Registered Nurse Risk Management Coordinator AdventHealth Fish Memorial

Location Address: 1055 Saxon Boulevard Orange City, Florida 32763

Top Reasons To Work At AdventHealth Fish Memorial

• Immediate Health Insurance Coverage
• Great benefits such as: Educational Reimbursement
• Career growth and advancement potential

Work Hours/Shift:

Full-time, Day Shift (Monday to Friday 8:00am to 4:30pm)

You Will Be Responsible For:

• Serves as a hospital content expert on performance improvement projects, accreditation and safety.
• Participates in collaboration with or as the designee for the Quality Director, on AHS quality initiatives and/or collaboratives.
• Liaison for the medical staff physician Medical Review and OPPE/FPPE process.
• Responsible for maintaining daily screening process for all inpatient admission throughout hospital. Utilizes appropriate PI reports as verification tool to ensure all patients with coded diagnosis for core measure conditions after discharge have all appropriate safety measures addressed.
• Plans, implements & monitors interventions to ensure evidence-based practices are implemented and participates in and/or leads performance improvement committees and teams. Leads special projects for the Chief Medical Officer, Quality Director and Quality Manager while using judgment for the level of discretion and confidentiality needed.
• Prepares reports and statistical analysis for medical staff and hospital leadership meetings. 
• Ensures facilitation of the patient grievance process as required by state and federal statutes. Maintains data collection and grievance tracking and trending to include unsolicited complaints as well as solicited comments (Gallup surveys, comment boxes, etc.).
• Oversees compliance with the Ethics, Rights, and Responsibilities standards for The Joint Commission.
• Provides analysis of provider-specific and Quality Advisor reports from the Premier database and produces recommendations for performance improvement projects to hospital leadership.
• Responsible for reviewing patient medical records to determine adherence to key quality and safety initiatives in addition to quality measures.
• Manages complex calendars to coordinate meetings and events for internal and external stakeholders.
• Administers and facilitates debriefing for the annual Safety Culture Survey, Joint Commission survey preparedness/ continuous safety rounding, and completion and submission of the Leapfrog Survey.
• Performs other duties as assigned.

What You Will Need:

EDUCATION AND EXPERIENCE REQUIRED:

• Bachelorâ™s degree OR 5 yearsâ™ clinical experience
• Minimum of 3 years healthcare experience
• Joint Commission and Leapfrog survey experience preferred
• Preparing and presenting professional presentations to executive leadership teams
• Accreditation activities and survey preparation
• Provider performance improvement activities
• Experience with regulatory, patient safety, Peer Review or OPPE process preferred.

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

• • Six Sigma Performance Improvement Certification
  • LEAN Performance Improvement Certification
  • Team STEPPS Certification
  • Certified Professional in Healthcare Risk Management (CPHRM)
  • Certified Professional in Patient Safety (CPPS)
  • Certified Joint Commission Professional (CJCP)
  • Certified Professional in Healthcare Quality (CPHQ)

Job Summary:

The Risk Management & Regulatory Compliance Coordinator provides leadership for safety, accreditation and regulatory activities through relationship with hospital administration and leadership, medical staff leadership, physicians, nurses, and ancillary and allied health departments to improve knowledge and performance for hospital safety, performance improvement and quality initiatives.