RN Compliance Performance Improvement
Company: Catholic Health Initiative
Posted on: May 18, 2019
Position Type: Regular
Scheduled Hours per 2 week Pay Period: 80
Primary Location: TACOMA, WA > FRANCISCAN ADMIN CNTR
St. Joseph Medical Center, part of CHI Franciscan Health, has
exciting and rewarding careers with competitive salaries and
benefits. We are a family of hospitals, health care services, and
medical providers delivering compassionate care to people
throughout the South Puget Sound. We are part of Catholic Health
Initiatives, one of the largest not-for-profit health care systems
in the country.
Our mission is to deliver high quality care that meets our
patients' medical needs while providing emotional and spiritual
support to patients and their families. We believe this three-part
approach - physical, emotional, and spiritual - is essential to
healing the whole person. Come join our team!
Coordinates regulatory compliance, performance improvement, and
risk reduction initiatives/processes for a clinical service line or
regional function at all locations to address and strengthen
patient safety, utilization of clinical resources, and achievement
of desired clinical outcomes that facilitate achievement of overall
financial goals and business/patient satisfaction objectives.
Incumbents serve as project manager for a variety of
management-level work teams, providing support, expertise, quality
literature, theories of innovation and guidance in: 1) the
application of accepted clinical quality improvement
methodologies/tools; 2) data collection and statistical/operational
analysis; 3) outcomes measurement; 4) risk assessment and reduction
measures; 5) research and establishment of best practices; 6)
documenting and implementing process improvements; 7) evaluating
desired vs. actual clinical effectiveness, reporting outcomes at
monthly Quality Assurance Performance Improvement meetings at each
location, of performance improvement efforts and; 8) working with
clinic staff to ensure survey readiness.
Incumbents are also accountable for maintaining current
skills/knowledge of new clinical procedures/processes, patient care
standards/practices, new/changing regulatory requirements,
departmental policies/standards/procedures, patient safety goals
and Joint Commission standards impacting matters within designated
scope of responsibility; ensures that these factors are considered
and integrated into performance improvement activities.
Performs "rounds" to evaluate, analyze and access patient care
activities in relation to FHS standards of care and applicable
regulatory requirements specific to the assigned service
line/function at all locations.
Plans and conducts internal reviews/audits to ensure that
department operations are conducted in compliance with all
Addresses risk management and regulatory issues/concerns relating
to the assigned service line/function. Investigates and responds to
grievances and patient complaints directly.
Provides ongoing consultation and serves as a resource to
physicians and hospital staff regarding the full spectrum of
compliance issues. Prepares training materials and delivers staff
development and in-service education relating to regulatory
requirements, quality improvement principles, standards and tools
and compliance issues.
Develops and facilitates performance improvement team projects.
Develops and maintains an automated database in response to data
collection requirements and for use in improving, implementing,
maintaining and documenting clinical quality and patient safety
Cultural Sensitivity and Competence: Demonstrates proper use of
communication tools/materials for effective communication and
understands how the culture(s) of patient populations can affect
communication, collaboration and the provision of care, treatment
and services. Patient Population Served: Demonstrates knowledge and
proper skills associated with the department's defined specific
Performs related duties as required.
Your time at work should be fulfilling. Rewarding. Inspiring.
That's what you'll find when you join one of our non-profit CHI
facilities across the nation. You'll find challenging, rewarding
work every day alongside people who have as much compassion as you.
Join us and together we'll create healthier, stronger communities.
Imagine your career at Catholic Health Initiatives!
Bachelor's degree in nursing or applied science, plus five years of
progressively responsible related work experience that demonstrates
the attainment of the requisite job knowledge, skills and
abilities. Depending on the assigned department, specialized work
experience is strongly preferred.
Current licensure as a Registered Nurse by the Washington State
Join us at Catholic Health Initiatives, and become a part of our
faith-based health system.
* Requisition ID: 2019-R0211049
* Schedule: Full-time
* Shift: Day Job
* Market: CHI-Franciscan System Services
Keywords: Catholic Health Initiative, Tacoma , RN Compliance Performance Improvement, Healthcare , Tacoma, Washington
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