Quality Improvement Coordinator Sr

Department:

11220 BayCare Leased Employees - Quality Management

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

7:30a-4:00p core hours with potential for some earlier or later meetings throughout the year. Travel is rare. This is not a remote position but has potential for a hybrid model with the expectation that there be flexibility to come in to the hospital for unannounced survey activity.

This position is responsible for a variety of quality data projects, QMS auditing, regulatory support etc.

Major Responsibilities:

• Coordinates, facilitates, implements and participates in care management and quality improvement initiatives/teams across Aurora Health Care in assigned geographical areas. Develops process improvement plans with leadership and departments throughout the organization to analyze, monitor and ensure high levels of quality and performance. Identifies opportunities for improvement, makes recommendations for change, and leads the implementation of best practices to meet established goals. Promotes cross-departmental communication, collaboration, and performance improvement as a means of achieving cost-effective, high quality care.
• Coordinates, facilitates and implements best practice strategies for assigned patient populations to meet quality and cost goals.
• Designs and documents assigned projects to demonstrate the quality levels delivered to patients, while applying Aurora's approach to quality. Uses statistical techniques to analyze and display clinical data using measurement tools and systems, as appropriate.
• Interprets and communicates care management and quality results in a way that the customer understands. Meets individually with providers and staff to assist with problem-solving, recommend and facilitate improvement strategies. Measures and evaluates attainment of goals. Manages multidisciplinary quality improvement teams and projects to support the accomplishment of care management and accreditation (as appropriate) goals.
• Completes medical record reviews, compares current practice against best practice guidelines and provides recommendations to improve patient care.
• Provides leadership and consultative services at least quarterly to departments and services within the organization in achieving regulatory, accreditation, and organizational compliance in quality, safety and in performance management and improvement activities. Serves as a resource on external regulatory requirements relative to care management activities.
• Maintains awareness of and notifies leadership of actual or potential risk situations. Gathers information and provides input regarding risk management issues as delegated by immediate supervisor. Reviews, trends and reports results at least quarterly of quality and care management related third party visits, chart reviews, surveys, and other data to appropriate committees, departments and administration.
• Serves as an educator, communicator, and resource to physicians, providers and staff to understand care management, quality improvement and accreditation (as appropriate) objectives. Develops educational programs regarding care management, quality initiatives and strategic objectives. Collaborates with nursing and/or patient education, physicians, providers and staff to review, design, and coordinate the use of patient education materials. Establishes new or utilizes existing mechanisms to communicate patient education resources across sites and departments.
• Drives development of improved Electronic Health Record tools to support Care Management Quality in collaboration with key functional departments and leadership.
• Coordinates and/or leads care management and quality committee meetings. Ensures all key stakeholders receive consistent communication across departments and sites. Shares successful process improvement and care management practices.

Licensure, Registration, and/or Certification Required:

• None Required.

Education Required:

• Bachelor's Degree in Quality Management or related field.
• Bachelor's in Nursing, Quality Improvement or other healthcare related field preferred.

Experience Required:

• Typically requires 5 years of experience in health