Description
POSITION SUMMARY
Leads and directs process and overall quality improvement activities that produce better patient care and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Implements a strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the hospitals that Cohesive manages. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other.
POSITION QUALIFICATIONS
Minimum Qualifications:
• Ability to project a professional Image.
• Knowledge of regulatory standards and compliance requirements.
• Knowledge of techniques and methods of patient care services and instructions for patients and their families.
• Working knowledge and ability to apply professional standards of practice in job situations.
• Strong organizational and analytical skills.
• Persons who have been found guilty by a court of law of abusing, neglecting, or mistreating individuals in a health care related setting are ineligible for employment in this position.
• Freedom from illegal use of drugs.
• Ability to perform each position responsibility satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position.
• Ability to understand that safety is a condition of employment. Unsafe acts or conditions will be reported to the supervisor
• Must be computer literate with ability to enter information in the EHR system and compile reports or data as requested.
• Must be able to read, write and speak English.
POSITION DETAILS:
• Provide leadership in ongoing development and implementation of a data-based monitoring, tracking and process improvement system that will ensure compliance with the state of OK/TN/KS requirements for quality management.
• Ensures review of clinical records regarding diagnosis, treatment and summary of member's progress. Ensures individual and systemic quality of care. Confers with other practitioners and technical experts in own field of specialization, to broaden knowledge, acquire specific information, or obtain advice or consultation.
• Implements process improvement and integrates quality throughout the organization.
• Assures regulatory compliance within assigned areas of responsibilities and in collaboration with peers. Establishes external networks to facilitate benchmarking and practice excellence. Demonstrates leadership within and outside the facility to promote a model of excellence in practice, education, and administration.
• Ensures that review of medical records for quality of care issues, compliance with best practices, and potential litigation concerns occurs as needed.
• Performs other duties as assigned.
Education and/or Experience:
• Must possess current state RN license and BLS certification.
• Bachelor's degree (B.A./B.S.) in related health field preferred.
• One-year process improvement experience preferred.
• Demonstrated competence in reacting to and handling emergencies.
• Able to work collaboratively with multiple health professionals in a busy and complex environment using tact, diplomacy, and discipline.
• Ability to understand and adhere to established policies, procedures, and protocols.
• Strong charting/documentation skills.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Commitment to excellence and high standards
• Excellent written and oral communication skills
• Strong organizational, problem-solving, and analytical skills
• Ability to manage priorities and workflow
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
• Good judgement with the ability to make timely and sound decisions
• Bilingual skills a plus.
Certificates, Licenses, Registrations Required:
• Current licensure as a RN to practice in the State of Oklahoma by the State Board
• Current BLS certification
LANGUAGE SKILLS
English is the primary language of the facility. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and policy procedure manuals. Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers, and the public.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio, percent as well as draw and interpret various graphs.
REASONING ABILITY
Ability to apply common sense understanding to carry out instruction furnished in written, oral and/or diagram form. Ability to define and solve problems, interpret data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in statistical or diagram form and deal with several abstract and concrete variables.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each key function satisfactorily based on five overall skills categories; assessment, planning, intervention, evaluation and teaching/coaching. Each category will be assessed on performance measurements of appropriateness, efficiency, effectiveness and timeliness. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.
Patient Rights Promotes and protects patients' rights; treats patients with dignity and respect; reports suspected abuse or neglect.
Leadership Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognizes priorities; communicates and models organizational values; fosters high performance; recognizes need for and provides adequate resources.
Process Improvement Applies process improvement methods and techniques; assists in data collection; identifies processes for improvement in daily work; and assists in education of new employees in the team process.
Environment of Care Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment.
Infection Control Applies hand-washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the work place; and demonstrates understanding of cross-contamination.
Information Management Enters or records data timely and accurately; protects confidentiality of patient information; protects data against loss or destruction; reports suspected violation of security/confidentiality issues.
INTERPERSONAL SKILLS
Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; establishes systems to measure effectiveness, efficiency, and service; creates and maintains reporting mechanisms.
CONTINUING EDUCATION
Attends in-service and education programs; attends continuing education required for maintenance of professional certification or licensure.
Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to work inside a clean, well-lit, and well-ventilated laboratory. While performing the duties of this position, the incumbent is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is occasionally required to stand, walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus. The noise level in the work environment is usually moderate. The employee may be exposed to some hazards such as radiation, bodily fluids that may contain disease, and fumes from laboratory chemicals.
