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LVN QI Coordinator

3 months ago

Edinburg, Texas, United States DHR Health Full time
DHR Health - US:TX: Edinburg

MISSION STATEMENT :


Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.


VISION :


Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.


POSITION SUMMARY :


Under the direct supervision of the Director of Clinical Certification, the coordinator supports the overall Clinical Certification/Accreditation programs, as assigned, across the continuum of care at DHR.

The coordinator is responsible for participating in short-term and long-term strategies to ensure the organization's mission, vision, and values are carried out through the delivery of high quality, cost effective patient care with a high level of integrity.


POSITION EDUCATION/ QUALIFICATIONS :

  • Current Licensed Vocational Nurse (LVN)
  • Minimum experience of three (3) years of accreditation/quality experience in a hospital setting preferred
  • Experience in coordinating TJC survey preparation and participation in TJC, State, and CMS surveys within the last three (3) years preferred
  • Computer skills required with proficiency in Microsoft Office Suite
  • Effective written and verbal communication skills required
  • Bilingual - English/Spanish preferred
  • Current valid driver's license and ability to travel to other locations as required
  • Current BLS certification or must obtain within the first 90 days of hire.

JOB KNOWLEDGE/EXPERIENCE :

  • Three (3) years of certification or accreditation experience in the acute healthcare setting preferred
  • Strong organizational, interpersonal, management, and leadership skills

POSITION RESPONSIBILITES :

  • Work collaboratively with hospital and medical staff to achieve transformational change
  • Use high level of organizational skills to manage assignments
  • Responsible for patient education, including, but not limited to 1:1 teaching, classes, development and utilization teaching materials
  • Work with multidisciplinary teams to draft, revise, and enforce policies and procedures in accordance with the mission, vision, regulations and standards
  • Provide education to the hospital and medical staff around certification/accreditation initiatives
  • Develop and implement, in conjunction with marketing and other leaders, a community outreach program that includes, but not limited to, health fairs, physician education, local community events, education events, and speaking engagements
  • Conduct audits, data abstraction, and chart reviews as assigned and input information into appropriate software or tool
  • Develop, manage, facilitate, monitor, and assess quality metrics required by national organizations and evidence-based practice for optimal clinical outcomes and ensure compliance with all activities required to achieve and maintain a disease-specific certifications/accreditations as assigned
  • Conduct daily rounds on inpatients to ensure desired patient outcomes and coordinate care issues with the physician(s) and other members of the interdisciplinary team
  • Work closely with nursing and case management concerning patient and caregiver education and discharge planning
Work in partnership with nursing and other team members to develop strategies to improve patient experience scores to meet or exceed established goals

  • Work in conjunction with clinical educators and nursing staff to ensure competency and understanding of the needs of the patient
  • Act as a resource to patient care staff and provide timely feedback to stakeholders
  • Ensure physician satisfaction by developing relationships and following through with problem resolution, recognition and performance improvement, including regular visits with physician's office, if needed
  • Track measures, generate and disseminate reports to stakeholders throughout the care continuum, with the inclusion of patient satisfaction, patient outcomes, and process metrics while identifying areas that require improvement, in order to provide key statistics and outcomes data to hospital leadership and committee meetings
  • Assist department managers with preparation for various committee presentations
  • Develop and analyze data to identify trends, develop action plans, and implement program modification to improve performance
Facilitates multidisciplinary team meetings affiliated with assigned programs in partnership with physician members and hospital leadership

  • Strives for evidenced-based practice and demonstrates critical thinking skills to ensure optimal, safe outcomes
  • Participate in regulatory/accreditation/certification surveys as assigned
  • Travel to other hospital locations as needed according to assignments
Other duties as assigned

LINES OF REPSONSIBILITES :
(Chain-of-command)

  • Director of Clinical Certification → 2. VP of Quality, Safety & Accreditations → 3. Physician Executive