Job Description

Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. The system includes Cooper University Hospital Cape Regional, three urgent care facilities; Cape Regional Physicians Associates with primary care and specialty care providers delivering services in multiple locations throughout Cape May County; The Cancer Center at Cooper University Hospital Cape Regional, the Claire C. Brodesser Surgery Center; AMI at Cooper, Miracles Fitness and numerous freestanding outpatient facilities providing wound care, lab, and physical therapy services. We have a commitment to our employees by providing competitive rates and compensation programs.  Cooper offers full and part time employees a comprehensive employee benefits program, including health, dental, vision, life, disability, retirement, on-site Early Education Center (employee discount), attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Cooper University Hospital Cape Regional is accredited by and received the Gold Seal of approval from The Joint Commission.

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• Responsible for driving organizational performance improvement and high reliability by collaborating with hospital leaders to implement the organization’s quality improvement and patient safety plan.
• Maintenance, organization, and reporting of patient safety and clinical quality data.  Perform review and oversight of the assembly and monitoring of patient safety data.  Prepare monthly patient safety meeting reports and statistical analysis.
• Coordinate the process of monitoring, measuring, assessing and improving patient care and support systems to achieve high-quality, safe, cost-effective care.
• Coordinate and oversee daily quality responsibilities which include prioritizing and assigning clinical quality reviews, hospital-acquired conditions and coding inquiries.
• Oversee concurrent regulatory readiness by providing review, assessment, and instruction when needed.
• Work collaboratively with organizational leaders to minimize risks and embed best clinical practices.
• Responsible for preparing quality reports related to the care of specific patient population for hospital clinical departments and for regulatory bodies in collaboration with members of the interdisciplinary care team.
• Responsible for monitoring changes to reporting requirements released by regulatory or oversight agencies and responsible for interpreting and communicating these changes to applicable leaders.
• Responsible for the development and presentation of educational programs and/or project management groups based upon existing data and performance.  

• At least 5 years’ experience managing people and performing data oversight or with healthcare quality, regulatory, or patient safety experience.
• Must have knowledge of data collection techniques, performance improvement methods and tools (e.g., Rapid Cycle PDSA, Lean Six Sigma, etc.)

• RN or other licensed clinical professional or a graduate from a healthcare administration program.  

• RN or other licensed clinical professional or a graduate from a healthcare administration program.

• Must have knowledge of clinical pathways or guidelines and knowledge of accreditation and regulatory requirements and standards is preferred. 
• Experience with previous clinical, chart review, or performance improvement experience preferred. 
• Current CPHQ or Patient Safety certification preferred but not required. 

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