Quality/Risk Coordinator
Duties include reviewing medical records as well as the duties listed below.
Performs open and closed comprehensive clinical reviews to verify compliance; documents findings.
Monitors compliance with standards including CIMS/State/Clinical Standards by discipline (NSG/PT/OT/ST/Medical Staff).
Partners with clinical leaders to review findings, set corrective action, audit for lasting change.
Partners with medical staff to discuss treatment plans, clinical protocols, documentation, etc.
Educates clinical staff during records review on compliance standards and growth opportunities.
Prepares summary report of findings, corrective actions, and follow-up plan; provides to DQM.
Provides recommendations to clinical leaders regarding best practice behaviors.
Participates on quality management and performance improvement programs as necessary.
Assists Director Quality/Risk and Clinical Leaders in planning activities Participates in preparing Medical Records Review Program based upon the defined objectives.
Executes clinical review procedures; documents findings per company Compliance Standards.
Identifies and prioritizes potential exceptions, exposures, and opportunities for clinical review.
Works with client management and staff to obtain concurrence on issues and recommendations.
Organizes, plans, and manages time effectively to complete assignments.
Meets position requirements and performs essential functions.
Completes mandatory training and courses required by completion date.
Reports questionable situations, concerns, complaints or harassment immediately.
The Quality/Risk Coordinator, under the general direction of the Quality/Risk Director, assists in the administration of the the quality and risk functions, including but not limited to working with hospital administration, departments and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital.
The Coordinator also ensures proper compliance with regulatory agencies, accrediting bodies, corporate and hospital policies and procedures, and implements risk, quality assessment and improvement programs within the hospital.
Job Code:
100658 QualificationsLicense or Certification:
- Licensed or Certified according to individual state requirement.
Education, Training and Years of
Experience:
- Bachelor's degree in healthcare or related field preferred.
- Quality and/or risk management experience, including performance improvement activitities, regulatory compliance, conflict resolution and risk management activities.
Machines, Equipment Used:
- General office equipment such as telephone, copy machine, fax machine, calculator, computer.
Physical Requirements:
- Good visual acuity and ability to communicate.
- Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 50 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients.
Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.
- Ability to withstand prolonged standing and walking.
- Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipmentSkills and Abilities:
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
Environmental Conditions:
- Indoor, temperature controlled, smoke-free environment.
Occasional outdoor exposure.
- Exposure or potential exposure to blood and body fluids may be required.
- Handicapped accessible.
- May work under stressful circumstances at times.
Proficiency or Productivity Standards:
- Meets established attendance standards.
- Adheres to hospital/department dress code including wearing ID badge.
- May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
- May be required to work on religious and/or legal holidays on scheduled days/shifts.
- Will be required to work as necessary during disaster situations, i.
e.
, before, during or after a disaster.
- May be required to stay after workday to assist after a disaster situation until relief arrives.
- May be required to perform other duties as assigned by supervisor.
Recommended Skills Administration Attention To Detail Auditing Clinical Works Conflict Resolution Fax Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
external-apply-email-saved').
on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3n41p67l4pcpjh9n4z', 'ExternalApply-j3n41p67l4pcpjh9n4z'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
Performs open and closed comprehensive clinical reviews to verify compliance; documents findings.
Monitors compliance with standards including CIMS/State/Clinical Standards by discipline (NSG/PT/OT/ST/Medical Staff).
Partners with clinical leaders to review findings, set corrective action, audit for lasting change.
Partners with medical staff to discuss treatment plans, clinical protocols, documentation, etc.
Educates clinical staff during records review on compliance standards and growth opportunities.
Prepares summary report of findings, corrective actions, and follow-up plan; provides to DQM.
Provides recommendations to clinical leaders regarding best practice behaviors.
Participates on quality management and performance improvement programs as necessary.
Assists Director Quality/Risk and Clinical Leaders in planning activities Participates in preparing Medical Records Review Program based upon the defined objectives.
Executes clinical review procedures; documents findings per company Compliance Standards.
Identifies and prioritizes potential exceptions, exposures, and opportunities for clinical review.
Works with client management and staff to obtain concurrence on issues and recommendations.
Organizes, plans, and manages time effectively to complete assignments.
Meets position requirements and performs essential functions.
Completes mandatory training and courses required by completion date.
Reports questionable situations, concerns, complaints or harassment immediately.
The Quality/Risk Coordinator, under the general direction of the Quality/Risk Director, assists in the administration of the the quality and risk functions, including but not limited to working with hospital administration, departments and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital.
The Coordinator also ensures proper compliance with regulatory agencies, accrediting bodies, corporate and hospital policies and procedures, and implements risk, quality assessment and improvement programs within the hospital.
Job Code:
100658 QualificationsLicense or Certification:
- Licensed or Certified according to individual state requirement.
Education, Training and Years of
Experience:
- Bachelor's degree in healthcare or related field preferred.
- Quality and/or risk management experience, including performance improvement activitities, regulatory compliance, conflict resolution and risk management activities.
Machines, Equipment Used:
- General office equipment such as telephone, copy machine, fax machine, calculator, computer.
Physical Requirements:
- Good visual acuity and ability to communicate.
- Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 50 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients.
Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.
- Ability to withstand prolonged standing and walking.
- Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipmentSkills and Abilities:
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
Environmental Conditions:
- Indoor, temperature controlled, smoke-free environment.
Occasional outdoor exposure.
- Exposure or potential exposure to blood and body fluids may be required.
- Handicapped accessible.
- May work under stressful circumstances at times.
Proficiency or Productivity Standards:
- Meets established attendance standards.
- Adheres to hospital/department dress code including wearing ID badge.
- May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
- May be required to work on religious and/or legal holidays on scheduled days/shifts.
- Will be required to work as necessary during disaster situations, i.
e.
, before, during or after a disaster.
- May be required to stay after workday to assist after a disaster situation until relief arrives.
- May be required to perform other duties as assigned by supervisor.
Recommended Skills Administration Attention To Detail Auditing Clinical Works Conflict Resolution Fax Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
external-apply-email-saved').
on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3n41p67l4pcpjh9n4z', 'ExternalApply-j3n41p67l4pcpjh9n4z'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
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