Position Summary: Coordinates quality and performance improvement activities, including process improvements and outcomes of patient care. Leads in the collection of chart audits and other types of data that reflect process and outcomes of patient care, analyzes results, and initiates corrective action for deficiencies. Manages the analysis of statistical data. Maintains compliance for all federal, state, and regulatory requirements. Assists in the review, investigation and reporting of Incident Reports and related Risk Management activities.
Experience: Minimum of (3) years of psychiatric experience preferred. Experience in Healthcare Quality/ Performance Improvement, Joint Commission accreditation and regulatory compliance preferred.
HIPAA: Has access to all PHIS necessary to perform job functions and assuring compliance with standards of care.
Requires full range of body motion, including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Requires standing and walking for extensive periods of time. In addition to lifting of patients, occasionally lifts and carries items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and/or working irregular hours. Potential exposure to communicable diseases, toxic substances, body fluids and other conditions common to a hospital environment.