Top Clinical Outcomes Executive jobs in Garden Grove, CA

Anaheim, CA OTHER

B. Meets population/age specific competencies per unit specific addendum.

C. Attends mandatory inservices/educational/training activities.

D. Department specific performance improvement project.

E. Assists the Medical Staff department leadership in determining criteria for conducting ongoing professional practice evaluation (OPPE), triggers indicating the need for focused professional practice evaluation (FPPE), and ongoing clinical monitors.

F. Assists in the review and analysis of incoming unusual occurrence reports for regulatory, patient safety and peer review concerns.

G. Conducts timely, accurate concurrent and retrospective clinical case reviews by abstracting clinical data from medical records, based on predetermined screening criteria and case referrals from Risk Management and external organization inquiries (i.e., regulatory and/or accrediting bodies, insurance companies, etc).

H. Organizes, maintains and validates peer review data to ensure data completeness, validity and integrity on an ongoing basis to support medical staff performance improvement and patient safety organizational activities.

I. Participates in medical staff peer review committees in collaboration with the Medical Staff Department Chairperson.

J. Participates in the review and analysis of incoming Risk Management occurrence reports, especially those related to physician practice.

K. Ensures proper function of the Risk Management and Medical Staff Peer Review process.

L. Maintains and applies knowledge of accreditation and licensing standards pertinent to improving organizational performance.

Additional job responsibilities:  As assigned by the Executive Director, Quality Services.

Qualifications

• BA, BSN, or BS or Associates Degree preferred.
• Current CA RN or LVN license
• Three years experience in Quality Services, Peer Review, Performance Improvement, Risk Management or Case Management preferred.
• Experiential focus on monitoring and evaluation of medical staff processes in order to meet state, federal and other regulatory agency requirements.
• Comprehensive knowledge of The Joint Commission standards and Title 22 requirements.
• Ability to perform technical analysis of patient records, abstract pertinent information and prepare and present clinical information in such a manner as to highlight statistical significance and relevance.
• Ability to address multiple tasks that frequently have short timelines.
• Ability to work independently.
• Ability to maintain current and accurate databases and files.
• Ability to communicate effectively in both the written and verbal format.
• Basic typing and computer proficiency in Microsoft Office and MicroMed applications.
• Proficiency in medical terminology.