Coordinator, Performance Improvement - Cardiac Cath Lab

Overview

St. Mary's General Hospital, located in Passaic, NJ, is a community-based tertiary medical center focused on providing quality, compassionate care. It is an acute care hospital providing a broad range of services including cardiovascular services as well as a comprehensive program for cancer care. The hospital is also a center of excellence for maternal-child health and outpatient behavioral health services.  It is the only hospital in Passaic and with over 550 physicians and 1,000 employees, and is one of the largest employers in the county. Every member of the St. Mary's General team is committed to providing respectful, personalized, high-quality care. St. Mary's General Hospital is a member of Prime Healthcare, which has been lauded as a "Top 15 Healthcare System" by Truven Health Analytics. For information, visit www.smh-nj.com.

 

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

In collaboration with the manager/director of Performance Improvement, the coordinator is responsible for assisting in the coordination, integration, and implementation of the organization wide performance improvement activities to ensure compliance with company policies and state/federal regulatory and accreditation standards. Activities include but are not limited to chart reviews, data abstraction for CMS Core Measures and other quality outcomes studies, and staff education regarding core measures and updates regarding new and enhance indicators.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

1. Bachelor’s Degree in healthcare related field preferred or equivalent of 5 years’ experience in a leadership role in an acute care setting

2. CPHQ certification preferred.

3. Completion of a minimum of 10 CEs in quality improvement topics.

4. Completion of webinars on the Bundled Payment Care Initiative and Comprehensive Joint Replacement Model on the CMS website.

5. State RN licensure or Certification in a healthcare field preferred.

6. Excellent computer skills are required including proficiency in (MS Office (Word, Excel).

7. Experience in reviewing charts for quality of care issues.

8. Detail oriented organizational skills.

9. Must be able to handle multiple cases, directions and be able to follow-through.

10. Good communication skills both verbal and written.

11. Experience with Medical Staff communication a must.

12. Excellent interpersonal relationship skills with exceptional professional work ethics.

13. Proficient in word processing, and typing.