Location Address: 60 Memorial Medical Parkway Palm Coast, Florida 32164
Top Reasons To Work At AdventHealth Palm Coast
Immediate Health Insurance Coverage
Great benefits such as: Educational Reimbursement
Career growth and advancement potential
Full-time, Day Shift
You Will Be Responsible For:
Serves as a hospital content expert on performance improvement projects, accreditation and safety.
Participates in collaboration with or as the designee for the Quality Director, on AHS quality initiatives and/or collaboratives.
Liaison for the medical staff physician Medical Review and OPPE/FPPE process.
Responsible for maintaining daily screening process for all inpatient admission throughout hospital. Utilizes appropriate PI reports as verification tool to ensure all patients with coded diagnosis for core measure conditions after discharge have all appropriate safety measures addressed.
Plans, implements & monitors interventions to ensure evidence-based practices are implemented and participates in and/or leads performance improvement committees and teams. Leads special projects for the Chief Medical Officer, Quality Director and Quality Manager while using judgment for the level of discretion and confidentiality needed.
Prepares reports and statistical analysis for medical staff and hospital leadership meetings.
Ensures facilitation of the patient grievance process as required by state and federal statutes. Maintains data collection and grievance tracking and trending to include unsolicited complaints as well as solicited comments (Gallup surveys, comment boxes, etc.).
Oversees compliance with the Ethics, Rights, and Responsibilities standards for The Joint Commission.
Provides analysis of provider-specific and Quality Advisor reports from the Premier database and produces recommendations for performance improvement projects to hospital leadership.
Responsible for reviewing patient medical records to determine adherence to key quality and safety initiatives in addition to quality measures.
Manages complex calendars to coordinate meetings and events for internal and external stakeholders.
Administers and facilitates debriefing for the annual Safety Culture Survey, Joint Commission survey preparedness/ continuous safety rounding, and completion and submission of the Leapfrog Survey.
Performs other duties as assigned.
What You Will Need:
EDUCATION AND EXPERIENCE REQUIRED:
Bachelorâ™s degree OR 5 yearsâ™ clinical experience
Minimum of 3 years healthcare experience
RN License and background preferred.
Joint Commission and Leapfrog survey experience preferred
Preparing and presenting professional presentations to executive leadership teams
Accreditation activities and survey preparation
Provider performance improvement activities
Experience with regulatory, patient safety, Peer Review or OPPE process preferred.
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
Six Sigma Performance Improvement Certification
LEAN Performance Improvement Certification
Team STEPPS Certification
Certified Professional in Healthcare Risk Management (CPHRM)
Certified Professional in Patient Safety (CPPS)
Certified Joint Commission Professional (CJCP)
Certified Professional in Healthcare Quality (CPHQ)
The Risk Management & Regulatory Compliance Coordinator provides leadership for safety, accreditation and regulatory activities through relationship with hospital administration and leadership, medical staff leadership, physicians, nurses, and ancillary and allied health departments to improve knowledge and performance for hospital safety, performance improvement and quality initiatives.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.