Quality Nurse Coordinator

CareWell Health Medical Center; East Orange (NJ); On-site; USD 75,000 - 110,000; Full time

Job summary

CareWell Health Medical Center, located in East Orange, NJ, is seeking a Quality Nurse Coordinator to review processes and improve the daily operation of the medical facility. You will evaluate nurse performance to ensure quality care and develop strategies to make teams more effective and efficient.

You will document findings, assemble data, and prepare written reports, and may investigate claims to verify that activities follow government regulations and institutional policies.

Qualifications

• Review processes and improve daily operations across a medical facility.
• Evaluate nurse performance to ensure high-quality patient care.
• Document findings, assemble data, and prepare written reports.
• Investigate claims to verify adherence to government regulations and institutional policies.

Responsibilities

• Work with the Director of Quality for external quality audits such as CMS, TJC, and prepare audits of required documents.
• Provide recommendations for quality improvement studies including selection of indicators and coordinating monitoring and evaluation activities.
• Analyze data and prepare accurate quality management reports; identify opportunities for improvement through trend analysis.
• Assist in implementing and monitoring quality studies, including preventive health and chronic disease outcomes improvement interventions.
• Perform monthly, quarterly, annual, and ad hoc medical record reviews including regulatory compliance; conduct quality of care investigations and route cases appropriately.
• Educate members and providers on standards of care.
• Lead project initiatives to close gaps in care.

Skills

Quality improvement

Data analysis

Regulatory compliance

Nurse coordination

Performance evaluation

Project management

Job description

Job Summary

As a quality nurse coordinator, your responsibilities involve reviewing processes and improving the daily operation of a medical facility. You evaluate nurse performance to ensure they are providing quality care and develop strategies to make them more effective and efficient. Your duties also require you to document your findings, assemble data, and prepare written reports. A quality nurse coordinator may be asked to investigate claims against the organization and verify that all activities follow government regulations and institutional policies

Job Summary

As a quality nurse coordinator, your responsibilities involve reviewing processes and improving the daily operation of a medical facility. You evaluate nurse performance to ensure they are providing quality care and develop strategies to make them more effective and efficient. Your duties also require you to document your findings, assemble data, and prepare written reports. A quality nurse coordinator may be asked to investigate claims against the organization and verify that all activities follow government regulations and institutional policies

Essential Functions

• Work with the Director of Quality for external quality audits such as CMS, TJC etc. and prepares audits of required documents.
• Provides recommendations for quality improvement studies including selection of valid and reliable indicators and coordinates monitoring and evaluation activities upon select implementation.
• Analyzes data and prepares concise, accurate and meaningful quality management reports in accordance with Company procedures; defines opportunities for improvement through trend analysis and communicates information appropriately.
• Assist in implementation and monitoring of quality studies including, but not limited to the development and implementation of preventive health and chronic disease outcomes improvement interventions such as newsletter article, member education and outreach interventions, provider education and outreach interventions, medical record review, focus studies and surveys.
• Perform monthly, quarterly, annual and ad hoc medial record reviews including regulatory compliance; Conduct quality of care investigations and using criteria closes case appropriately or refer to Quality Director for further review; prepares cases for Peer Review Committee.
• Educating members and providers on standards of care.
• Leading project initiatives to close gaps in care.

Other Duties

• Associate complies with the following organizational requirements:
  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license/certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.

Functional/Technical Skills Requirements

• Comprehensive understanding of operational health care delivery systems and the current health care landscape. Skills and experience with developing competitive business strategies for health care. Skills and experience with the operational aspects of health care technology deployment. Familiarity and comfort with technology-based operational improvement. Health care management or consulting experience preferred.
• Analytics and Strategy