Job Summary

　　The Radiology Quality Improvement Coordinator is responsible for establishing and maintaining a system wide Quality Assurance & Performance Improvement program that evolves to meet departmental goals and regulatory requirement. The coordinator will provide leadership, facilitation, and coordination performance improvement, quality, and regulatory compliance initiatives. Collaborates frequently with the department faculty and operations leadership to collect and analyze data, develop and implement action plans, run projects, and manage dashboards that contribute to improving patient outcomes and operational efficiency.

　　Job Duties

　　Safety Report Monitoring

　　Collaborate with managers to address safety event reports, identify trends and develop processes to reduce recurrence.

　　Develop and maintain trending reports for monthly leadership team review

　　Coordinate and/or lead investigative activities with risk management, guest relations, PI staff as indicated

　　Data Analysis and Reporting

　　Documents department performance against established benchmarks including critical results

　　Analyze collected data, recommend improvement, collaborate with leadership to manage quality and performance improvement projects

　　Quality/Performance Improvement

　　Coordinate and analyze data from radiologist peer review documentation.

　　Coordinate and facilitate Quality Improvement/Performance Improvement and Regulatory review meeting

　　Assists in development and coordinates the implementation of performance improvement programs in service line modalities.

　　Reviews and monitors occurrences, quality triggers and quality of care concerns observing for problems or patterns affecting the quality of care. Assists the team(s) in development of improvement processes.

　　Assists in development of collection tools, collection, and analysis.

　　Performs required audits as well as specific requested audits.

　　Coordinates with medical health physics in the review of machine quality control, reject patterns and advises sites as necessary.

　　Regulatory Compliance

　　Facilitates annual policy and guideline reviews; Serves as department resource for policy development

　　Collaborates with department leadership to ensure compliance with regulatory requirements, tracks deficiencies and coordinates action plan development

　　Assists in the preparation of Joint Commission, Department of Health, Department of Environmental Protection, and other surveys participating as requested.

　　Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

　　Position Details

　　ARRT, CNMT, or RDMS certification required upon hire.

　　2 years experience preferred of imaging specific regulatory compliance coordination and process improvement/project coordination.

　　*Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).

　　Education

　　Graduate from Specialty Training Program- (Required)

　　Experience

　　Minimum of 5 years-Related work experience (Required), Minimum of 1 year-Managerial/Supervisory (Preferred)

　　Certification(s) and License(s)

　　OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

　　We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.