current license to practice as a Registered Nurse in the State of Texas.
• Certified Professional in Healthcare Quality (CPHQ) or other relevant certification preferred.

Education and Training

• Bachelor degree in Nursing required.
• Master degree in Nursing preferred.