Clinical Quality Coordinator

About Us

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Essential Job Functions

Clinical Educator Responsibilities:

• Work closely with Market and Home Office leadership to evaluate and address the educational needs of the region.
• Through the use of a learning needs assessment, evaluate educational needs of all clinical personnel and provide appropriate education/remediation.
• Responsible for the oversight of continued employee training requirements, programs, and equipment, such as skills competencies.
• Guide staff in the development of their clinical skills and capabilities.
• In tandem with the Market and Home Office leadership, oversee and manage HealthStream assignments.
• Implement, conduct, coordinate, and manage new hire on-boarding in conjunction with Human Resources.
• Responsible for managing, evaluating and recording on the job training documents.
• Manage, coordinate, conduct, and maintain competencies for all clinical staff.
• Facilitate or conduct ACLS, BLS, PALS and simulation education as required.
• Conduct routine facility visits and build rapport with clinical staff and management.
• Work in tandem with all ancillary services to maintain knowledge and proficiency in department procedures.
• Maintain knowledge and proficiency of EMR in order to provide necessary training.
• Maintain proficiency in ED and Inpatient unit in order to provide relevant education.

Infection Preventionist Responsibilities:

• Infection prevention and control practice - Incorporates into practice effective activities, including monthly rounding of the assigned facilities, that are specific to the practice setting, the population served, and the continuum of care
• Surveillance - Uses a systematic approach to monitor the effectiveness of prevention and control strategies that are consistent with the organization’s goals and objectives and are based on evidenced based national epidemiological standards.
• Epidemiology - Identifies target populations, determine risk factors, designs prevention and control strategies, analyze trends, and evaluate processes in association with the Corporate Director.
• Education - Serves as an educator and educational resource for healthcare providers, ancillary staff, patients, families, and the general public.
• Consultation - Provides knowledge and guidance in infection prevention and control.
• Occupational health - Collaborates with Human Resources in the development of strategies that address the risk of disease transmission to healthcare providers and ancillary staff
• Program administration and evaluation - Systematically evaluates the effectiveness of the program appropriate to the practice setting
• Performance improvement - Functions as an integral part of performance improvement initiatives to promote positive patient and employee outcomes
• Reporting – Completes all reportable findings accurately and on time to CDC (NSHN), State Health Department, etc.; compiles report for Infection Control, EOC, Patient Safety (If Required) and Quality Committees and attends monthly/quarterly meetings

Quality Manager Responsibilities:

• Manages quality processes within a multi-site system
• Maintains compliance with Federal HIPAA, state and local regulatory and accreditation, ISO requirements/standards
• Manages performance improvement and risk management activities including patient safety providing oversite of incident reports, RCAs and FMEAs.
• Coordinates the quality improvement training process
• Supports all quality measures including peer review, core measures, re-appointment profiles and hospital and corporate initiatives.
• Coordinates the development of corrective actions and supports changes as indicated
• Coordinates activities of the Quality Improvement Council (QIC) and hospital and Home Office committees including reporting calendar, report management, minutes, and QI teams
• Facilitates the development of the annual Quality Plan, and Patient Safety Plan.

Other Job Functions

• Attend staff meetings or other company sponsored or mandated meetings as required
• Travel to all facility locations as required
• Performs additional duties as assigned
• Ability to work off-hours and on call when required
• Perform all Infection Prevention activities assigned and document

Basic Qualifications

• Bachelor’s degree in Nursing required
• Current state licensure as a Registered Nurse without sanctions, required
• Certification through Certification Board of Infection Control and Epidemiology or the Association for Professionals in Infection Control and Epidemiology preferred
• Current BLS, ACLS, and PALS certifications from the American Heart Association, required; ENPC certification from ENA may be substitute for PALS certification
• Certified trainer for BLS, ACLS, and PALS preferred
• Experience RN in a clinical setting minimum 2 years required
• CPHQ, HACP or CPHRM preferred
• Knowledge of Federal, State and required regulatory agency standards related to health care organizations, required
• Proficiency with Microsoft Office (Word, Excel, PowerPoint and Outlook), required
• Position requires fluency in English; written and oral communication
• Within 1 year of hire, complete APIC Epi 101 and Epi 102 Infection Prevention courses if not certified in Infection Prevention