Quality Program Coordinator

Job Summary

Assists the Director in maintaining and revising the Quality and Performance Improvement program, projects, and initiatives across the Hospital.

Coordinates the activities of departments, committees, and medical staff to develop and document ongoing evaluation activities.  Performs studies and problem-focused reviews; interprets data; develops and implements action plans; and monitors and evaluates performance.  Promotes the Quality and Performance Improvement program to medical, nursing and support services. 

Experience

Basic Qualifications:


* Minimum five (5) years of experience as a licensed hospital nurse required.


* Minimum three (3) year of experience in quality-related activities such as Medical Staff Peer Review, Quality Management, Performance Improvement, or Patient Safety/Risk Management.


* Strong planning, interpersonal and conflict resolution skills.


* Effective communication skills including speaking, writing, listening, and facilitating.  Able to receive and effectively give information in person, by telephone/video, and in writing.


* Detail-oriented and organized.


* Ability to independently prioritize, analyze, and apply critical thinking to achieve resolutions, as well as work collaboratively with key stakeholders


* Knowledge of licensing regulations, CMS clinical quality measures, DNV Healthcare accreditation standards, and primary stroke center requirements.


* Proficient with PC applications including email, presentation, spreadsheet, and word processing.

Microsoft experience preferred.

Preferred Qualifications:


* Experience in a quality improvement related role, including leading/facilitating teams in performance improvement.


* Knowledge of ISO 9001

Education


* Graduate of an accredited school of nursing or related clinical health program required.


* Bachelor's degree in nursing or health care preferred.


* Master’s Degree or equivalent preferred

Licensure/Certification


* Current licensure with the California Board of Registered Nursing.


* Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment.


* Current Certified Professional of Healthcare Quality (CPHQ) preferred.

Responsibilities


* Consults with department leaders, medical staff, and key stakeholders to assist them in developing ongoing evaluation programs to identify, resolve, and report opportunities to improve patient care.


* May represent the Department on medical staff committees.


* Designs, conducts and evaluates studies and problem-focused reviews requested by Administration, medical staff, or department leaders which frequently involve sensitive, confidential, or medical legal issues.


* Performs and oversees ongoing quality improvement activities across the organization to assure timeliness, accuracy, and compliance with licensing, certification, program and/or re...