Risk/Quality Administrative Assistant

About the Role

The Risk/Quality Improvement Administrative Assistant provides administrative, analytical, and operational support to the Risk Manager in maintaining an effective Quality Improvement (QI), Risk Management, Regulatory Compliance, and Performance Improvement program for the facility. The position assists with data collection, reporting, accreditation readiness, committee support, policy management, patient concerns including HIPAA, employee injuries and quality initiatives that promote safe, high-quality patient care and regulatory compliance. Works harmoniously as a team member with all staff members and reports directly to the Risk/Quality Manager. Carries out essential functions in alignment with the Hospital's mission, vision, and values. FLSA: non-exempt.

Essential Duties and Responsibilities

The duties listed below are examples of work typically performed by an employee in this position. An employee may not be assigned all duties listed and may be assigned duties which are not listed below. Marginal duties (shown in italics) are those which are least likely to be essential functions of this position.

Quality Improvement

• Assist with implementation and monitoring of the organization's Quality Assessment and Performance Improvement (QAPI) program.
• Collect, organize, and analyze quality metrics for the facility.
• Reviews medical records daily and accurately enters data in reports and dashboards.
• Prepare monthly, quarterly, and annual quality reports and dashboards.
• Assist departments in tracking quality indicators and performance improvement projects.
• Monitor compliance with quality indicatives and regulatory requirements.

Risk Management

• Assist with incident, occurrence, and patient safety event reporting.
• Assist with all workplace violence reports, employee injuries, and follow-ups with the appropriate departments.
• Maintain confidential risk management records and databases.
• Track follow-up actions and corrective action plans.
• Support root cause analyses (RCA), failure mode and effects analysis (FMEA), and patient safety investigations.
• Track trends and prepare reports for leadership and committees.

Regulatory Compliance

• Assist in maintaining survey readiness for federal, state and accreditation requirements.
• Support compliance with Conditions of Participation (COPs) for Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and Long-Term Care (LTC) regulations.
• Assist with regulatory audits, inspections, and document preparation.
• Maintain regulatory binders, evidence files, and compliance documentation.

Policy and Document Management

• Coordinate policy review and revision schedules.
• Maintain policy manuals and electronic document management systems.
• Ensure current policies are distributed and archived appropriately.

Committee Support

• Assist in preparing meeting agenda, minutes, and follow-up action items.
• Track committee recommendations and completion of assigned tasks.

Data Management

• Maintain quality accurate databases and reporting systems.
• Prepare statistical reports and graphical presentations.
• Monitor quality measure, patient satisfaction scores, readmissions, fall, medication errors, pressure injuries, and other performance indicators (PI).
• Ensure data integrity and confidentiality.

Education and Training

• Assist in coordination quality, patient safety and risk education (onboarding).
• Maintain records of training.
• Prepare educational materials for staff meetings and orientation.

Administrative Support

• Maintain confidential records and files.
• Coordinate correspondence for the Risk/Quality Department.
• Assist with special projects as assigned.
• Perform other duties as assigned.

Qualifications

Knowledge, Skills, and Abilities:

• Knowledge of healthcare regulations affecting CAH, RHC and LTC facilities.
• Understanding of quality improvement methodologies.
• Demonstrated knowledge of medical terminology and the ability to interpret medical records and clinical documentation, or successful completion of coursework in medical terminology.
• Strong organization and time management skills.
• Excellent written and verbal communication skills.
• Ability to analyze data and prepare reports or other visual tracking items.
• Strong ability to maintain confidentiality and practice discretion.
• Attention to detail and accuracy.
• Ability to prioritize multiple assignments.
• Ability to work independently and collaboratively with multidisciplinary teams.
• Strong customer service interpersonal skills.
• Computer proficiency (Microsoft Word, Excel) with the ability to create forms, reports, graphs and tables.

Experience and Training:

• Possess a High School Diploma or equivalent AND 2 years of relevant experience in an administrative assistant role or similar.
• AND 1 year of experience in a medical related field.
• AND Experience in Quality Improvement, Compliance, Risk, Medical Records or Healthcare data preferred.
• AND Per NRS 449 and NRS 200, successful applicant(s) must pass required state and federal background checks.
• AND Experience With Long Term Care Preferred.

Benefits

• First Medical, Dental, and Vision coverage
• PERS Retirement
• 12 paid holidays