Description

Clinica De Salud Del Valle De Salinas

Job Summary: Responsible for assisting the Medical/DentalDirector with planning and implementing the
performance improvement program to meet the needs of CSVS. Provides education to medical/dental staff, clinic
staff and Governing Body. Facilitates performance improvement activities and CQI activities throughout CSVS. Acts
as resource person to administrative team, department managers and medical staff. Assists department managers
with preparation for medical staff committees. Assists with preparation for all regulatory body surveys, i.e., the
accrediting organization, State Licensing Review, CMS Validation surveys.

• Ability to facilitate performance improvement and CQI activities throughout CSVS.
• Demonstrates effective organizational skills through ongoing interaction with clinical
  chairpersons, nurse managers, ancillary department managers, administrative team and
  Governing Body to assist in facilitating CSVSwide PI program.
• Demonstrates knowledge of current methodology and practices. Maintains awareness of
  changes in the regulations and requirements by accrediting bodies.
• Practices good guest relations with patients, visitors, physicians and staff, assists as
  needed.
• Manages and operates equipment safely and correctly.
• Demonstrates awareness of the responsibilities of the position and how it interfaces with
  the rest of the healthcare team. Works closely with all department members as required,
  is flexible to meet the needs of the department and changes in the workload.
• Communicates appropriately and clearly to physicians, staff, Medical/Dental Director and
  other team members.
• Accurately demonstrates use of database systems to document occurrences, medical
  staff review functions, committee review and actions. Compiles reports for committees
  and administrative team.
• Assists in the preparation for review by regulatory agencies, educates and assists
  department managers to maintain appropriate policies and procedures to fulfill
  requirements and regulations.
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Maintains a good working relationship both within the department and with other
  departments.
• Consults with other departments as appropriate to collaborate in patient care and
  performance improvement activities.
• Participates in risk management and safety activities.
• Supports and maintains a culture of safety and quality.
• Documentation meets current standards and policies.
• Provides support and assistance to medical staff officers, committee chairpersons and
  Governing Body, as required.
• Prepares reports/surveys/statistics to be reported to the Governing Body, government
  agencies.
• Serves as a member of professional staff committees as necessary.
• Assists in utilizing information obtained via performance improvement activities to seek
  and act on opportunities to improve patient care processes.
• Participates in problem solving, policy forming conferences as necessary. Maintains close
  coordination with the Medical/Dental Director and all departments to insure continuity and
  collaboration of services.
• Consistently demonstrates a professional, self directed, mature, disciplined and tactful
  approach to department responsibilities.

Professional Requirements:

• Adheres to dress code, appearance is neat and clean.
• Completes annual education requirements.
• Maintains regulatory requirements, including all federal, state, local regulations and
  accrediting organization standards.
• Maintains and ensures patient confidentiality at all times.
• Reports to work on time and as scheduled.
• Wears identification while on duty.
• Attends annual review and performs departmental inservices.
• Works at maintaining a good rapport and a cooperative working relationship with
  physicians, departments and staff.
• Represents the organization in a positive and professional manner.
• Attends committee, CQI and management meetings, as appropriate.
• Resolves staff concerns at the departmental level, utilizing the grievance process as
  required.
• Ensures compliance with policies and procedures regarding department operations,
  fire safety, emergency management and infection prevention and control.
• Effectively and consistently communicates administrative directive to staff and encourages

interactive departmental meetings and discussions.

• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the facility, as well as the focus statement
  of the department.

Qualifications

Regulatory Requirements:
Previous experience in performance improvement activities preferred.
Ongoing course work in performance improvement and CQI methodology.
Language Skills:
Able to communicate effectively in English, both verbally and in writing.
Additional languages preferred.
Strong written and verbal skills.
Skills:
Basic computer knowledge.
Word processing and database management preferred.
Physical Demands:
For physical demands of position, including vision, hearing, repetitive motion and environment, see following
description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions of the position without compromising patient care.

Position Requirments:

• Resume (if available).
• Application/Candidate Profile.
• Immunization record (showing completion of MMR, HEP B, Flu, Covid-19 ( Sparx or Cmirnaty Dose)
• PPD documentation within 1 year. (Individuals with a history of a positive PPD must provide a note for their provider indicating they are free of active disease, a blood test or chest x-ray with the last year.)