Quality Management Coordinator Toll Heart & Vascular Institute Quality Team Center City

Job Details

Job Description

Summary
Working under minimal supervision perform and document quality monitoring medical record review and focused study activities to measure plan performance with clinical service and administrative indicators established by the Quality Management Department regulatory and accrediting bodies.

Job Duties

• Facilitates and advises internal quality improvement teams. Identifies opportunities for clinical and/or process
  improvement and facilitates needed changes to improve care.
  Facilitates and advises Quality Assurance Committees. Analyzes peer review case findings to identify opportunities for
  improvement.
  Utilizes project management skills such as Gantt charts communication plans process flow diagrams team building
  conflict resolution problem solving and facilitation intervention to foster team development and progress toward goals.
  Incorporates evidence-based best practices or established organization guidelines around proposed interventions.
  Utilizes appropriate and acceptable intervention behaviors and communication styles in order to effectively facilitate
  change and process/project improvement.
  Serves as a resource to network teams to determine data/information needed to measure processes and outcomes.
  Facilitates the creation of dashboards or appropriate reports.
  Summarizes data in a clear concise format for presentation and utilizes appropriate data visualization methods.
  Ensures alignment and integration of the improvement initiative with applicable regulations standards and guidelines
  from standards setting and accrediting bodies.
  Demonstrates knowledge of public reporting requirements and
• Other duties as assigned.

Minimum Qualifications

• Associates Degree Graduate of accredited school of nursing (preferred)
• Bachelors Degree in nurse (preferred)
• 2 years of experience in quality management monitoring activities and/or credentialing/ recredentialing reviews development implementation and evaluation of quality management activities in acute and/or ambulatory health care settings.
• Excellent verbal and written communication skills.
• Ability to present and discuss clinical quality of care issues with QM Manager and Medical Director.
• Strong analytical and problem-solving skills.
• Strong organizational skills and ability to manage multiple priorities.
• Ability to function independently with minimal supervision.
• Basic understanding of QM principles.
• RN - Licensed Registered NursePA - State of Pennsylvania

Preferred Qualifications

• Cardiovascular quality management experience preferred.
• Knowledge of medical coding preferred.
• Knowledge of NCQA standards preferred.
• Basic computer skills in Outlook MS Word Excel and Access preferred.

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing frequent keyboard use *patient care providers may be required to perform activities specific to their role including kneeling bending squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities requirements and working conditions for the position. It is intended to be an accurate reflection of the current position however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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