Quality & Regulatory Coordinator

Breast and Cervical Cancer

• Process all well women exams by completing the Department of Health Navigation forms for clients failing to complete screening appointments; and tracks by using a tickler system for appointments and billing purposes;
• Update FCCH clinics on navigation and BCC contract updates to comply with the protocol and well functioning of the program at FCCH;
• Works in cooperation with the BCC contacts at FCCH sites.
• Obtains required information by interviewing applicants, family members, and others; completes the navigation forms; confirms information for accuracy; obtains assistance for applicants/clients by referring them to the appropriate contacts for community programs and services;
• Facilitate the appointment making process for all women who have failed to complete well women exam, as appointed;
• Use the Patient Navigation form to assess and document the need for patient navigation services;
• Provide and participate in patient education activities with assistance from the BCC program; activities may include: evidence based screening guidelines; risk factor information; and recommendations for positive behavior changes;
• Ensure staff participation in at least one BCC program orientation session per year;
• Work with the NM Department of Health BCC Health Educators to implement clinic-based patient activities for clients who may have barriers to care and to support breast and cervical cancer screening services for low-income women who otherwise would not complete the screening process;
• Coordination of mammovan (Department of Health)
• Aid with or provide training and meetings regarding issues pertaining to the BCC and Navigation programs;
• Provides documentation of navigation forms and billing invoices to Department of Health using the program eligibility criteria provided by Department of Health;
• Evaluate success of program with the Director of Risk 7 Compliance;
• Completes CEU’s as required by NMDOH;
• Attend quarterly partnership meetings;

Quality & Regulatory

• Compliance Tracking & Reporting: Monitor and track fire drills, handwashing compliance, and general drill; Maintain and audit all survey findings; Track and file occurrence reports and FTCA compliance documentation;
• Track and file occurrence reports and FTCA compliance documentation;
• Monitor and track fire alarm and sprinkler system inspections and security access logs;
• Performance Improvement (PI): Coordinate bi-monthly PI visits and create scheduling with PI team members; Enter PI data into appropriate tracking systems; Distribute and track Trilogy (Biohazard) reports; ensure binders are up to date; Serve as the primary liaison for Trilogy-related communication and reporting;
• Administrative Support & Coordination: Serve as a resource for employee questions and support needs; Order and distribute site supplies, including OC Lights and bulk clinical materials (e.g. N-95 masks, gowns, IV supplies, Tegaderm, basins); Assist with lab supply deliveries as needed;
• Vendor & Equipment Coordination: Act as the main point of contact for the optical vendor; Coordinate microscope service and maintenance with vendor; Coordinate western states visits for fire safety compliance;
• HIPAA Compliance: File breach reports and manage documentation; Prepare and send HIPAA notification letters when necessary;
• Regulatory Preparedness & Miscellaneous Duties: Support emergency preparedness training and planning; Assist in developing safety meeting agendas and record meeting minutes; Coordinate tool sharpening send-outs and returns as needed; Facilitate Regulatory Quality and Safety meetings; Supervise, train, direct and oversee the Bio Med Technician;

Requirements

• Minimum Education And Experience: Bachelor’s degree (BA); or one to two years related experience and/or training; or equivalent combination of education and experience; Previous successful experience in a community service program or outreach preferred; Bi-lingual in English and Spanish preferred;
• Licenses/Certifications Required: N/A;