Essential Functions Proficiently facilitates performance improvement efforts and coaches others in the development of performance improvement capabilities. Maintains competence in applicable licensure, certification, accreditation and other regulatory body requirements. Coordinates department and facility Performance Improvement Committee meetings, analyzes trends of performance metrics/business unit level dashboards, identifies opportunities for improvement, develops and maintains management action plans, measures success of these action plans and creates the records and follow-up metrics for each meeting and activity; reassesses approach to maximize success. Provides consultation to teammates and leadership in areas of quality, compliance, accreditation and safety. Facilitates assessments, develops, implements and evaluates corrective action plans based on past surveys and preparatory tracer activities. Develops strategies for improvement that include considerations for leading practice research and shares implementation results across the System. Utilizes facilitation skills, data analysis and statistical process control to effect improvement in quality and clinical outcome. Consults with and trains staff to implement monitoring and measurement tools, and data analysis techniques. Provides education and training on accreditation compliance and accreditation matters. Demonstrates knowledge of the principles of growth and development and possesses the ability to respond to age specific issues and data reflective of the patient's status. Physical Requirements Must have the ability to clearly communicate verbally, in person, and in writing with patients, families, agencies and the health care team. Works in an office environment. Requires long periods of sitting and computer use. Education, Experience and Certifications Bachelor's Degree required; Master's Degree preferred. RN or other clinical licensure preferred; certification in health care quality, patient safety or related accreditation entity preferred, required within 2 years of employment. 4 to 6 years experience in healthcare or directly related field and 2 to 4 years leadership experience preferred. Knowledge of Lean Concepts preferred. Intermediate to advanced computer skills with demonstration of skill and competence in use of all Microsoft Office applications preferred. Previous experience or knowledge of TJC preferred. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program
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Job Type
Full-time
Career Level
Mid Level