Quality Coordinator (RN) / Quality Management Registered Nurse - Baylor Rehab - Fort Worth
US-TX-Fort Worth
CCC
Req #: 186636
Type: Full Time Regular
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Overview: Baylor Scott & White Institute for Rehabilitation Fort Worth, TX Quality Management (RN) Inpatient Rehab 42 Beds This a great opportunity to serve as a member of leadership as the Director of Quality at our Fort Worth hospital. This candidate must be a Registered Nurse. The Director of Quality coordinates the Medical Quality Management and Performance Improvement activities to measurably enhance the quality, process and cost effectiveness of patient and customer services rendered. Coordinates the Performance Improvement and Patient Safety programs in accordance with the guidelines and regulatory requirements of Federal and State regulations on a hospital-wide basis. Oversees operations of the Infection Control and Employee Health Programs. Develops and Reviews policies and procedures to insure compliance with all regulatory and accrediting standards. Reviews clinical practice and works with staff to find the best strategies or solutions when concerns arise. Collects data to monitor compliance and/or trends. Responsibilities: 1. Institutes and monitors the Hospital's CQI Processes, utilizing data analysis measuring tools. Assists in disseminating the organization's Quality Management philosophies throughout the organization. Oversight/coordination of operations of the Infection Control & Employee Health Program based upon hospital size and configuration. 2. Assists with the design and compliance of quality processes/activities in the areas of clinical/medical staff PI for all applicable clinical/medical TJC /CARF/DOH standards. Assists with all assigned activities to assure that the hospital maintains accreditation, certification and licensure. Assumes leadership with the Joint Commission and DOH as well as other regulatory agencies with regard to CQI activities. 3. Serves as a resource for all departments within the facility to provide guidance on designing, implementing, analyzing and reporting on Quality Improvement.4. Assists clinical areas in developing criteria, monitoring and reporting mechanisms and action documentation related to the hospital's CQI program.5. Works with other hospital committees and departments to facilitate the incorporation of PI Processes into their CQI evaluation activities.6. Facilitates quality assurance and Performance Improvement committee meetings (QUAPI). Develops quarterly quality reports for governing body review.7. Performs basic chart review activities with appropriate staff for outcome utilization, infection control and medical CQI indicators. Analyzes results of chart review activities with appropriate staff and confers with department staff on any case requiring special attention. 8. Performs audits and reviews clinical documentation to determine regulatory compliance and opportunities for improvement. If remediation of a process is deemed necessary, strategizes with the interdisciplinary team to develop ways to facilitate improvement. Communicates identified problems to the appropriate resources, department or committees for review. 9. Serves as consultant for all clinical PI indicators being implemented within the hospital. Provides PI facilitation skills to chartered PI projects assisting project team to meet their goals. Coordinates and develops the dynamics of the team process, focusing in concurrent education of relevant PI tools.10. Prepares analysis of significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators.11. Keeps informed of developments and trends in the field.12. Serves as Coordinator of Clinical Quality Committee coordinating and assisting in performance improvement indicator(s), selection, management and statistical measurement.13. Assumes a leadership role in hospital RCA teams, working collaboratively with the interdisciplinary team in quality improvement activities. Qualifications: Minimum Skills, Knowledge & Abilities (including licensure, certification and other job-related credentials) * Valid professional clincal license required in the work state. RN licensure required. * Bachelor's degree required. Master's degree preferred * Previous experience in Quality Improvement, with Statistical Process Control experience and computer skills preferred. * Demonstrates familiarity with accrediting standards, including TJC and CARF preferred. * Certified Professional in Healthcare Quality (CPHQ) preferred.
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