Performance Improvement Coordinator

$113,300.00 - $147,500.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: RWJBarnabas Health is looking to add a qualified Coordinator within the Performance Improvement Department.

The PI Coordinator helps coordinate the development, implementation, and evaluation of Robert Wood Johnson University Hospital’s overall performance improvement program. This includes but is not limited to the following: supporting the performance improvement process, identifying performance trends, as well as prioritizing, and recommending improvements. The PI Coordinator also plays a supportive role in ensuring compliance with all Regulatory standards.

The PI Coordinator reports directly to the Director, Quality/Safety/Regulatory.

Required: RN License in New Jersey Minimum of five years’ experience in clinical practice Knowledgeable about state, federal, and regulatory agency requirements Preferred: Professional Certification CPHQ Certified Professional in Healthcare Quality and/or Certified Professional in Patient Safety Prior experience with performance improvement initiatives desirable, Prior leadership experience Certifications and Licenses Required: NJ RN License Scheduling

Day Shift, 40 hours/week Full-Time Schedule

Coordinates hospital wide Performance Improvement activities related to strategic initiatives, Operation Excellence, and departmental goals Assists departments with development of performance improvement indicators and analyzes the data collected Responsible for general oversight and maintenance of the organization s generic and variance screening, mortality reviews quality reviews and indicators, surgical and invasive procedure monitoring, etc; as well as scorecards dashboards Maintains copies of minutes and related documents in Performance Improvement Coordinates with the departments to develop the annual performance improvement appraisal Assures that meetings are scheduled, agendas are prepared, and minutes are completed in a timely way Responsible for providing consultative services for RWJ staff & physicians toward meeting standards of accreditation, performance improvement, and organizational compliance: This includes, but is not limited to providing education to self and others on current Joint Commission standards and other accreditation standards, as well as the latest quality indicators in health care Provides ongoing education regarding quality, regulatory and performance improvement initiatives in relevant forums such as department meetings or individual meetings Coordinates designated Performance Improvement meetings involving Medical Staff as evidenced by the following performance standards Reviews new Medical Staff Quality Indicators with physicians and other staff as appropriate Coordinates appropriate Quality reviews and prepares reports prior to meetings Coordinates quality data needed for physicians for re appointment process and as requested for performance improvement initiatives Meets with physician /staff as necessary prior to meetings and on an ad hoc basis to assure effective communication of quality metrics and case review outcomes Is knowledgeable of the requirements of the current CMS and Joint Commission quality initiatives, including the current Leapfrog and Hospital Safety Grade metrics Assists the qualiabstractors, both local and corporate, in ensuring accurate data abstraction Maintains ongoing communication with abstractors to help identify issues and trends for improvement opportunities Presents core measure data to the applicable hospital department leaders and physician service lines leaders, and assists in implementation of performance improvement initiatives to improve care Incident Reporting System and follow-up activities Reviews all events reported within the their departmental responsibilities Utilizes the hospital s safety event classification system to classify events in the online event reporting system Assists department leaders with apparent cause analyses of events in their areas and assist with the development of action plans that leaders will implement to help prevent a similar reoccurrence Participates in the RCA process for applicable serious safety events Completes special projects of the Director, QualitySafetyRegulatory andor the VP Medical AffairsCMO in a professional manner, as evidenced by the following: Project is completed according to the established guidelines and time frames of the requesting party Effective time management skills are used to ensure that projects are completed without jeopardizing normal daily work requirements Careful research and investigation is done so that data being used are accurate and up to date Effective communication is employed throughout the project to ensure efficiency and mutual success by all stakeholders Coordinates and makes recommendations to enhance optimum use of information systems as evidenced by the following: Utilizes databases to provide summary reports for the hospital and Corporate Quality as applicable on both a scheduled and nonscheduled basis, i.e.: Hospital report cards, dashboards, audit Assures computer based reports are accurate and timely Seeks innovative ways to expand capabilities of departmental information systems Pursues ongoing professional growth and development as evidence by the following: Attendance at seminars, workshops, conferences, in-services, Review and sharing of literature with colleagues in the department and across the system as applicable Networking with colleagues Environment of Care Standard Regulatory Compliance: Demonstrates the awareness of safety, security, life safety, emergency preparedness and utility and equipment management policies competencies, Adheres to Standard Precautions Adheres to Safety and Infection Control policies Attends mandatory in-services Helps maintain a safe and clean patient/work environment Follows incident reporting procedures Ensures that appropriate standards of practice follow corporate compliance guidelines, and that results of accreditation surveys and licensure reviews by NJSDOH and JCAHO are satisfactory Acts in an ethical and legal manner, and assures that all actions are in the best interest of both patients and the hospital Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time.

As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state.

We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer

Day shift · 40