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Quality Risk Coordinator in East Los Angeles, CA at Avanti Hospitals

Date Posted: 9/5/2018

Job Snapshot

Job Description

East Los Angeles Doctors Hospital

Job Title: Quality Risk Coordinator 

City: East Los Angeles / State: California    

Quality Improvement / Performance Improvement

Day Shift

From 8:00 AM

To 4:30 PM

                                      


Job Description and Job Responsibilites

Quality/Risk Coordinator

Job Summary: 

Assess, analyze, and recommend quality and clinical performance improvement processes to assure that the highest standards of quality care can be achieved. Provide clinical expertise and support within the Quality, Performance Improvement and Credentialing Departments by assisting with case-finding, identification of opportunities, and performance improvement activities. Measure performance and identify opportunities to enhance performance in value-based systems of care.

Essential Job Duties: 

  • Clinical/Value Case Finding to Identify Improvement Opportunities
    • Oversee review of inpatient admissions for subset of Foundation patients to determine opportunities for quality and value improvement.
    • Perform chart abstraction and analysis of root causes, presentation of cases for peer review with physician panel, discussion of opportunities for care improvement, communication to relevant stakeholders, and follow-up on specific issues 
  • Analysis of Data to Establish Trends and Actionable Information
    • Audit medical records and monitor performance measures for health care risk management, sentinel events and trends.
    • Abstraction, perform audits of abstracted data and verification of quality/core measures and educates staff on necessary core measures
    • Perform in-depth analysis of individual cases as well as trend analysis of reported incidents, complaints, and claims to identify areas requiring management attention and/or risk management in-service education and participates in resolution of customer service complaints
    • Create clinical quality and value dashboards and action reports in support of performance improvement activities.
    • Develop slides and other communication tools and make periodic presentations to share trend information with key stakeholders.
    • Generate reports for patient satisfaction using Press Ganey HCAHPS score
  • Performance Improvement Activities
    • Participates in Quality Improvement Committees to take minutes and prepare packets.
    • Participate in Performance Improvement activities to design and implement quality improvement initiatives, including those for Population Health and Patient Engagement
    • Support Quality Assurance Performance Improvement work plan/initiatives including coordinating PITs.
    • Schedule and assist with committee and sub-committee preparation.

Behavioral Standards: 

  • Exhibits customer and service oriented behaviors in every day work interactions.

  • Demonstrates a courteous and respectful attitude to internal workforce and external customers.

Communication/Knowledge:

  • Provides accurate and timely written and verbal communication of information in a manner that is understood by all.   

  • Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.

  • Able to use IT systems in an accurate and proficient manner.

Collaboration/Teamwork:

  • Contributes toward effective, positive working relationships with internal and external colleagues.

  • Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.




Job Requirements

Education/Experience:

  • Bachelor’s degree in Nursing/Healthcare preferred.
  • Two (2) years of prior clinical experience in an acute or ambulatory health care setting.
  • Two (2) years of experience in support of quality improvement, process improvement or total quality measurement preferred.
  • Facility with tracking spreadsheets and trend analysis very desirable.
  • Ability to work independently and concurrently manage multiple projects.
  • Must have excellent oral and written communication and interpersonal skills
  • Completes work assignments accurately and timely, with minimal supervision
  • Must be self-motivated and able to adapt to evolving business needs
  • Adheres to established Health System, State, and Federal confidentiality policies
  • Skilled in Excel, Word, PowerPoint and other data analysis and presentation tools

Licensure/Certifications: N/A

ADA/Physical Demands:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed are representative of the knowledge, skill, and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.

  • Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell.  The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.

 

Job Requirements

Education/Experience:

  • Bachelor’s degree in Nursing/Healthcare preferred.
  • Two (2) years of prior clinical experience in an acute or ambulatory health care setting.
  • Two (2) years of experience in support of quality improvement, process improvement or total quality measurement preferred.
  • Facility with tracking spreadsheets and trend analysis very desirable.
  • Ability to work independently and concurrently manage multiple projects.
  • Must have excellent oral and written communication and interpersonal skills
  • Completes work assignments accurately and timely, with minimal supervision
  • Must be self-motivated and able to adapt to evolving business needs
  • Adheres to established Health System, State, and Federal confidentiality policies
  • Skilled in Excel, Word, PowerPoint and other data analysis and presentation tools

Licensure/Certifications: N/A

ADA/Physical Demands:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed are representative of the knowledge, skill, and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.

  • Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell.  The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.