POSITION SUMMARY

The Performance Improvement (PI) Coordinator and Patient Advocate assists the Director of Performance and Risk Management, leadership, medical staff and PI Committee in carrying out and implementing a comprehensive and integrated program of quality improvement. As the Patient Advocate, responds quickly.

Primary Responsibilities:

• Supporting performance improvement activities including data entry, critical event investigations, reporting, and assuring that required action is taken as needed and authorized by organization policies and procedures concerning patient complaints and grievances.
• Receiving and reviewing department/service performance measures and documentation to evaluate performance improvement activities and coordinate reports of findings on daily, monthly, and annual basis to the Director of PI as directed.
• Maintain records of the performance improvement measures and perform data analysis concerning trending.
• Advise and assist all departments/services and committees accountable for performance improvement activities as assigned.
• Assist in preparing, coordinating, and documenting Performance Improvement Committee monthly meetings.
• Maintain a record of all completed reviews, evaluations, and process improvement team activities.
• Attend and participate in appropriate committee and department or service meetings in which performance improvement activities occur.
• Share data and information with appropriate committees and departments/services as assigned by Department head.
• Assist the Director with Joint Commission, CMS, OSHA, and state surveys.
• Assist the Director who is responsible for collection of data and submission of results for ORYX monitoring for The Joint Commission and IPF for CMS.
• Responsible for receipt and logging all official correspondence from all official and accrediting agencies.

QUALIFICATIONS

Education: Bachelor’s degree, or a bachelor’s degree equivalent in Nursing, or certified Paralegal.

Experience: 2-3 years of experience in a healthcare or behavioral healthcare setting involving quality improvement or patient advocacy preferred.

Additional Requirements: Competency in data entry, Microsoft Office proficiency, strong legal writing skills, strong verbal, and written communication skills.