To ensure that patients care received and delivered in a timely and efficient manner, and is appropriate to the correct care delivery setting

vs. the severity of illness of the patient. 

Collects, analyzes and reports quality measures.

Facilitates staff and physician education related to CORE measures.

Assists Director with coordinating the hospital?s quality initiatives.

Prepares monthly Core measure data using the QRM reporting form.

Demonstrates understanding of all information systems necessary for job performance, including Microsoft excel, word, COMET.

Accurately abstracts clinical information from the medical record for quality data measures.  

Possesses the ability to communicate with discretion and diplomacy with physicians, hospital team members, Department directors and agency surveyors.

Participates on facility committees as requested by Director.

Supports our Employees, Physicians, volunteers, and Board members:

·            Complies with all organizational policies regarding ethical business practices.

·            Treat all our colleagues as valuable members of our health care team and treat one another with respect and dignity.

Demonstrates a commitment to working collaboratively with one another.

Reflects positive customer service skills.

·            Treat all those we serve with compassion and kindness.

·            Represents the organization in a positive and professional manner.

·            Maintains a courteous, cooperative, respectful and enthusiastic attitude.

·            Maintains a professional appearance at all times.

Wears identification while on duty.

Strives to improve and deliver High Quality Patient Care.

·            Strive to foster excellence and highest standards of work performance.

·            Actively participates in performance improvement and continuous quality improvement activities.

·            Attends inservices, department meetings.

·            Completes annual educational requirements.

Maintains regulatory requirements.

Recognizes individual needs and concerns of our Patients and their Families.

·            Updates patients, families as appropriate during wait period.

·            Treats patients and their families with respect and dignity.

·            Respects the values, cultures, beliefs, and traditions of others.

·            Follows HIPAA regulations; Maintains patient confidentiality at all times.

Maintains patient privacy during all aspects of care or service.

Understands and exhibits fiscal responsibility.

·            Act with absolute honesty, integrity and fairness in the way we conduct our business.

·            Reports to work on time as scheduled and ready and able to work.

·            Use computerized punch time system correctly.

·            Exhibits initiative and resourcefulness, uses time productively.

·            Property, equipment and material resources are prudently utilized.

Accepts accountability for departmental productivity goals.

Safety:

·            Strives to achieve the highest levels of safe clinical practice.

·            Reports all accidents and incidents appropriately.

Uses protective safety devices and equipment as appropriate.

PROBLEM-SOLVING/CHALLENGES: 

Able to comprehend and apply approved criteria to determine the appropriateness of a patients length of stay and diagnostic/consultative services.  Ability to assess and evaluate a patients post hospital medical and non medical needs and to determine the correct resource to meet those needs.  Errors in judgment could result in actions that my inhibit a patient?s recovery, expose patient to potentially harmful conditions/environment, expose self and the hospital to liability and or financial loss.

DECISION-MAKING: 

Demonstrates thorough knowledge and ability to collect appropriate data measurement, analysis and presentation.  Monitors and analyzes data, trends and patterns that identify variances with established practices.  Demonstrates ability to discuss data reports and presentations, identifying trends and highlighting data points that will assist other appropriate personnel in improving performance.  Demonstrates the ability to identify any inconsistencies in data received or errors in data received from other departments or outside sources and corrects data errors.  Assures dissemination of information and outcomes of performance improvement activities.  Collects and analyzes data that assists with evaluation of corrective action plans and reports findings.  Is able to make ?positive? or ?approval? decisions without review or supervision.  Must seek Physician Advisor level review and approval

for ?negative? or ?denial? decisions.

ETHICS AND CODE OF CONDUCT:

Incumbent must attend ethics and code of conduct training provided by LRMC Education Department within 30 days of employment and annually thereafter.

COMMITTEE/FUNCTIONAL TEAMS:

Will participate in committees/teams/work groups as assigned.

HIPAA TRAINING:

Incumbent must have HIPAA training provided by LRMC Education Department within 30 days of employment and annually thereafter.

WORKING RELATIONSHIPS:  

Demonstrates concern and provides emotional support for patients of all ages and their family members.  Considers age-related factors in the care, assessment, treatment and education of patients.  Applies age-related factors appropriately to neonate, pediatric, adolescent, adult, and geriatric patients.  Has daily contact with physicians and staff members to coordinate patient care and act as a liaison between patient/physician.  Frequent contact with ancillary departments to accomplish goals and objectives. 

WORKING CONDITIONS:

PHYSICAL - Must be able to tolerate long term sedentary activity, also have ability to carry up to 15 lbs, walk moderate distances.  Able to sit and stand for extended times.  Able to walk moderate distances and climb stairs.

MENTAL/VISUAL - Must be able to tolerate long term sedentary activity, also have ability to carry up to 15 lbs, walk moderate distances.  Able to sit and stand for extended times.  Able to walk moderate distances and climb stairs.

ENVIRONMENTAL - Normal office environment.  Brief exposure to outside weather conditions.  Possible exposure to contagious diseases.

EQUIPMENT - Personal computer, telephone, fax, calculator, and copier.

MINIMUM QUALIFICATIONS:

·         Registered nurse in the state of West Virginia.

·         Minimum four (4) years hospital/clinical experience

·         Working knowledge of approved criteria used for

       assessment/decision making (Interqual)

·         Working knowledge of Core Measure Criteria

·         Willingness and ability to teach others

About Logan Regional Medical Center

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