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Under the direct supervision of the Manager of Quality Management, the Clinical Quality Management Coordinator will assist with development and implementation of quality improvement initiatives and projects and is responsible for assisting the Manager of Quality Management with oversight of health and safety procedures that include infection control monitoring, OSHA regulatory compliance and emergency preparedness. The QM Coordinator will maintain status as the Laser Safety Officer for Springfield Clinic to ensure safe laser practices in accordance with the ANSI Standards for Laser Safety. Additionally, the Clinical QM Coordinator is responsible for maintaining reappointment data and files for Physicians, PA's, NP's, Chiropractors, Podiatrists, Anesthesiologists, Optometrists and CRNA's. Responsible for ongoing monitoring of provider compliance with timely documentation and turn-around time for test interpretation; prepares Committee reports, monthly registry reports and mailings, record-keeping and data entry for provider continuing medical education, and ongoing monitoring of provider compliance with training requirements. Job Relationships Reports to and works closely with the Manager of Quality Management. Works closely with Operations Directors and Managers, Physicians, and clinical teams involved in patient care. Principal Responsibilities
Assist with development and implementation of quality improvement initiatives and projects. Assist with Health and Safety responsibilities, which include tracking falls, incidents, accidents and bloodborne pathogen incidents. Coordinating and conducting peer review for physicians and APRN's Assist with quarterly Ambulatory Surgery Center chart audits. Maintain reappointment data and files for physicians, PA's and NP's Responsible for ongoing monitoring of provider compliance with timely documentation and turn-around time for test interpretation. Prepare committee reports/and Quality Management/Administrative Quality Management monthly meeting books. Act as back-up to QM Department Business Specialist to answer calls, evaluate and direct calls appropriately/document messages, including patient complaints calls Maintain Laser Safety Officer training and LSO status, conduct laser safety inspections at all locations that utilize laser, and prepare quarterly reports to present at the quarterly Health and Safety Meetings. Assist with maintaining an up-to-date laser inventory for reporting to IEMA Conduct on-site safety and compliance surveys (except for Rural Health sites) to ensure compliance with policy and procedure. Conduct on-site safety and compliance surveys for new SC affiliates within the first 6 months to assure compliance with SC policy and procedure Maintain/track FDA Safety Recalls - Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- Perform other job duties as assigned.
Education/Experience
Licenses/Certificates
- LPN or RN with license in good standing in the State of Illinois.
Knowledge, Skills and Abilities
Excellent verbal and written communication skills and ability to work independently in all levels of the organization. Excellent organizational skills. Ability to meet deadlines and work under pressure while providing a positive image. Strong leadership and motivational skills. Ability to serve as a strong patient advocate, demonstrating the ability to independently overcome barriers in creative and innovative ways. Ability to travel to multiple Clinic locations. Ability to work flexible hours. Knowledge of medical terminology helpful. Proficient in Word, Excel, MS Access and Power Point; knowledge of an electronic health record. Ability to handle multiple projects simultaneously, assess priorities and function well under stress with many interruptions.
Working Environment
PHI/Privacy Level
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