RN Quality Improvement Coordinator FT Days at Carondelet St. Josephs Hospital

Welcome to Carondelet Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine connections and heartfelt compassion. It's what sets us apart and makes us truly special.

When you join our team, you're not just stepping into a job – you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey.

Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Carondelet, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact.

If you're ready to go above and beyond, to embrace the energy and camaraderie that Carondelet Health System offers, then join us on this incredible adventure. Together, we'll create a healthier, happier world – one patient at a time. Let your career find its purpose here at Carondelet.

RN Quality Improvement Coordinator FT Days Position Summary
Provide leadership and consultative services related to performance improvement such as study design, data collection, analysis and presentation. Facilitate management involvement in the development, implementation, evaluation, and improvement of the quality management program, activities, and services to integrate the program with the operative mission of Carondelet Health Network.  Serve in a leadership role in facilitating performance improvement initiatives with designated organizational divisions and business units. Demonstrate leadership skills in the administration of programs that focus on improved outcomes of patient care, healthcare delivery systems and the professional staff peer review process.  Provide support for the vision and direction of assigned areas. 

POSITION DUTIES

Level 1  - Skills
Provide leadership and consultation services to departments within the organization to achieve quality compliance with regulatory, accreditation, and organizational bodies.
Seek management involvement in the development of a planning approach that supports healthcare quality and patient safety.
Work with quality director in design, maintenance, distribution and incorporation of reports into Quality Dashboards, while also identifying new report development.
Perform chart review, direct data abstraction and abstraction oversight, inter rater reliability, and data submission for assigned CMS Core Measures and other quality registries. Work directly with staff, physicians and other providers to facilitate appropriate care, education and documentation related to Core Measures.
Identify real time noncompliance with CMS Core Measures and develop and implement appropriate actions to ensure immediate and long term compliance.
Involve management to establish specific quality-related goals to measure the organization’s processes and outcomes.
Represent quality (performance measurement and analysis) on internal/Network committees and task forces as needed.
Facilitate discussions with stakeholders of existing data, reports, and analyses while assessing unmet needs and potential enhancements.
Exhibit skill in health information fundamentals to include application of basic statistical processes, data analysis, reporting, and computer use.
Provide development, implementation, support, and evaluation of a variety of departmental and institutional databases to support clinical excellence.

Level 2 – Proficient (in addition to above duties)
Support the Code of Ethics for Healthcare Quality Professionals.
Research best practices. Identify benchmark standards and assist with developing strategic quality goals.
Create and support an environment that fosters team work, emphasizes quality, recognizes the customer, and promotes learning.
Demonstrate leadership skills in programs that focus on improved outcomes of patient care/healthcare delivery systems.
Possess excellent written and verbal communication skills, applicable in both individual and organizational development.
Maintain professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
Review/analyze health information documents to identify unexpected outcomes, adverse events and system issues. Coordinate and facilitate the peer review process.

Level 3 – Subject Matter Expert (in addition to above duties)
Analyze and organize complex qualitative/quantitative clinical, financial and administrative data from multiple sources. Summarize results into meaningful reports and presentations.
Mentor others in the Continuous Quality Improvement process.
Work with new and existing Quality Improvement Specialists to share knowledge in methods of data analysis, summarization and presentation. Serve as a resource and role model for other Quality Improvement Specialists, train other specialists and end-users on core analytic and reporting systems.
Seek to identify root causes of recognized problems of the event rather than focus on individual members.
Act as an effective agent of change identifying opportunities for improvement, resolution of problems and evaluation of outcomes.

THE RN QUALITY IMPROVEMENT COORDINATOR FT DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.

EDUCATION

Required: Bachelor's degree from an accredited institution in a related field
Preferred: Masters (MS, MA) in Nursing or other health care related field

CERTIFICATES

Preferred: Certified Professional in Healthcare Quality (CPHQ)

EXPERIENCE

Required: Minimum two (2) years experience quality analysis in healthcare acute care setting.
Preferred: 5 years related experience, including quality and educational related methodology and theory, 1 year leadership experience

Skills

Required: Demonstrated application in successful team building, systems thinking, complex problem solving, negotiating and influencing, change and conflict management, data analysis, coaching and mentoring, strategic planning, and business strategy development; Strong presentation skills; Effective written and verbal communication skills, and a proven ability to earn trust and build relationships with employees, management, and other health care staff. Strong computer skills, including knowledge of word processing, database, spreadsheet, presentation, and statistical and graphical software. Demonstrates competence on all software programs necessary for effective report preparation, including all Microsoft Office products as well as database systems.
Preferred: Evidence of formal education and training in above skills

Knowledge

Required: Quality improvement process, performance improvement tools and techniques, to include understanding and demonstrated application of statistical techniques used in data analysis and display; knowledge of varied regulatory, accreditation, and licensing standards

Technology

Required: Applied computer experience in all software programs necessary for effective report preparation, including all Microsoft Office products as well as database systems to organize, store, retrieve, and communicate data into meaningful information; awareness of current use of technology in related fields
Preferred: Computer expertise in advanced computer skills and specialized technology in quality management databases.

Other
Required:  Reliable transportation and flexibility to travel to assigned sites

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