Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
- This position is the primary staff support for medical staff and allied health professional ongoing professional practice evaluation and focused professional practice evaluation (OPPE/FPPE).
- Identifies opportunities for improvement, designs monitoring activities, evaluates clinical outcomes, and implements measurable plans for improvement.
- Collaborates with the Director to establish and maintain the annual quality activity calendar.
- Responsible for investigating and researching episodes that require intensive review, root cause analysis, or peer review for the medical staff.
- Reviews selected clinical outcome indicator data/reports for potential performance improvement review.
- Identifies trends in core measure and other regulatory data.
- Prepares/reviews charts with medical staff department chair and Performance Improvement chair.
- Populates and maintains performance dashboards for medical staff departments.
- Standardizes and coordinates the case review process to ensure reliability.
- Refines relevant physician measures for all performance dimensions or general competencies.
- Ensures that peer review data is systematically collected and analyzed.
- Evaluates and analyzes medical records for determined quality indicators and report requests.
- Manages and trends data collection for an assigned hospital/facility.
- Performs data entry of regulatory or other required information into appropriate databases.
- Coordinates performance improvement activities according to the Virtua Quality Plan.
- Participates in patient safety initiatives, working in collaboration with department leaders.
- Ensures compliance with Virtua Risk Management Program for local facility.
- Qualifications
- Minimum of two years in quality management, health information management, case management, utilization review, or other healthcare-related field.
- Must demonstrate the ability to accurately use a computer and standard office software such as Microsoft Excel, Word, Access, and PowerPoint.
- Must demonstrate effective verbal, written, and presentation skills.
- Must be able to establish and maintain an effective rapport with staff, physicians, managers, and administrators.
- Ability to coordinate multiple tasks and flexibility to balance changing priorities.
- Requirements
- Required Education: RN
- Bachelor’s degree preferred.
- Training/Certifications/Licensure: CPHQ or equivalent preferred.
- Benefits
- Medical/prescription, dental and vision insurance.
- Health and dependent care flexible spending accounts.
- 403(b) (401(k) subject to collective bargaining agreement).
- Paid time off, paid sick leave as provided under state and local paid sick leave laws.
- Short-term disability and optional long-term disability.
- Colleague and dependent life insurance and supplemental life and AD&D insurance.
- Tuition assistance.
- Employee assistance program that includes free counseling sessions.
Apply tot his job
Apply To this Job