Regional Clinical Quality and Risk Coordinator

POSITION TITLE: Regional Clinical Quality and Risk CoordinatorFACILITY/DEPARTMENT: Quality Position reports to: Regional Clinical Quality and Risk ManagerPosition supervises: noneLicenses or Certifications: Registered Nurse in state practicing. Education, vocational training, and experience: High School Graduate or equivalent Successful completion of BLS course within 90 days of employment, or documentation of current BLS certification. Minimum of 3 years in healthcare clinical quality and/or risk preferred Qualifications: Experience with AAAHC/TJC, CMS and state regulatory standards Excellent analytical and organizational skills. Is comfortable with data and documentation management. ASC experience preferred Ability to work independently across multiple care sites. Local travel required. Detail oriented individual Strong customer service skills and professionalism. Display strong skills with Microsoft applications (word, powerpoint, excel, outlook, teams) Demonstrate the ability to adapt to different clinical environments and roles Possess excellent written and oral communication skills. Ability to engage and motive staff Energetic, enthusiastic individual with positive demeanor and a can-do attitude Duties/Responsibilities: Work in concert with the regional team to implement the regional strategic clinical-quality plan. Track and trend quality indicators, incident reports, and all quality-related data (infection control and prevention, risk management and prevention, performance improvement, peer review, HITS/informatics, ect) Maintain knowledge of standards, survey methodology, and related tools and resources for regulatory and accreditation requirements. Assist regional and local leaders with developing and maintaining optimal performance and improvement required for governing board and committee reviews. Collaborate with regional and local leaders to promote continuous survey readiness, conduct mock audits and drills, and follow up on corrective actions. Assist regional leaders with denovo projects for initial licensure, accreditation and the development of the quality/risk/safety programs. Maintain a professional working relationship with the health system contact and collaborate on patient events as necessary. Coordinate and facilitate all ASC onboarding and orientation for new staff, ensuring alignment with KU MedWest ASC, LLC and regional standards. Deliver education and competency programs for clinical staff to support safe, high-quality patient care. Support the rollout of new clinical implementations and workflows Provide on-site clinical coverage or mentorship during periods of staffing transition, new procedure introductions or process changes. Maintain updated training materials, checklists and orientation binders for all ASC locations. As an extension of the regional team, collaborate on organization policy creation and revisions. Maintain knowledge of: Clinical best practices Accreditation and regulatory processes Quality improvement processes Policies and procedures of the LLC Infection control guidelines ASC leadership responsibilities and roles ASC WebQI dashboards Root cause analysis methodology and reporting requirements Performance improvement project methodologies Participate and lead (as directed) regional quality council meetings (in person or virtual) as needed Present education as needed regarding topics that include but are not limited to: Risk Management policies and procedures: variance reporting, sentinel events, root cause analysis, medication safety plan, surgical site validation, etc Risk assessments (infection control and safety as needed) Accreditation and regulatory preparation, survey trends and outcomes Communicate industry and LLC updates that impact clinical quality, accreditation/regulatory survey readiness and performance improvement Provide support in analysis of quality/performance data to include tracking, review and trending of regional clinical outcomes. Build collaborative and effective working relationship with all center leaders and staff in the region Review regional clinical outcome data through the electronic variance reporting system and identify trends and opportunities for improvement. Make recommendations to the Regional Clinical Quality/Risk Manager and Regional Team.

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