We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Quality Management Coordinator coordinates Performance Improvement Activities for hospital key quality indicators and peer review activities, including but not limited to case reviews, case summaries, coordination of peer review completion, assistance with presentations as needed at applicable Medical Staff Committee meetings, maintenance of physician specific quality files for OPPE and FPPE, and required data submission to CMS, The Joint Commission and other outside organizations.

Job Responsibilities/Duties

• Serves as the Core Measurers Abstractor and Expert on Qnet, CMS Core Measures, Joint Commission and other clinical data sharing processes performed in the facility.
• Performs, and is accountable for, Medical Staff Peer Review processes, including case review summaries and findings, conclusions (utilizing the Case Review Rating System approved by Medical Staff Organization), and action plans.
• Integrates information and action from Medical Staff department reviews, as well as required function measurements, to maintain current physician profiles and Ongoing Professional Practice Evaluation (OPPE) tracking and documentation.
• Participates in and supports the hospital and departmental Performance Improvement Program activities, including but not limited to data collection, data analysis, development of solutions, patient experience, prevention of hospital acquired patient harm/conditions, utilizing current evidence-based practices, supporting the Risk Management Program by referring cases with liability potential, etc.
• Generates reports for individual Medical Staff Departments and required functions (i.e. Mortality & Autopsy, Core Measure Results, etc.) utilizing QM Director approved report formats which display the use of aggregate trended.
• Demonstrates customer service behaviors according to hospital standards, including but not limited to excellent phone etiquette, acknowledging patients and their families, contributes to the team effort, meet or exceed the needs of internal and external customers, etc.
• Demonstrates responsibility in Professional Growth and Development, participates in in-service education, professional organizations, self-directed in assessing strengths/weaknesses in identifying career and self-development activities.

Qualifications

Minimum Education: Bachelors Degree preferred.

Minimum Experience: Two (2) years recent quality management or related experience within last six (6) years required. Knowledge of Performance Improvement Principles. Excellent verbal and written communication skills. Computer literacy and proficiency (Software, Printers, Fax Machines, etc). Ability to maintain flexibility and work well in a fast paced, constantly changing environment. Ability to establish and maintain effective working relationships across the organization. Knowledge of The Joint Commission Standards and other regulatory agencies requirements preferred. Knowledge of how to locate and utilize current evidence-based practice preferred.

Req. Certification/Licensure: CPHQ preferred. Current California RN or LVN License or RHIA/RHIT preferred.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www.eeoc.gov/