HCN Healthcare Recruiting

Qualifications
 
Bachelor’s Degree in Business Administration/Health Administration or other comperable Bachelor’s Degree
Master’s Degree preferred
3-7 years Relevant Work Experience
3-7 years Management Experience
Experience within healthcare operations required
Minimum of  5 years

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 Certification Required
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- 1-2 years experience is required
- HJ
Coordinates the Outcomes data reports and serves as the organization-wide resource for clinical data collection and analysis.  Assisting with performance improvement process and regulatory/accreditation agency compliance…..

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Responsibilities:
 
Oversees the collection, compilation, analysis and presentation of core measure data
Supports and promotes the mission of the hospital and the Quality Department
Understands all general elements of the core measures database
Ensures reliability and validity of  the core measures data
Facilitates timely submission of core measures data
Maintains working knowledge relative to Conditions of Participation, JCAHO standards and assists Director to perform facility tracers to ensure ongoing compliance, document and      evaluate performance improvement requirements for JCAHO and CMS
Participates effectively in performance improvement initiatives such as FMECA, RCA, and Sentinel event and related action planning
Reports all opportunities to improve processes, policy/procedures
Prepares and presents requested reports regarding the findings and outcomes of the Core Measures
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Bachelor’s degree and one year minimum experience as a quality improvement or related experience preferred. Any appropriate combination of education, certifications and/or relevant work experience will be considered

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Department administrator. Establishes and enforces policies, procedures, standards and objectives. Directs and supervises staff as well as work flow. Position has budgetary or fiscal accountability. Responsible for planning and implementing the performance improvement and Case management program to meet the needs of the hospital. Provides education to medical staff, hospital staff and Governing Body around quality and case management initiatives. Facilitates performance improvement activities and CQI activities throughout the hospital. Acts as resource person to administrative team, department managers and medical staff. Performs clinical risk management functions in coordination with the Director of Risk Management. Maintains oversight of infection control activities and monitors outcomes to care related to infection control indicators. Assists department managers with preparation for medical staff committees. Oversight responsibility for all regulator body surveys, i.e., JCAHO, State Licensing Review, HCFA (CMS) Validation surveys. Maintains oversight responsibility for all performance improvement activities conducted throughout the institution. Is responsible for the implementation, coordination and direction of resource utilization management and case management activities. Will maintain oversight responsibility for medical necessity reviews, appropriateness of levels of care by applying nationally recognized criteria. Position is responsible for approving timekeeping, employee evaluation, meeting applicable regulatory standards, approving supply orders and department strategic planning.
Minimum qualifications: Bachelors Degree in Nursing or health relasted field or equivalent minimum experience requirements. Masters degree in a heallth services or related field preferred.

Minimum experience: Five years experience in nursing with three years of supervisory experience required. Previous experience in performance improvement activities preferred.

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