RN - Registered Nurse - Performance Improvement Coordinator

Job Duties

• Evaluates the quality of health care rendered by the System for the purpose of meeting regulatory requirements for inpatient and outpatient assigned areas.
• Coordinates and ensures action plans and performance improvement projects are performed through practice analysis, audits, education, and the compliance of assigned department, with the standards set by associations of healthcare providers and with applicable laws, rules and regulations.
• Coordinates and supports Regulatory and Performance Improvement activities and identifies ongoing data and information system needs.
• Demonstrates a comprehensive understanding of the theory and principles of clinical performance improvement.
• Creates and fosters change in a positive proactive manner.
• Fosters problem-solving using critical thinking skills.
• Reviews and monitors occurrences, quality triggers and quality of care concerns observing for problems or patterns related to regulatory standards affecting the quality of care.
• Educates and orients providers, administration, professional and line staff as needed regarding Regulatory/Performance Improvement requirements.
• Serves as resource person for Regulatory/Performance Improvement initiatives within assigned areas.
• Assists with and provides direction to staff in developing measurements for Performance Improvement and evaluation activities.
• Develops data collection tools, data collection, summarization of data and reporting of findings.
• Schedules and assists with follow-up on corrective action plans.
• Prepares and submits monthly Performance Improvement Reports within the regions committee structure as assigned.
• Maintains appropriate records of all Performance Improvement activities.
• Assists in the preparation and coordination of all regulatory surveys.
• Actively participates in all regulatory surveys.
• Conducts and coordinates the follow-up of survey recommendations and requirements.

Position Details

Evaluates the quality of health care rendered by the System for the purpose of meeting regulatory requirements for inpatient and outpatient assigned areas. Will coordinate and ensure action plans and performance improvement projects are performed through practice analysis, audits, education, and the compliance of assigned department, with the standards set by associations of healthcare providers and with applicable laws, rules and regulations. Responsible for coordinating and supporting Regulatory and Performance Improvement activities and identifying ongoing data and information system needs.

Qualifications

• A minimum of 2 years of RN work experience is required.
• A bachelor's degree in nursing, BSN, is required.
• Experience with maintaining hospital compliance with regulatory agencies and Joint Commission regulations and standards is preferred.
• Experience with formal data collection and quality of care evaluation is helpful.