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Position Introduction:
Responsible for assisting with the facilitation of the Quality Program including activities such as monitoring, data collection, quality/performance improvement initiatives, reporting, and coordinating/monitoring complaints. To provide support and assistance to providers, clinical and administrative staff regarding quality activities. Organizes and performs medical record and clinic/site reviews related to quality/performance improvement focus studies, re-credentialing reviews, patient complaint investigation, clinical guidelines, and quality of care/risk management/patient safety initiatives. Assists with various quality/performance improvement initiatives, including assisting the clinic medical director and/or clinical staff in identifying potential projects, methods for gathering data to evaluate the potential areas for improvement, and recommending appropriate interventions to improve outcomes. Assists with achieving and maintaining the standards for accreditation and other regulatory agencies. Coordinates various surveys to include but not limited to patient/physician/employee satisfaction surveys in support of the goals of the Quality Department, and the strategic priorities. Assists in the identification and resolution of quality of care/risk management/patient safety/employee safety concerns, through the use of incident reports, complaints, chart reviews/site reviews, etc. and working with physicians, staff, patients and families to resolve issues. Assists with Quality Improvement and Risk Management Committee, AAAHC Steering Committee, and various other, as needed. Plans, coordinates, and participates in provider and staff education initiatives. Performs a variety of duties associated with the Quality Department to include but not limited to the collection and analysis of data, to measure and evaluate processes, quality of care, and clinical outcomes. Performs various duties as needed to successfully fulfill the function of the position.
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Required Education and Experience:
- Bachelor's Degree in Nursing, Healthcare Administration, Public Health, or a related field
- 24 months clinical health care experience in any of the following: direct patient care, medical record and clinic/site reviews, patient complaint investigator, clinical guidelines, and quality of care/risk management/patient safety issues.
Equivalency/Substitution: Experience or a combination of education & related experience can be considered in lieu of degree. A one-to-one ratio is used to determine the number of years of experience required in place of a degree.
Required Certifications and Licenses:
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