Job Description
Position Summary: The Clinical Quality Review Coordinator is responsible for the collecting, organizing, analyzing and presenting data about the hospital's performance in order to provide statistically valid information that will assist staff to improve overall Quality. The Clinical Quality Review Coordinator is also responsible for clinical identification, risk evaluation and coordination of corrective action implementation related to risk issues. Reports real and potential risk situations to manager, administration, and committees as appropriate; provides intervention and education related to risk management issues to promote safe work practices and quality care and service; in an environment that is beneficial to the safety, health and well being of all patients, visitors and staff. Facilitates performance improvement activities and CQI activities throughout the facility. Acts as a resource person to administrative team, department managers and medical staff. Assists with all regulatory body surveys; JCAHO (if applicable), State Licensing Review, HCFA (CMS) Validation Surveys, etc.
Responsibilities + Skills
30. Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Education
6. Gather data, submit and coordinate reports related to QI and/or RM for the following: Core Measures, CMHC goals, Board of Directors, CMS, Anthem Contract, State, and others as directed by Administration.
Experience
