JOB DESCRIPTION TITLE:QUALITY IMPROVEMENT COORDINATORGrade: 7 REPORTS TO:Director Quality Improvement, AccreditationStatus: Exempt SUPERVISES:N/A APPROVED BY:Director, QI, Accreditation and Regulatory ComplianceDate Approved:11/2005 HUMAN RESOURCES:Sr. Director of Human ResourcesDate Reviewed:3/2006 JOB SUMMARY:The Quality Improvement Coordinator is responsible for coordinating quality improvement activities throughout the organization.This individual plays an integral role in monitoring key organization quality improvement indicators, ensuring that QI indicators are reported and documented.Assisting and educating staff to organizational compliance with accreditation and regulatory standards as well as coordinating organizational quality improvement initiatives and processes.The Quality Improvement Coordinator is responsible for reporting quality improvement data, investigating quality improvement complaints and adverse occurrences, and performing quality improvement studies. MINIMUM QUALIFICATIONS: Education:Registered Nurse with a current license without restrictions or sanctions in the state and a BA, BS, or BSN degree. MA, MS, or MSN preferred. CPHQ,NCQA & URAC experience preferred Experience:At least three (3) years of nursing experience; critical care and behavioral health care experience are preferred; at least five (5) years of experience related to healthcare quality improvement activities/process improvement/outcomes measurement. Knowledge/skills: •Strong critical thinking skills, communication skills, and documentation skills ·Statistical ability to analyze data •Working knowledge of utilization management/case management/diseasemanagement preferred. •Strong problem solving and decision making skills. •Strong computer skills and experience with Microsoft Office Suites including the development of spreadsheets. ·Must be able to work independently at times ACCOUNTABILITIES: Job Performance/Responsibilities: ·Coordinate, attend, and support the COMPANY Quality Improvement Committee structure, functions, and monthly meetings; ·Assist in the monitoringcompliance with all accreditation and regulatory standards; ·Assist and coordinate the implementation of organizational wide quality improvement processes; ·Assist in the evaluation of the effectiveness of quality improvement program; ·Coordinate and assist in planning and providing organization-wide education pertaining to accreditation standards, regulatory standards, and quality improvement policies and procedures and processes. ·Monthly reporting of quality improvement initiatives and data; ·Document internal quality improvement policies and procedures; ·Coordinate and conduct quality improvement studies as indicated; ·Enhance effective interdepartmental communication to ensure timely reporting of quality data; ·Develop and implement QI audit, reporting, and monitoring tools ·Evaluate and review the program descriptions for each of COMPANY’S clinical programs, including the quality improvement program; ·Coordinate and conduct analysis of member, practitioner, and client satisfaction surveys; ·Investigate adverse occurrences and quality complaints; ·Monitor key organizational quality improvement indicators; ·Document, develop, and/or coordinate corrective action plans in response to client and/or accreditation/regulatory audits. ·Monitor follow-up activities in relation to corrective action plans; ·Assess opportunities for improvement and propose solutions ; ·Perform other duties as indicated by department director and/or Chief Medical Officer and SVP Operations
Customer Services-Internal:
Support a positive working environment; Identify and resolve potential personnel/peer problems and issues proactively, readily utilizing the Director of Quality Improvement, Accreditation and Regulatory Compliance as a resource; Communicate to Director of Quality Improvement, Accreditation and Regulatory Compliance all problems, issues and/or concerns as they arise; Maintain a courteous and professional attitude when working with all COMPANY staff members and the management team; ·Function as role model and healthcare leader when working with all COMPANY staff; Participate in team meetings, as designated.
Customer Service-External:
·Maintain a professional attitude/image when communicating with COMPANY visitors, customers, and/or clients; ·Collaborates with COMPANY clients/customers/audit/surveyors in a professional manner; ·Report all quality improvement data/issues to COMPANY clients in a timely manner; ·Supports/maintains positive relations with COMPANY clients/customers.