Details: Category: Professional Facility: Arizona Heart Hospital Department: AZH Quality Management Shift: Day Shift Hours: Contact Information: Overview: The purpose of this position is to plan, coordinate, implement and evaluate specific hospital-wide quality, risk and patient safety programs and coordinate compliance and regulatory preparedness for all state, federal and regulatory agency accreditation requirements. The primary focus is accreditation standards of JCAHO and the CMS Core Measure clinical standards. This position works closely with system initiatives and compliance. Work processed by the incumbent is confidential and protected from discovery by subpoena pursuant to ARS 36:445 and 36:441. Assists the Quality Management Director in converting data into statistical information i.e. charts, graph, spreadsheets, run charts etc., to include core measures and forwarding this information as required to the appropriate Department/Committee. Acts as the Team Leader for the Hospital's accreditation and regulatory programs. Participates in the credentialing, reappointment process, coordinates medical staff peer review activities. Special Skills: The ability to manage programs and projects. Requires demonstrated ability of excellent interpersonal, computer skills, written and communication skills. Knowledge of and ability to interpret health care accreditation standards, (e.g., JCAHO, Medical College of American Pathologies, etc.) and the ability to apply these standards in various clinical settings. Knowledge of quality management/assurance and control methods, practices and techniques of a health care science (e.g., nursing, medical terminology, radiology, pharmacy, etc.). Ability to communicate successfully, both orally and in writing. Minimum Requirements: Nursing Degree from an Accredited Nursing School or Degree in business, computer science or finance/accounting or 2 years equivalent training or experience in quality management. Three years clinical nursing experience and one-year experience and working knowledge of Risk Management, JCAHO accreditation standards and surveys, CMS and DHS regulations is required. Competent in excel, graphs, power point, word and other computer software. Preferred Qualifications: Bachelor's Degree in nursing. Quality or Risk certification is preferred.
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