The Quality/ Compliance Coordinator is responsible to the System Director of Quality and Infection Prevention. The role of this position is to coordinate and oversee the formal quality improvement activities for Good Shepherd Medical Center, including assessment, planning, implementation, and evaluation of quality improvement processes. Monitors quality assessment and performance improvement activities and provides coordination, consultation, and assistance in pursuing quality goals. Monitors regulatory standards and CMS Conditions of Participation and provides coordination, consultation and assistance in ensuring accreditation is maintained. Coordination of regulatory reporting and maintenance of The Joint Commission application, notifications, and compliance reporting.
Six Sigma Green Belt Certification or equivalent highly preferred
CPR required. CPHQ and/or HACP specialty certification or must obtain within 2 years.
Current RN license with the ability to practice in the state of Texas.
Graduate of a school of nursing required. Bachelor in Nursing/Science is preferred.
2 years' experience in quality or regulatory compliance to include at least 1 year responsible for compliance for JCAHO and/or other Accreditation agencies in an acute care setting preferred.
Experience with project management, leading PI teams, manging effecive team meetings.
Able to train othersin PI methodology (PDCA, DMAIC, etc)
Ability to perform the essential functions of this position, with or without reasonable accommodation and without posing a direct threat to the health and safety of self or others. Ability to comply with all Good Shepherd policies and procedures that are job-related and consistent with business necessity. Ability to effectively communicate with patients and provide competent care as appropriate to the ages of patients served by this position.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.