<p>Job Requirements</p> <p>POSITION SUMMARY:</p> <p>To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: measuring</p> <p>the functioning of important processes and services, identifying changes that enhance performance,</p> <p>ensuring the improvements are sustained, and maintaining a continuous level of patient safety and</p> <p>accreditation readiness with regulatory agencies.</p> <p>PRIMARY ACCOUNTABILITIES:</p> <p>Engagement:</p> <p>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.</p> <p>Quality/No Harm:</p> <ul> <li>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: </li><li>Acts as chair or facilitator </li><li>Documentation and dissemination of minutes </li><li>Preparation of agendas </li><li>Follow-up to open items </li><li>Accurate reporting to other committees as required </li><li>Provides accurate and timely clinical data to appropriate committees or groups and identifies opportunities for improvements: </li><li>Collect data or oversee processes </li><li>Aggregate and analyze data </li><li>Provide benchmarks </li><li>Verify statistical measures </li><li>Oversees collection, analysis and preparation of data for entry into specific databases and maintains the integrity of the information. </li><li>Acts a resource for data abstraction and analysis as requested by departments and the medical staff. </li><li>Performs analysis, reviews and summaries, and facilitates proper use of information </li><li>Maintains all hard copy and or electronic files for a period of seven years related to accreditation standards and Performance Improvement activities. </li><li>Maintains responsibility of knowledge and skill of clinical applications </li><li>Coordinates and provides support to the clinical peer review process by providing accurate and timely information for quality initiatives: </li><li>Accurate and timely medical records requests </li><li>Accurate and timely chart review and documentation </li><li>Follow-up with specific physicians </li><li>Develop focus studies as needed </li><li>Documentation to the Quality Improvement Organizations (QIOs) if required </li><li>Facilitates Quality Improvement Teams per policy: </li><li>Knowledgeable of team models </li><li>Provide education to team members and staff </li><li>Acts as team facilitator or leader as requested </li><li>Oversight for the Department Indicator monitoring and performance measurement for the corporate and facilities goals. </li><li>Acts as a resource with regulatory agencies and makes recommendations for compliance, and prepares mandatory requirements as required: </li><li>Joint Commission Readiness </li><li>Florida Medical Quality Assurance, Inc. (FMQAI) </li><li>Centers for Medicare and Medicaid Services (CMS) </li><li>Agency for HealthCare Administration (AHCA) </li><li>Proactively seeks opportunities to identify and reduce risks to the safety of patients: </li><li>Knowledgeable of the Failure Modes and Effects Analysis (FMEA) and Root Cause Analysis (RCA) processes </li><li>Utilizes documentation templates for the FMEA and RCA </li><li>Participates in risk reduction strategies </li><li></li></ul> <p>Customer Experience:</p> <ul> <li>Respects and assists all associates and customers appropriately. </li><li>Maintains patient confidentiality as per professional ethics and HIPAA mandates. </li><li></li><li>Stewardship: </li><li>Works within budgetary constraints. </li></ul> <p>Work Experience</p> <p>QUALIFICATIONS REQUIRED:</p> <ul> <li>RN with at least 5 years acute care clinical experience </li><li>Minimum of 4 years experience in clinical settings in quality improvement required </li><li>Current license to practice nursing in the State of Florida required. </li><li>Bachelor's degree nursing or related science preferred </li><li>Demonstrated proficiency with computer software, word processing, graphics, spreadsheet, GroupWise and Microsoft Office </li><li>Presentation skills and knowledge of presentation software required </li><li>Strong interpersonal, communication, organizational skills </li><li>Ability to maintain positive working relationships with all levels within the organization </li><li>Analytical abilities required to recognize and resolve problems requiring technical or clinical interventions </li><li>Able to prioritize work and manage time </li><li>Able to work flexible hours for early and late meetings </li><li></li></ul> <p>PHYSICAL DEMANDS:</p> <ul> <li>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 day </li><li>Ability to work flexible and/or long hours as required </li><li>Must be able to bend and reach at all times </li><li>Must be able to carry a minimum of 20 lbs. </li><li>Must have visual acuity/near depth perception, visual acuity/far depth perception at all times </li><li>Must be able to hear and speak clearly </li></ul> <p>MENTAL DEMANDS:</p> <ul> <li>Ability to coordinate multiple tasks on an ongoing basis </li><li>Ability to adapt to changing organizational requirements and business applications </li><li>Ability to identify priorities </li></ul> <p>Benefits</p> <p>ABOUT HEALTH FIRST</p> <p>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.</p> <p>Schedule : Full-Time</p> <p>Shift Times : variable</p> <p>Paygrade : 39</p>