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Form of work
SalaryThe Compliance Coordinator will be responsible for ongoing review of medical records and concurrent review to ensure compliance with established nationally recognized quality patient outcomes (e.g., Core Measures, Hospital-Acquired Conditions). This individual must assume a leadership role and be able to work well with medical staff, nursing and other ancillary departments. This is a position that requires attention to detail and ability to function well under stress.
Position Qualifications
Education:
- RN required
Certifications/Experience:
- Minimum of 2 years’ experience in nursing with at least 1 year experience in a relevant clinical role preferred. Previous performance improvement experience preferred.
- Current license as a Registered Nurse required
General Responsibilities
- Coordinates the Medical Staff Peer Review process including agenda, minutes, tracker, correspondence, case screenings, and case reviews.
- Serves as subject matter expert of relevant Quality applications i.e. Quality Net, Joint Commission data entry platforms, Premiere and enters data accordingly, by deadline.
- Reviews quality related fallouts and provides information to stakeholders and recommendations for improvement.
- Maintains assigned dashboards and reports data driven opportunities and recommendations to stakeholders.
- Reviews cases i.e. mortality, sepsis, general quality of care in a timely manner, disseminates information to stakeholders, leads relevant meetings, and makes recommendations for improvement.
- Partners with Nursing, Medical Staff, Leadership, and others to identify areas needing performance improvement.
- Collaborates with Clinical Documentation Improvement staff and refers cases to stakeholders as appropriate.
- Other performance improvement duties i.e. Smart Plan development, accreditation/regulatory preparedness as assigned.
- Attitude - Provides highest quality service and meeting customers' needs with utmost kindness, care, compassion, courtesy, empathy, respect and friendliness. Always acknowledges and serves customers with a friendly, open smile and direct eye contact.
- Appearance - Takes pride in personal appearance, the facility and its surroundings.
- Commitment to Coworkers - Recognizes we are linked to one another by a common purpose; serving our patients and our community, that we are team members with our physicians and co-workers, and that we each deserve respect and support.
- Communication - Listens attentively to our customers to fully understand needs. Pays close attention to both verbal and non-verbal communication. Is committed to exceeding customers' expectations and providing more than what is expected.
- Customer Waiting - Provides prompt service, keeps customers informed regarding the time in which the service will be performed and makes customers comfortable while they are waiting.
- Privacy – Maintains customer privacy and confidentiality
- Responsiveness - Acknowledges every approaching patient or family member. Responds in a way that demonstrates the care, courtesy and respect our customers deserve.
- Safety Awareness - Ensures an accident-free environment. Establishes, promotes and monitors a proactive innovative approach to enhance hospital and patient safety. Adheres to and ensures compliance with Joint commission Patient Safety Goals and hospital safety policies.
- Sense of Ownership - Demonstrates a sense of ownership in their job, takes pride in what they do, and how they do it. Accepts responsibility for and is in control of the job that needs to be done
- Team Member is accountable for areas of responsibility meeting regulatory requirements including but not limited to maintaining annual TB testing, completing annual mandatories (ALC and competency), and maintaining current registration/certification/licensures as appropriate to position requirements.
