Description

　　Works with and motivates staff, physicians and leadership to participate in performance improvement activities

　　Manages performance improvement projects throughout the medical center

　　Analyzes data to track and trend performance outcomes

　　Coordinates accreditation and regulatory surveys

　　Stays current with regulatory standards updates

　　Coordinates core measures program with Quality Manager and assists with core measures data abstraction and submission to TJC and CMS

　　Conducts tracer activates/quality rounds to ensure ongoing survey readiness

　　Collaborates with all disciplines/departments in the organization to obtain the highest level of patient outcomes

　　Facilities quality meetings and PI team meetings

　　Educates all members of the organization, including physicians and senior leaders on performance improvement tools and processes

　　Coordinates policy process within the organization to ensure policies are updated appropriately and new policies are written as needed

　　Requirements:

　　BS in healthcare related field with clinical experience preferred.

　　Master’s degree preferred

　　CPHQ preferred or to be obtained within 2 years of service is required

　　3-5 years of proven experience in healthcare quality

　　Knowledge of regulatory and accrediting agency (NJ DOH, TJC, CMS, OSHA) standards is a plus

　　Medical chart review skills preferred

　　Strong computer skills required; Microsoft office and statistical software (willing to train)

　　Interpersonal requirements:

　　Strong verbal, written communication and presentation skills, must be an organized self-starter, as

　　well as a team player

　　Talent for leading and facilitating group and team meetings

　　Ability to maintain a calm, professional demeanor under pressure

　　Comfort in handling challenging situations that may involve adverse outcomes

　　Qualifications

　　Education

　　Required

　　Bachelors or betterPreferred

　　Masters or betterExperience

　　Required

　　3-5 years: 3-5 years of proven experience in healthcare quality