Job Description

• Abstracts Core Measures with accuracy
• Ability to facilitate performance improvement and CQI activities throughout the hospital
• Demonstrates effective organizational skills through ongoing interaction with managers, nursing staff, administrative team and hospital Board to facilitate the hospital wide PI program
• Accurately demonstrates use of database systems to document occurrences, quality review functions, committee review and actions. Compiles reports for committees and administrative team.
• Demonstrates awareness of the responsibilities of the position and how it interfaces with the rest of the healthcare team. Works closely with all department members as required, is flexible to meet the needs of the departments and changes in the workload
• Consults with other departments as appropriate to collaborate in patient care and performance improvement activities
• Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control
• Effectively and consistently communicates administrative directive to personnel and encourages interactive departmental meetings and discussions
• Practices good guest relations with patients, visitors, physicians and staff, assists as needed
• Participates in Risk Management and Culture of Safety Activities
• Utilizes information obtained via performance improvement activities to seek and act on opportunities to improve patient care processes
• Consistently demonstrates a professional, self directed, mature, disciplined and tactful approach to department responsibilities.
• Adheres to dress code, appearance is neat and clean
• Maintains regulatory requirements, including all state, federal and TJC regulations