Clinical Quality Coordinator II - Quality Administration

Quality/No Harm PositionTo be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: measuring the functioning of important processes and services, identifying changes that enhance performance, ensuring the improvements are sustained, and maintaining a continuous level of patient safety and accreditation readiness with regulatory agencies.Engagement:Works closely and effectively with all members of the Quality and Outcomes Management team, and collaboratively with associates of all disciplines to ensure patient safety and quality.Quality/No Harm:Coordinates and provides direction to the facility's quality committees, including medical staff, nursing and hospital based committees or others as assigned, by providing accurate and timely information and written communication.Acts as chair or facilitatorDocumentation and dissemination of minutesPreparation of agendasFollow-up to open itemsAccurate reporting to other committees as requiredProvides accurate and timely clinical data to appropriate committees or groups and identifies opportunities for improvementsCollect data or oversee processesAggregate and analyze dataProvide benchmarksVerify statistical measuresOversees collection, analysis and preparation of data for entry into specific databases and maintains the integrity of the information.Acts a resource for data abstraction and analysis as requested by departments and the medical staff.Performs analysis, reviews and summaries, and facilitates proper use of informationMaintains all hard copy and or electronic files for a period of seven years related to accreditation standards and Performance Improvement activities.Maintains responsibility of knowledge and skill of clinical applicationsCoordinates and provides support to the clinical peer review process by providing accurate and timely information for quality initiativesAccurate and timely medical records requestsAccurate and timely chart review and documentationFollow-up with specific physiciansDevelop focus studies as neededDocumentation to the Quality Improvement Organizations (QIOs) if requiredFacilitates Quality Improvement Teams per policy.Knowledgeable of team modelsProvide education to team members and staffActs as team facilitator or leader as requestedOversight for the Department Indicator monitoring and performance measurement for the corporate and facilities goals.Acts as a resource with regulatory agencies and makes recommendations for compliance, and prepares mandatory requirements as requiredJoint Commission ReadinessFlorida Medical Quality Assurance, Inc. (FMQAI)Centers for Medicare and Medicaid Services (CMS)Agency for HealthCare Administration (AHCA)Proactively seeks opportunities to identify and reduce risks to the safety of patientsKnowledgeable of the Failure Modes and Effects Analysis (FMEA) and Root Cause Analysis (RCA) processesUtilizes documentation templates for the FMEA and RCAParticipates in risk reduction strategiesCustomer Experience:Respects and assists all associates and customers appropriately.Maintains patient confidentiality as per professional ethics and HIPAA mandates.Stewardship:Works within budgetary constraints.Work ExperienceQualifications Required:RN with at least 5 years acute care clinical experienceMinimum of 4 years experience in clinical settings in quality improvement requiredCurrent license to practice nursing in the State of Florida required.Bachelor's degree nursing or related science preferredDemonstrated proficiency with computer software, word processing, graphics, spreadsheet, GroupWise and Microsoft OfficePresentation skills and knowledge of presentation software requiredStrong interpersonal, communication, organizational skillsAbility to maintain positive working relationships with all levels within the organizationAnalytical abilities required to recognize and resolve problems requiring technical or clinical interventionsAble to prioritize work and manage timeAble to work flexible hours for early and late meetingsPhysical Demands:Ability to sit for long periods of time and perform typing skills using hand dexterity up to two hours at a time, 6-8 hours per dayAbility to work flexible and/or long hours as requiredMust be able to bend and reach at all timesMust be able to carry a minimum of 20 lbs.Must have visual acuity/near depth perception, visual acuity/far depth perception at all timesMust be able to hear and speak clearlyMental Demands:Ability to coordinate multiple tasks on an ongoing basisAbility to adapt to changing organizational requirements and business applicationsAbility to identify prioritiesAbout Health First:At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.Schedule: Full-TimeShift Times: 8:00am-4:30pmPaygrade: PG 39