Responsible in the data abstraction and submission of designated clinical quality measures. Assists in improvement initiatives surrounding assigned clinical quality measures with clinical teams, departments and other services.
Responsible for abstraction and data entry of an assigned performance-clinical quality measure on a timely manner to meet regulatory agencies requirements.
Assists in re-enforcing adherence to set guidelines and procedures to be in compliance with quality measures, ensuring appropriate activities are in place for the success of the project.
Coaches, facilitates, assists, and participates in clinical improvement clinical projects as assigned.
Performs concurrent and retrospective chart review of cases for rapid identification of improvement activities.
Maintains current knowledge in all required performance measures through attendance at educational meetings, seminars, and through review of current literature.
Supports in the development and achievement of Departmental Goals and Objectives that are consistent with the Hospital’s
Assists the Director in special projects when requested.
Understands and meets the requirements of the Corporate Compliance Program; complies with the standards set by department policy, JCAHO, and other regulatory agencies governing activities within the department
Adheres to Saint Clare’s related policies including but not limited to hand washing and hand hygiene
Travels to other campuses to
do concurrent and retrospective chart reviews, provide staff education, etc
Ensures office and surrounding areas are in compliance with JCAHO’s Environment of Care and Infection Control Standards.
Maintains a positive work atmosphere by acting and
communicating in a manner to get along with customers, clients,
coworkers, staff, and management.
Performs other responsibilities as assigned
Graduate of an accredited school of nursing.
Proficient in the use of computer including Windows 95, Microsoft Word and Excel.
Basic knowledge in CQI methodologies i.e: Six Sigma and PDSA.
Good written and verbal skills. Must be a team player, flexible, and able to adapt to continuous changes required.
Must be self-motivated and self-driven required.
Active RN license.
BCLS required within first six months.
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits our core values:
Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers
New Jersey-Denville-Saint Clare's Hospital
Scheduled Hours per 2-week Pay Period
Catholic Health Initiatives - 17 months ago
For Catholic Health Initiatives (CHI), returning sick people to good health is more than a business -- it's a mission. Formed in 1996...