Description Coord, QM
Welcome to Holy Name, a medical center where innovation is not just a goal - it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention - because healing every soul is our sole focus.
Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology - it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery.
A Brief Overview The Quality Management (QM) Coordinator's over-aching aim is to advance the organization's commitment to healthcare quality through collaboration and communication. They will facilitate the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. The QM Coordinator helps coordinate the development, implementation, monitoring, and evaluation of Quality, Safety and Performance Improvement activities. This includes but is not limited to; supporting the performance improvement process, identifying performance trends, prioritizing, and recommending improvements, coordinating hospital-wide Performance Improvement activities regarding strategic initiatives and department goals, and participates in the root cause analysis (RCA) process for applicable serious safety events. Serving as a liaison to other hospital departments and personnel, they will use performance and process improvement (PPI), project management, and change management methods to support operational and clinical quality initiatives, improve performance, and achieve targeted organizational goals. The QM Coordinator will collaborate with key stakeholders to improve care processes by performing quality medical record reviews, assisting in the improvement of the clinical operations, maintaining accurate records of review activities, developing formal charters and improvement plans. They will also be responsible for maintaining up-to-date knowledge of regulatory standards and guidelines set forth by accrediting bodies. In collaboration with Leadership, Nursing, Medical Staff and other ancillary departments, they will prepare for, participate in, and follow up on regulatory, accreditation, and certification surveys and activities to facilitate continuous survey readiness. Serving as both a functional leader and data expert in a variety of tasks, namely; quality data reporting programs and measures, data compilation and analysis, process evaluation, and ongoing creation and maintenance of metric dashboards/displays of data to medical, clinical, and executive leadership and other committees as assigned.
What you will do- Plan, organize, and direct Quality Management activities to organize process improvement projects to ensure patient safety and improvement in quality metrics
- Collect, analyze, summarize and present data in a narrative, statistical and graphic format to identify trends, patterns, and areas in need of improvement
- Monitor and evaluate patient care outcomes and other performance indicators, working collaboratively with physician, nursing and other clinical and administrative professionals to develop and implement action plans to address changes in key indicators
- Support the development of dashboards and scorecards to monitor the progress of various quality initiatives and utilizing project management tools to track and communicate the status of those initiatives
- Represent Quality Management at Quality committees, departmental committees, performance improvement task forces and organizational teams as appropriate
- Conduct case reviews to investigate reported or suspected deviations in patient care outcomes, then facilitate appropriate review by physician and/or other professional staff, as appropriate based on clinical qualifications
- Participate in continuous readiness monitoring to ensure compliance with regulatory standards and accreditation requirements
- Facilitate the production of the department's Quality & Patient Safety Annual Report
- Participates in Root Cause Analysis, investigates adverse events and implements corrective actions/interventions.
- Provide, facilitate, and evaluate formal and informal educational programs and presentations related to quality and patient safety to new hires and residents to facilitate opportunities to improve patient care
- Performs other duties as assigned
Education Qualifications- Bachelor's Degree in healthcare-related field Required
Experience Qualifications- Minimum of 5 years of experience in healthcare setting working directly with clinical, administrative and professional staff. Required
Knowledge, Skills, and Abilities- Excellent written, verbal and interpersonal skills
- Strong analytical skills
- Can do attitude, problem solver, role model, mentor and leader
- Proficient in Microsoft Excel, PowerPoint and Word
- Knowledge and application of performance improvement methodologies (High proficiency)
- Knowledgeable about state, federal, and regulatory agency requirements
Licenses and Certifications- RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in state of NJ Upon Hire Required
- CPHQ - Certified Professional in Healthcare Quality within 1-1/2 Yrs Required
At Holy Name, we believe in rewarding every team member with more than a paycheck-we invest in your future and well-being. Full-time and part-time employees have access to a comprehensive benefits package designed to support your health, financial security, and quality of life. We offer low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care. Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking. If you are hired at Holy Name, your final base compensation will be determined based on factors such as employment status (Full/Part-Time or Per Diem) skills, education, and/or experience. In addition to those factors - we believe in the importance of pay equity and consider any internal equity of our current team members as a part of any final offer. Pay Range: $112,008.00 - $134,409.60
Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented staff members. Holy Name is an Equal Opportunity Employer.
