CLINICAL QUALITY ASSURANCE COORDINATOR

Horizon Rehabilitation Hospital; McKinney (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Horizon Rehabilitation Hospital is seeking a Quality Assurance Coordinator to guide and assist with performance improvement, ensuring compliance with Joint Commission, CMS, CLIA, CARF and HIPAA standards. You will coordinate hospital-wide programs, perform clinical audits, and help develop and track action plans to close care gaps and regulatory deficiencies.

The role requires a licensed nurse or RRA, a healthcare-related degree, 2–3 years of acute care experience, and CP HQ certification is

Qualifications

• Licensed Nurse or RRA license required.
• 2-3 years recent clinical work experience in acute care setting.
• Knowledgeable in the principles of performance improvement.
• Experience with accreditation survey activities (Joint Commission, CMS, State Licensure) preferred.

Responsibilities

• Guide and assist with quality management and performance improvement efforts.
• Coordinate Hospital-Wide Performance Improvement Program.
• Complete clinical audits for compliance.
• Assist COO with development, communication, implementation and tracking of action plans to close gaps in care or compliance.
• Coordinate review of demonstration programs and assist in outcomes via IRF PAI and RCD compliance.

Skills

Performance improvement

Data analysis

Regulatory compliance

Risk management

Education

Bachelor's degree in healthcare

CPHQ certification

Job description

Position SummaryResponsible for guiding and assisting with quality management efforts to ensure continuous improvement and organizational excellence, adherence with all regulatory, compliance, accreditation, and legal issues, and promote a safe environment for all employees, patients and visitors. Formulates study specifications to produce desired information for and in compliance with the accreditation requirements. Works independently and deals with sensitive confidential and regulatory information daily. The Quality Assurance Coordinator actively coordinates the organization’s Hospital-Wide Performance Improvement Program, completes clinical audits for compliance, assists the Chief Operations Officer with development, communication, implementation and tracking of action plans necessary to close identified gaps in care or compliance with Joint Commission, CMS, COLA/CLIA, CARF and HIPAA standards and regulations. Coordinates review choice demonstration program and assists in outcomes via IRF PAI and RCD compliance.Position Supervisory ResponsibilitiesSupervises the following positions: None.Position QualificationsLicensed Nurse or RRA license required.Bachelor’s Degree preferred, preferably in a health care related field.2-3 years recent clinical work experience in acute care setting.Knowledgeable in the principles of performance improvement.Certified Professional Healthcare Quality (CPHQ) certification preferred.Possess in-depth knowledge of functions of all hospital departments and quality improvement requirements as outlined by The Joint Commission, the state of employment’s Department of Health and Federal regulatory standards as outlined by CMS.Ability to interpret raw data and comparative analysis, experience in conducting educational in- services, experience in accreditation/certification survey activities for The Joint Commission, CMS, State Licensure and demonstrated experience in working effectively with multiple departments on confidential issues in a positive and constructive manner.Experience in Risk Management systems and experience in working with the public on issues related to satisfaction/complaints required.Ability to project a professional image.Knowledge of regulatory standards and compliance requirements. Strong organizational, prioritizing and analytical skills.Ability to make independent decisions when circumstances warrant.Working knowledge of computer and software applications used in job functionsFreedom from illegal use of and effects of use of drugs and alcohol in the workplaceAttendanceRegular and punctual attendance.Language SkillsEnglish is the primary language of the facility. Ability to read and write, communicate clearly with co- workers and customers and to respond to appropriate questions regarding work process or work product.Mathematical SkillsAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent.Reasoning Ability:Ability to apply common sense understanding to carry out instruction furnished in written, oral and/or diagram form.Ability to define and solve problems and collect data.