Job Description

Department: 37812 Advocate Christ Medical Center - Transplant: Pediatric Heart Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: This position is to close the gap in coverage for our Heart Failure/Heart Transplant patients. Shifts assigned as need Major Responsibilities: Quality Assessment and Performance Improvement 8)Assists in maintaining program policies, procedure, and protocols. 9)Assists with the development and recommendations for corrective action, to improve patient quality and safety when undesirable patterns are identified. Active participant in root cause analysis of sentinel events that occur within the Transplant Program. Communicates events and findings with Transplant Administrator and appropriate staff. 10)Proactively identifies data variances and communicates to department leadership. Monitors and reports program compliance with CMS and UNOS reporting requirements.

1. Demonstrates the ability to use multiple systems and clinical applications to collect, evaluate, and enter transplant and living donor data to ensure compliance with regulatory reporting requirements.
2. Prepares timely, logical, and accurate quality score cards for use in program QAPI activities.
3. Participates in audits, data collection, validation, analysis, and reporting to support program quality assurance and performance improvement (QAPI) initiatives.
4. Performs retrospective and/or concurrent patient medical record reviews/audits to abstract clinical data for program QAPI activities and assessment of compliance with corrective action plans.
5. Annually coordinates a review of the PI indicators defined for each program and makes recommendations for revisions.
6. Supports and assists the Transplant Administrator in coordinating and facilitating the transplant and VAD quality meetings.
7. Documents, prepares, and maintains minutes from the transplant and VAD quality meetings.

Accreditation and Regulatory Compliance 5)Assists with coordinating and scheduling of announced visits/surveys. 1)Maintains current knowledge of requirements related to CMS Conditions of Participation, DNV VAD Disease Specific Certification for VAD, and UNOS Policies and Bylaws. 6)Assists in preparation of UNOS reports including annual personnel report, changes in key personnel (this would be new) and reports requested by the Membership and Professional Standards Committee. 2)Prepares and maintains materials/documents used for surveys by CMS, UNOS, and DNV.

1. Monitors and tracks compliance with UNOS requirements for data submission. Works with management if there is not full compliance.
2. Oversee the maintenance of the OPTN data entry system for transplant centers (TIEDI). Oversee the accurate reporting of all graft losses and patient deaths via TIEDI in a timely manner.
3. Primary interface with regulatory agencies (CMS, UNOS, DNV).
4. Revises documentation forms and consent forms as indicated.

1. Assists in the preparation of action plans in response to regulatory surveys.
2. Assists the Transplant Administrator and staff to assure continuous readiness for survey with policy and procedure development, review and revision, mock survey drills, and ongoing education.

Quality Related Initiatives

1. Assists in the completion of UNOS/insurer's RFI on an annual basis
2. Assists in analysis and prediction of patient and graft survival as will be reported via SRTR cohorts.

Licensure: Nurse, Registered (RN) Education/Experience Required: Nursing Degree (BSN )required • 7+ years recent transplant coordinator experience • 3 year + Quality experience and/or NAHQ certification • Graduate from an accredited school of nursing Knowledge, Skills & Abilities Required: Strong analytical skills • Proven leadership skills • Good organizational skills • Basic computer knowledge • Effective communication and presentation skills. • Exposure to transplant databases (UNOS and OTTR) Nursing License in the State of Illinois Physical Requirements and Working Conditions: • Ability to work flexible hours according to customer needs. • May be exposed to hazardous materials and life threatening diseases. • Ability to prioritize independently and respond to multiple simultaneous requests. • Lifting to 20 pounds occasionally and /or up to 10 pounds frequently. • Ability to communicate with staff, physicians, patients/families • Ability to travel locally and nationally. • Ability to work within stressful conditions and difficult situations. Ability to work with outside regulators If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Pay Range $37.50 - $56.25 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 About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. Advocate Aurora Health

Job Tags

Temporary work, Part time, Flexible hours, Shift work,

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