Essential Responsibilities
- Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs.
- Assists with quality management studies through data collection, data input and report development.
- Analyzes, interprets and provides recommendation based on quality principles.
- Organize and coordinate project planning, group process facilitation, training, and appropriate application of information technology.
- Reports all occurrences which may lead to medical center liability and follows up as necessary.
- Facilitates interdisciplinary collaboration for implementation of evidence based guidelines, criteria and other clinical tools to reduce variation in clinical practice and to optimize clinical outcomes.
- Educates physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the methods of compliance when preparing for a review or the interpretation of project goals.
- Analyzes risk management/patient safety principles and provides recommendations for the incorporation of risk management principles in each medical center.
- Provides support services to appropriate medical center staff in implementing risk management principles into credentialing processes.
- Participates in special projects as assigned, such as statistical reports for state, federal, and local agencies.
- Applies the appropriate performance improvement methodology to address improvement opportunity (eg. MFI, Lean DMAIC).
- May support infection prevention and control activities.
- Supports maintenance of IC records and policy/procedure manual reviews and revisions.
- Supports the medical centers continuous survey readiness program to maintain compliance with regulatory standards.
Experience
Basic Qualifications:
- Minimum three (3) years of combined experience in quality, risk management, patient safety, infection prevention, accreditation/regulation, licensing or operational clinical leadership in a healthcare setting.
Education
- Bachelors degree in nursing, business administration, economics, health care administration, operation research, public health administration, or other related field.
License, Certification, Registration
- Registered Nurse License (California) required at hire
Additional Requirements
- CIC certificate required within three (3) years, if primary job focus is Infection Control.
- Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications
- Minimum of three (3) years experience working in quality operations in an acute care setting.
- Quality/ Risk/Patient Safety/Just Culture/Project Management/Lean/IP certification.
- Masters degree preferred.