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Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
We don't believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart.
At Mercy, you'll feel our supportive community every step of your day, especially the tough ones. We're a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.
Assists Director of Quality Management in the collection, analysis and reporting of quality, performance improvement, and safety activities to leaders, physician, and coworkers.
1.1 Assures compliance with Joint Commission, State and CMS accreditation standards and Conditions of Participation.
1.2 Educates physicians and coworkers and facilitates teamwork.
1.3 Develops reports for appropriate committees to drive quality and safety improvements.
1.4 Provides support and assistance for quality activities with regulatory bodies during on-site visits
Assists Director of Quality Management in preparation for committee meetings to include, but not limited to, Medical Staff meetings, Clinical Quality and Patient Safety, Infection Control, Board Quality Oversight, and Safety Review meetings.
2.1 Assists also in the preparation of quality improvement data submissions such as Leapfrog.
2.2 Collects, analyzes, and reviews requested data for completeness.
2.3 Creates statistical reports and graphs as needed.
2.4 Completes information accurately and within requested time frame.
Demonstrate a working knowledge of Core Measure and Joint Commission measure specifications and abstraction.
3.1 When applicable, uses measure submission software efficiently.
3.2 Runs reports and collates data into usable formats for reporting and improvement efforts.
3.3 Communicates opportunities for improvement in structured concurrent review and reporting plan.
Effectively communicates information on Quality measures and quality reporting programs to physicians, leaders, and coworkers.
4.1 Keeps up with changes in measures and reporting programs and communicates to coworkers and physicians.
4.2 Serves as an educational resource for quality measures and programs.
4.3 Champions quality improvement initiatives.
4.4 Compiles and reports outcome data for improvement.
Participates in Patient Safety Organization (PSO) activities.
5.1 Reviews Patient Safety Work Product and submits to the PSO when applicable.
5.2 Monitors changes in requirements for reporting.
5.3 Reviews and submits documents to the PSO per program requirements.
Conducts investigations, Root Cause Analyses, chart reviews, and mortality reviews.
6.1 Assists with sharing outcomes with leaders and Board members.
6.2 Promotes safety culture.
6.3 Works with leaders for collaborative review of findings and action plans for improvement.
Makes decisions and performs activities in an ethical manner.
7.1 Complies with laws and regulations.
7.2 Holds paramount the confidentiality, safety, health, and welfare of all persons in the performance of professional duties.
7.3 Practices in a non-judgmental, non-discriminatory manner with a sensitivity to diversity.
7.4 Collaborates and foster teamwork and continually strives to improve processes
Responsible for the development, evaluation, and improvement of personal practices in relation to quality in the healthcare setting.
8.1 Establishes and works toward professional goals and objectives.
8.2 Performs routine self-evaluations to identify strengths and areas for improvement.
8.3 Seeks constructive feedback and mentoring.
The hospital setting is a dynamic, ever changing work environment. Duties may change in relation to current events or needs. Performs other job related duties as assigned.Qualifications:
Because you're committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That's why you'll bring to your role the right set of qualifications:
Education: Bachelor's Degree in business or related field required. Master's Degree preferred.
Experience: Minimum of three years experience in an acute care hospital setting. One to two years of experience in Quality Management.
Other: Job activities require keen self-direction. Computer skills in Microsoft Office applications a must.
Preferred Education: Master's Degree in business or related field or BSN preferred.
Preferred Licensure: Registered Nurse Licensure preferred.
Preferred Experience: Management experience preferred.
Preferred Certifications: Quality Certification preferred.
We'll Support You at Work and Home
Our foundations are built on dignity and respect. Modern Healthcare Magazine named us as a “top 100 places to work.” We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds to benefit-eligible co-workers, including those working 48 hours or more per pay period!
What Makes a Good Match for Mercy
Compassion and professionalism go hand-in-hand with us, along with exceptional quality care. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and are not afraid to do a little extra to deliver excellent care – that's just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.
Mercy has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
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