PERFORMANCE IMPROVEMENT COORDINATOR (RN IS A PLUS) - QUALITY & PATIENT/RESIDENT SAFETY (23881)

• Works with and motivates staff, physicians and leadership to participate in performance improvement activities
• Manages performance improvement projects throughout the medical center
• Analyzes data to track and trend performance outcomes
• Coordinates accreditation and regulatory surveys
• Stays current with regulatory standards updates
• Coordinates core measures program with Quality Manager and assists with core measures data abstraction and submission to TJC and CMS
• Conducts tracer activates/quality rounds to ensure ongoing survey readiness
• Collaborates with all disciplines/departments in the organization to obtain the highest level of patient outcomes
• Facilities quality meetings and PI team meetings
• Educates all members of the organization, including physicians and senior leaders on performance improvement tools and processes
• Coordinates policy process within the organization to ensure policies are updated appropriately and new policies are written as needed
  
  

Requirements

BS in healthcare related field with clinical experience preferred.

Master’s degree preferred

CPHQ preferred or to be obtained within 2 years of service is required

3-5 years of proven experience in healthcare quality

Knowledge of regulatory and accrediting agency (NJ DOH, TJC, CMS, OSHA) standards is a plus

Medical Chart Review Skills Preferred

Strong computer skills required; Microsoft office and statistical software (willing to train)

Interpersonal Requirements

Strong verbal, written communication and presentation skills, must be an organized self-starter, as

well as a team player

Talent for leading and facilitating group and team meetings

Ability to maintain a calm, professional demeanor under pressure

Comfort in handling challenging situations that may involve adverse outcomes