The quality compliance coordinator works collaboratively with leaders, owners/approvers and subject matter experts to develop and maintain policy management workflows, standardized clinical forms, and clinical contract performance metrics across Memorial Health.  The coordinator serves as the site administrator for electronic solutions to support this function and is responsible for the development and delivery of education on relevant workflows and standardized content.  The coordinator serves as the primary technical expert for the electronic policy and document management solution.  The coordinator works directly with the System Director, Patient Safety & Accreditation to maintain current on regulatory/accreditation requirements and emerging trends to promote compliance. 

Education:

• Bachelor’s degree in health administration.
• In lieu of a degree, and a minimum of 4–6 years of directly related experience will be considered.

Experience:

• 3–5 years of experience in healthcare experience requireed, with a demonstrated ability to manage projects and ensure compliance with applicable standards). 

Other Knowledge/Skills/Abilities:

• Excellent communication skills.
• Self-directed, highly motivated to work without direct supervision.
• Flexibility to adapt to an ever-changing work environment.

1. Maintain the technical aspects of the electronic policy and documentation management solution
2. Be a resource to leaders, policy owners/approvers and subject matter experts for all aspects of the policy lifecycle.
3. Assist with the educational needs of the quality compliance program including the development and delivery of educational content to leaders and colleagues.
4. Assist with policy and clinical form standardization including organization, naming conventions, and format.
5. Assist the System Director, Patient Safety and Accreditation with the review of quality of content to ensure compliance with current and emerging regulatory/accreditation requirements
6. Track and report metrics to associated with the quality compliance program

7. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • SAFETY: Prevent Harm - I put safety first in everything I do.  I take action to ensure the safety of others.

• • COURTESY: Serve Others - I treat others with dignity and respect.  I project a professional image and positive attitude.

• • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• • EFFICIENCY: Reduce Waste - I use time and resources wisely.  I prevent defects and delays.

8. Demonstrates thorough knowledge of hospital operations, policies and procedures.

9. Promotes and maintains effective intra and interdepartmental working relationships.

10. Develops and achieves department goals.

11. Demonstrates the ability to set priorities, and efficiently plan, organize and implement work assignments and projects.

12. Provides supervision, counseling and documentation of employee performance.

13. Provides leadership in effective resolution of potential or actual conflicts within and outside the department.

14. Cooperates and contributes to the attainment or organizational goals and objectives.

15. Represents JMH in community events and/or professional activities.

16. Maintains departmental operations during crisis and emergency situations.

17. Demonstrates self-directed learning in professional continuing education.

18. Provides leadership in departmental staff development activities.

19. Actively participates in competency assessment process.

20. Performs other job related duties as assigned

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.