COMMUNITY HEALTH CARE, INC.
Position Description
Position Title:
Department:
Supervises:
Responsible To:
OSHA Class:
Last Reviewed:
Quality Coordinator
Administration
Quality Specialist and Collaborative Coordinator
COO
2
April 2007
POSITION SUMMARY: Responsible for identifying, implementing, monitoring and evaluating the overall clinical quality at
CHC, Inc. The Quality Coordinator will oversee quality improvement activities and provide related consulting and support
services including policy development, competency testing and tracking. Is directly responsible for overseeing JCAHO
accreditation, OSHA and HIPAA privacy compliance.
POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES
1. Integrates the principles and values of continuous quality improvement throughout CHC.
2. Responsible for overseeing JCAHO Accreditation, Corporate, HIPAA and OSHA compliance.
3. Consults and regularly reports to practitioners, administration and the quality assurance committee on continuous
quality improvement activities
4. Oversees the collection and analysis of statistical information to identify trends for quality improvement
opportunities. Provides recommendations for quality improvement
5. Oversees and delegates the monitoring of chart audits including but not limited to Medical record completeness
audits, nursing audits and peer review.
6. Provides supervision and direction to the Quality Specialist and Collaborative Coordinator
7. Oversees the development of patient satisfaction surveys.
8. Assists in the development and implementation of policies and procedures related to continuous quality
improvement
9. In cooperation with the Medical, Dental, and Clinical Directors, monitors clinical activity related to quality
assurance
10. Participates and is actively involved in meetings as required
a. Department Head Meeting
b. Safety Committee
c. Infection Control
d. Cardiovascular Collaborative
e. Diabetes Collaborative
f. Quality Assurance Committee
g. Administrative Meeting
h. Staff Performance Improvement/ Quality Assurance Committee
11. Demonstrates an understanding of the importance of CHC’s Mission Statement in performing all aspects of the
position.
12. Demonstrates a caring and helpful attitude when interacting with patients, vendors, and fellow employees. Strives
to build cooperative partnerships, by treating each person both inside and outside of the organization as a
customer.
13. Ability to establish and maintain an effective working relationship with other clinic personnel.
14. Handles confidential information with tact and discretion on a need-to-know basis
15. Participates in maintaining departmental continuous quality improvement.
16. Follows established policies and procedures for safety, infection and exposure control.
17. Other duties as assigned.
POSITION REQUIREMENTS
Age Specific Competencies
Perinatal
Pediatric
Education:
Licensure:
Experience:
Hours of Work:
Position Status:
Travel:
Exposure:
Physical:
Adolescent
Adult
X
Geriatric
N/A
Bachelors Degree, R.N. or equivalent experience
None
3-5 yrs management experience, medical office/staff experience, systems development
8:00am-5:00pm Monday- Friday
Exempt
Some
None
Some walking, standing and bending
I have reviewed this position description and understand the competency and performance expectations of my
employment:
Employee Signature
Date
I have reviewed this position description, including all position & age-specific competencies, with the employee:
Supervisor Signature
Date
I have reviewed this position description with the supervisor and employee and believe it to be a true representation of the
work to be performed by the employee:
Signature of Human Resource Represetative
Date