Registered Nurse/ Quality Management Coordinator

Facilitates and participates-in the implementation of the multidisciplinary hospital-wide Quality Assurance (QM)/Performance Improvement (PI) program. Promotes collaborative practice among departments/services for improved clinical outcomes and processes of care. Plans and implements a systemic process to monitor the quality and appropriateness of patient care.

Responsibilities Include:
1. Supports an information system for Quality Management data aggregation.
• Maintains Quality Management and NYPORTS database.
• Provides Department Chairman and Quality Management/ Performance Improvement Committees with data analysis of trends, including high-risk patients/ procedures.
• Coordinates Root Cause Analysis and reports results to appropriate departments and regulatory agencies.
• Evaluates risk management activities including monitoring of appropriate corrective actions/ improvements to render quality health care in all related phases.
• Monitors statistical data from Quality Management reports and evaluations.
2. Develops systems and procedures to carry out QM/PI functions.
• Assists in the implementation of the philosophy, goals, and objectives of the Hospital.
• Participates in departmental/service Quality Improvement committees, task forces and organizational performance improvement teams as appropriate.
• Participates in program planning and development.
3. Collaborates with the multidisciplinary health care team regarding development and implementation of QM/PI program.
• Serves as a consultant to the multidisciplinary department/service Quality Improvement Committees.
• Participates as a member of the institutional Quality Management/ Performance Improvement committees in planning, reviewing, and implementing activities related to the organizational goals and objectives.
• Recommends topics for review, including but not limited to, high risk, high volume, or problem prone activities.
4. Assists in the preparation process for accreditation and regulatory surveys.
• Uses knowledge of standards of accreditation and regulatory agencies to advise and assists with assessment of adherence.
• Maintains an effective reporting system (i.e. QM database and NYPORTS database) to communicate and document findings, action and follow-up resulting from systematic monitoring and evaluation criteria.
5. Performs related duties, as required.

• Bachelor's Degree in Nursing, required. Master's Degree, preferred.
• Current license to practice as a Registered Professional Nurse in New York State.
• Minimum of (5) five years clinical experience including general knowledge of QM principles, NYPORTS and JCAHO requirements.
• Maintains current knowledge of Quality Management, NYPORTS and JCAHO requirements and supporting information system applications.