Nurse Care Coordinator Consultant

2 weeks ago

Charleston, United States Quality Insights Full time
Basic Function:

The Nurse Care Coordinator Consultant – Regional Lead is responsible for demonstrating project management skills in implementing assigned projects as part of the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) 13th Scope of Work (SOW) contract aims. This involves recruitment and retention of providers of various types to participate, collaborating with stakeholders in the state and participating in network activities. The Regional Lead will assist health care providers and organizations in problem solving, including serving as an external resource for quality improvement data, evidence-based practice and performance improvement strategies. The Regional lead is also responsible for leading task domain at a regional level while demonstrating proficient and advanced clinical skills in planning, implementing, evaluating task activities for the QIN-QIO task domain specific deliverables at the regional level.

The Regional Lead demonstrates proficient and advanced skills in planning, implementing, and evaluating projects that have long range implications for select patient populations in various contract aims clinical settings. The Quality Improvement Specialist coordinates internal and external resources for execution of projects, including interdisciplinary management of projects within and outside of the organization.

Organizational Relationships:

Reports to the QIN-QIO Program Director

Role and Responsibilities:
  • Collaborates with QIN-QIO Program Director, State Program Director, Subject Matter Expert and Corporate Director of Analytic Resources on project design, implementation, and evaluation.
  • Participates on a team to build communities of cross-setting, healthcare providers to engage in improving care for Medicare beneficiaries, facilitate cross-setting providers in goal setting and achievement of the CMS goals.
  • Serves a primary clinical resource and brand ambassador, within and outside the organization, on assigned task domain goals and objectives.
  • Recruit and collaborate with nursing homes to set and achieve goals of the CMS goals for 13th SOW contract aims.
  • Implement Quality Improvement Initiatives including Targeted Quality Improvement Initiatives (TR QIIs) for Nursing Homes.
  • Accountable for meeting all regional task domain specific contract deliverables and requirements and tracking of project plans, milestones and deliverables in the Internal Quality Control (IQC) database.Acts as a resource within and outside of the organization on standards of care, quality improvement processes, and quality improvement data for assigned contract aims.
  • Assists QIN-QIO management team with preparation of periodic and special reports on program status and contract deliverables.
  • Responsible for helping to meet regional aim specific contract deliverables and requirements and tracking of project plans, milestones and deliverables in the Internal Quality Control (IQC) database.
  • Coordinates the facilitation of aim-specific educational programs for healthcare providers.
  • Ability to identify and recruit community stakeholders, nursing homes, clinicians and providers to participate in identified strategic health care projects.
  • Establishes and maintains professional relationships with internal and external customers for assigned contract aims.
  • Assists in troubleshooting potential and/or current problems in achieving contract objectives.
  • Serves as content expert on proposals for the acquisition of new business on an as needed basis.
  • Travel within assigned geographic neighborhood 50 – 75% of your time.
  • Other duties as assigned.
Supervisory Responsibilities:

None

Skills / Professional Competencies Required:
  • Excellent written and oral communication skills.
  • Demonstrated experience within the specific task domain.
  • Demonstrated experience in healthcare quality improvement tools that lead to large scale change and improvement in healthcare processes to reduce waste and promote value in healthcare expenditures.
  • Demonstrated experience in performance measures, quality improvement methodologies, project evaluation and analysis of trends for in project metric results.
  • Knowledge of federal and state statutes, regulations, and program standards in relation to the QIN-QIO contract.
  • Demonstrated ability to build and maintain relationships with physicians, healthcare providers, healthcare professionals and government officials.
  • Requires self-direction, tact, diplomacy, and a clear courteous and professional manner when dealing with internal and external customers.

Minimum Education/Training Required:

Bachelor’s degree in nursing (BSN). Master’s degree (MSN) preferred. Non-nursing candidates with relevant experience will be considered.

Minimum Experience Required:

Five years of full-time professional experience in clinical nursing or in a related healthcare field. Both nursing and non-nursing candidates must have nursing home experience, two years of which must have been in a quality-improvement program administration capacity.

Substitution(s):

Four additional years of experience beyond the minimum state above may substitute for the Bachelor’s degree.

Licensure/Certification Requirements (including continuing education requirements):

Current, valid license to practice as a professional Registered Nurse (if a RN).

Security Level:

Low

Working Conditions and Physical Requirements:

The physical demands marked below are representative of those that will be required to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirement

Yes/No

Lifting (lbs.)

If yes, Specify Range:

Up to 10 pounds

Yes

Carrying (lbs.)

If yes, Specify Range:

Up to 10 pounds

Yes

Stooping, Bending

Yes

Kneeling, Squatting

Yes

Walking

Yes

Standing

Yes

Sitting

Yes

Climbing, Balancing (e.g., climbing and working from ladder)

No

Use of Hands to Finger, Handle, or Feel

Yes

Physical Coordination (sequential or simultaneous use of hands, arms, feet, and legs)

Yes

Eye-Hand Coordination

No

Close Vision (clear vision at 20" or less)

Yes

Distance Vision (clear vision at 20' or more)

No

Color Vision (ability to identify and distinguish colors)

No

Depth Perception (ability to judge distance spatial relationships)

No

Hearing in person

Yes

Hearing on telephone

Yes

Speaking in person

Yes

Speaking on telephone

Yes

The environmental conditions marked below are common to this job:

Condition

Yes/No

Outdoor Weather Conditions

No

Wet, Humid Conditions (non-weather)

No

Work Near Moving Mechanical Parts

No

Work in High, Precarious Places

No

Fumes or Dust

No

Toxic or Caustic Chemicals

No

Extreme Heat (non-weather over 90 deg. F.)

No

Low Noise (e.g. business office)

Yes

Moderate Noise (e.g., light motorized equipment such as lawn mowers)

No

Loud Noise (e.g., jackhammer, heavy motorized equipment)

No

Acknowledgement:

I hereby verify that I understand the job description and requirements and attest that I meet minimum requirements for the position. I understand that management may assign other duties/responsibilities at any time. I also understand that should licensure/certification be a mandatory part of the job, that I will maintain and renew such license/certification as required. I understand that I am obligated to notify Human Resources and my supervisor should there be a change in status of such license/certification within one business day of the change. I understand that failure to maintain current licensure/certification and complete mandatory continuing educational requirements may lead to disciplinary action up to and including immediate termination. I further understand that this job description does not constitute an employment contract. Instead, I understand that I am an at-will employee and that my employment may be terminated, with or without cause, at any time by either the employer or me.

Signature of Employee:

Date:

Supervisor:

Date:

Human Resources Director:

Date:

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