Description

PURPOSE STATEMENT:

Provide support activities for the departments of Risk Management and Performance Improvement.

ESSENTIAL FUNCTIONS:

• Monitor and audit program components to ensure compliance with contracts, licensing and accreditation standards.

• Complete quality analysis reports and identify recommendation for improvement.

• Assist in the development and oversight of program improvement initiatives and corrective action plans.

• Assist in the attainment and renewal of accreditation and licensing for the facility. Assist in maintaining accreditation compliance, patient safety goals and other state or licensing requirements.

• Assist in the development and oversight of program improvement initiatives and corrective action plans. Assist in the attainment and renewal of accreditation and licensing for the facility.

• Facilitate document processing between managers and committees.

• Record and maintain committee meeting minutes, performance improvement and risk management documentation.

• Maintain and update electronic and physical database.

• Assist in project implementation and system-wide education and compliance initiatives including compliance with State Licensing and CMS regulatory requirements

• Track projects as assigned throughout the facility, which may include but is not limited to quality council, policies and procedures, safety committee, departmental monitors, board monitors and graphs.

• Travel as needed to off-site programs to provide assistance with investigations, compliance matters, and training as deemed necessary by the Director of Risk Management.

• Provide on-call assistance as needed related to investigations according to company policy/procedure and licensing agencies.

Qualifications

Behaviors

Preferred

• Dedicated: Devoted to a task or purpose with loyalty or integrity

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Education

Required

• Associates or better in Nursing/Healthcare

Preferred

• Bachelors or better in Nursing/Healthcare

Experience

Preferred

• 1 year: At least one year experience with Joint Commission/or Risk Management/Quality Review is preferred

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)