JOB SUMMARY

Responsible for the coordination of all QA/QI activities for all areas of the ASC. Reviews and updates the Quality Improvement Plan on an annual basis. Ensures that the ASC follows the directives in its Quality Improvement Plan.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•  Performs monthly and quarterly activities to ensure quality assurance in ASC is being maintained. Activities include chart review, outcome tracking, review and documentation of all incidents occurring within the ASC.
•  Gathers data necessary to determine areas where improvement is needed.
•  Performs quality improvement study on topic mutually agreed upon with ASC Director.
•  Maintains responses from patients resulting from patient satisfaction surveys and from physicians and employees on an annual basis. Presents findings on a quarterly basis to MEC.
•  Assists in the preparation of peer review information. Compiles results of peer review for physician discussions.
•  Acts as a member of the safety committees and infection control committees of ASC.
•  Actively participates in reviewing and reporting data to the MEC QA/QI Committee.
•  Works directly with the ASC Risk Manager to ensure that a safe, progressive, clinical environment is provided in the delivery of patient care.
•  Assist is review of federal and state regulations to ascertain if changes in ASC policies and procedures may be necessary. Makes recommendations for changes to policies and procedures to ASC Director to maintain compliance with regulations.
•  Acts as a resource for ASC management team and staff on clinical and regulatory matters.
•  Leads ASC in successful readiness and completion of AAAHC survey.
•  Performs other duties as assigned.

CORPORATE CULTURE RESPONSIBILITIES

•  Follow established corporate and department-specific policies and procedures.
•  Attend all corporate and department-specific required training.
•  Uphold MCC’s Purpose, Values, and Vision.
•  Abide by MCC’s Corporate Culture Responsibilities.
•  Perform other duties as may be assigned cheerfully and willingly.

EDUCATION/EXPERIENCE REQUIREMENTS

•  Graduate of an accredited school of nursing, BSN preferred.
•  Must hold and maintain current RN license in the State of Florida.
•  Must hold and maintain current CPR certification; ACLS and PALS preferred.

KNOWLEDGE, SKILLS AND ABILITIES

•  Display customer services skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills.
•  Proficient in Medical Terminology and Anatomy.
•  Ability to manage multiple tasks at the same time.
•  Knowledge of operating room process.
•  Excellent telephone skills.
•  Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers.
•  Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner.
•  Ability to work in close proximity with co-workers and maintain a professional attitude.
•  Displays computer proficiency (i.e. PC windows and MS Office environment) and ability to quickly learn new applications.
•  Proficient in use of English language both in written and verbal communication.
•  Must be able to communicate with individuals of varying socio-economic backgrounds.
•  Displays ability of giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
•  Professional demeanor and recognition of privacy considerations for patients and families.

PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

•  Strength (Life/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally
•  Standing/Walking: Occasionally; activity exists up to 1/3 of the time.
•  Keyboarding/Dexterity: Frequently; activity exists from ¾ of the time
•  Ability to look at a computer screen for extended periods.
•  Ability to perform constant repetitive hands and finger motions.
•  Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time during an 8-hour workday.
•  Talking (Must be able to effectively communicate verbally): Yes
•  Seeing: Yes
•  Hearing: Yes

EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

•  Must exhibit stable work behaviors daily.
•  Must possess adequate individual coping skills.
•  Ability to remain calm and professional regardless of workload or time constraints.
•  Must be able to work under stress and remain calm and professional.