Job Summary:
To assist with daily operations of the Quality & Risk Management (LVN or RN required) processes as it relates to the Hospital Department, including evaluating Quality and Risk management issues and planning appropriate intervention under the Director’s guidance.
Essential Job Duties:
- Actively participates in concurrent case review to assure that evidence-based best practices are implemented timely for core measures patients.
- Responsible for the retrospective data abstracting of all of selected outcome indicators that are required for completion of Core Measure submission.
- Assists with the medical staff Peer Review process by reviewing and preparing case summaries and timelines.
- Assist the Director in providing risk management support to patients and investigating issues and conducting root cause analyses.
- Manage, plan, organize, coordinate and improve functions associated with accreditation and regulatory compliance.
- Chair inpatient and emergency department performance improvement committees and serve as a member on related hospital committees.
- Assist the Director with providing Quality, Risk Management training to the staff, providers, and leaders.
- Conduct Tracers within the department to assist with and maintain survey readiness.
- Assist with addressing Verge Incident Reports.
- Generate and update reports, scorecards, and other departmental documents.
- Order supplies/equipment as needed.
- All other duties as assigned.
Education/Experience:
- Completion of an accredited school of nursing program (LVN or RN)
- Prefer at least 3 years of current nursing experience in an acute care setting.
Behavioral Standards:
- Exhibits customer and service-oriented behaviors in everyday work interactions.
- Demonstrates a courteous and respectful attitude to internal workforce and external customers.
Communication/Knowledge:
- Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
- Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
- Able to use IT systems in an accurate and proficient manner.
Collaboration/Teamwork:
- Contributes toward effective, positive working relationships with internal and external colleagues.
- Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.
Licensure/Certifications:
- Registered Nurse or Licensed Vocational Nurse
- Healthcare accreditation or quality certification, preferred.
THIS POSITION IS ON SITE. NOT REMOTE.
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