Job Summary

As a Quality you are required to collect data, aggregate and analyzing data, maintaining policies and procedures and reporting to Administrators, and Medical Staff. You will be working closely with Clinical and Non-Clinical teams for improvement on key performance indicators, designs processes for new initiatives, services and other targets identified by CHONC Pediatric

Subacute leadership.

Essential Functions

Quality

Responsible for maintaining the facility’s system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures and reporting to administrators, Medical Staff and the Board.
Responsible for working closely with Administrative team and Medical Staff to guarantee compliance with regulating agencies. Including but not limited to closely monitoring patient care hours, auditing documentation, carrying out Plans of Correction and sustaining changes long term.
Focuses on better healthcare value and quality, including the improvement of clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.
Organize all Quality Management meetings, maintain minutes and make recommendations to the committee based on best practice and current regulatory standards.
Conduct internal audits and risk analysis as determined by the Quality Management Committee.
Analyzes all assigned areas for opportunities of improvement and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality ie: Core Measures, Hospital Acquired Conditions, etc.
Conduct training and in-services needed for staff to improve clinical operation and safety of residents and employees.
Participates in the Safety committee and works with department leaders to resolve investigations within the incident reporting system.
Evaluate and document the effectiveness of the quality management system and IC activities.

Professional Requirements

Adhere to dress code, appearance is neat and clean.
Complete annual education requirements.
Maintain employee and patient confidentiality at all times.
Report to work on time and as scheduled.
Wear identification while on duty.
Maintain regulatory requirements, including all state, federal and local regulations.
Always represent the organization in a positive and professional manner.
Comply with all organizational policies and standards regarding ethical business practices.
Maintains confidentiality and protects sensitive data at all times.
Communicate the mission, ethics and goals of the organization.
Participate in performance improvement and continuous quality improvement activities.
Attend regular staff meetings and in-services.

Knowledge, Skills, And Abilities

Registered Nurse license
Skill in organizing and prioritizing workloads to meet deadlines.
Skill in telephone etiquette and paging procedures.
Ability to develop policies and procedures.
Ability to teach and evaluate clinical performance.
Knowledge of system process analysis, quality/process improvement techniques, design, and integration, at a level of complexity associated with integrating processes across multiple departments of an organization.
Possess a level of analytical ability to problem-solve, evaluate, plan, and direct process improvement.

Physical Requirements And Environmental Conditions

Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions
Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing.

Children's Health of Northern California

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