Quality Assurance Coordinator

The Quality Assurance / Continuous Quality Improvement (QA / CQI) Coordinator

is committed to maintaining and improving ongoing quality assurance and quality improvement

programs to ensure care delivered to residents and their families is of high quality and consistent

with the mission of the organization. This entails the monitoring and evaluation of the quality and

appropriateness of care rendered to all residents. When opportunities to improve care and services

are identified through a data driven quality measurement process, improvement actions will be

taken to ensure that quality of care and services is supported. The QA / CQI Coordinator is

dedicated to providing the highest quality of care to promote the well being of each individual in

all dimensions : physical, mental, psychosocial and spiritual.

Major Responsibilities :

The QA / CQI Coordinator facilitates and guides the efforts of the interdisciplinary team to

achieve the following objectives :

1. Assure the provision of high quality resident care and services through utilization of

criteria-based quality improvement methodology, which objectively and

systematically monitors and evaluates the quality and appropriateness of resident /

care and services on an ongoing basis.

2. Assure effective and efficient use of facilities and services through the use of an

ongoing monitoring, evaluation and intervention.

3. Provide a means for prompt identification of potentially high-risk problems and

timely communication to individuals responsible for immediate evaluation and

intervention.

4. Identity and correct resident care and service concerns and process by assessing the

root cause and scope of the concern(s) and by the implementation of actions to

resolve the identified concerns, or by the identification of opportunities to improve

care and services.

5. Ensure communication and reporting of continuous quality

improvement / performance improvement activities and opportunities to the medical

director, all staff and the governing body.

6. Provide self-appraisal of all departments to assure a level of excellence that meets

professional standards and maximum compliance to standards as established by

federal, state agencies and professional licensing boards. This would include, but is

not limited to, resident / care and services provided by the organizations

interdisciplinary team and contracted service providers.

7. Evaluate services, systems and processes, and revise or establish policies and

procedures to enhance the organizations ability to provide quality care.

8. Assure the quality of care and services is monitored and evaluated in at least the

following areas :

Abuse, neglect and misappropriation of funds

Contracted Physician Services

o Podiatry

o Wound care

o Hospice

o Psychiatric Services

o Dental

o Optometry

Corporate Compliance

Drug Usage / Pharmaceutical / Services

o Medication Errors

Environmental and laundry services

Equipment Management (medical and non medical)

Ethics

Findings from resident / family councils related to resident / care and services

Human Resources

o Employee satisfaction

o Recruitment and retention

Imaging Services

Incidents / Occurrences

o Elopements

o Accidents and injuries

Infection Control

Interdisciplinary planning of care

Laboratory Services

Medical Care

Medical Records

o Integrity and security

o HIPAA

Nursing Care (includes Rehabilitation / Restorative Nursing Care)

o Weight management

o Skin and wound management

o Hydration management

Nutritional Services

Oral Health

Physician, physician extender, professional and non professional credentialing

Policies and procedures

Quality Measures

Regulatory Compliance

Rehabilitation

Resident / Activities

Resident / , Family, Physician, Staff, Community satisfaction

Respiratory Health

Qualifications :

• Active TN RN or LPN
• EXPERIENCE in Quality Assurance is a MUST

Salary and Benefits :

An Equal Opportunity Employer