Clinical Performance Improvement Coordinator

The Clinical Performance Improvement Coordinator (QAC) is a registered professional nurse who assists medical staff department leadership in facilitating the Peer Review Process. Responsibilities include assisting in the monitoring, collection, analysis, security and reporting of all pertinent data findings related to physician and allied health professionals' clinical performance as determined by the individual medical staff departments. The QAC identifies potential opportunities to improve patient outcomes, safety and quality. The QAC understands and follows the Corporate Compliance policies and procedures and applies the rules and regulations of applicable local, state and federal agencies and accrediting bodies to the peer review process and has knowledge of AdventHealth"s Patient Safety Evaluation System. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. The value you'll bring to the team: Facilitates the review, investigation, and processing of clinical event referrals, including case screenings, in compliance with state statutes. Reports clinical referrals with potential adverse or sentinel events to the Manager of Peer Review per established protocol. Monitors, analyzes, and reports aggregated clinical data for individual practitioners and departments to the Peer Review Manager and Medical Staff Department Chairpersons for patient safety and accreditation. Ensures accurate data entry into the approved Peer Review database. Performs individual practitioner Focus Reviews as requested by Department Chairpersons, CMO, Medical Staff Officers, or Service Line peer review committees under the direction of the Peer Review Manager. Validates peer review database entries and various report data to ensure completeness and accuracy for supporting patient safety organizational activities. Utilizes knowledge of the Patient Safety Evaluation System and maintains confidentiality of Patient Safety Work Product in compliance with the system. Manages other tasks and functions as assigned by the Peer Review Manager or Director. The expertise and experiences you'll need to succeed: Minimum qualifications: Associate's of Nursing Required 3 Work Experience Required Registered Nurse (RN) Required Preferred qualifications: Bachelor's of Nursing Preferred

• Assists medical staff department leadership in facilitating the Peer Review Process.
• Assisting in the monitoring, collection, analysis, security and reporting of all pertinent data findings related to physician and allied health professionals' clinical performance as determined by the individual medical staff departments.
• Identifies potential opportunities to improve patient outcomes, safety and quality.
• Understands and follows the Corporate Compliance policies and procedures and applies the rules and regulations of applicable local, state and federal agencies and accrediting bodies to the peer review process and has knowledge of AdventHealth"s Patient Safety Evaluation System.
• Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
• Facilitates the review, investigation, and processing of clinical event referrals, including case screenings, in compliance with state statutes.
• Reports clinical referrals with potential adverse or sentinel events to the Manager of Peer Review per established protocol.
• Monitors, analyzes, and reports aggregated clinical data for individual practitioners and departments to the Peer Review Manager and Medical Staff Department Chairpersons for patient safety and accreditation.
• Ensures accurate data entry into the approved Peer Review database.
• Performs individual practitioner Focus Reviews as requested by Department Chairpersons, CMO, Medical Staff Officers, or Service Line peer review committees under the direction of the Peer Review Manager.
• Validates peer review database entries and various report data to ensure completeness and accuracy for supporting patient safety organizational activities.
• Utilizes knowledge of the Patient Safety Evaluation System and maintains confidentiality of Patient Safety Work Product in compliance with the system.
• Manages other tasks and functions as assigned by the Peer Review Manager or Director.

• Associate's of Nursing Required
• 3 Work Experience Required
• Registered Nurse (RN) Required
• Bachelor's of Nursing Preferred

• Benefits from Day One
• Paid Days Off from Day One
• Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)*for eligible positions

At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has become Central Florida’s major tertiary health care facility. Patients come from the Southeast, the Caribbean and even as far as South America for our proven expertise and compassionate health care. With a variety of Orlando hospital jobs, we invite you to start or elevate your career with a new job at AdventHealth Orlando. We constantly seek out Orlando nurses, medical assistants, nurse assistants, patient care and health administration professionals who share our passion for whole-person health care. Learn more about our open positions and apply to become an invaluable part of our team. Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier. Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.