Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

Required Behaviors:

• As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required Qualifications:

• Master’s Degree
• Minimum of two (2) years’ Acute Care clinical background (preferably LPN/RN)
• Green Belt Certification
• CPHQ Certification
• Strong organizational skills
• Strong analytical skills; be able to develop a consistent approach to data collection to ensure validity and reliability of data
• Skilled in using Microsoft Word and Excel
• Excellent customer service skills
• Excellent communication skills
• Proficient facilitation skills
• Basic report writing skills
• Identification and submission of two formal Process Improvement initiative proposals
• Significant participation in two formal Process Improvement teams
• Significant participation in two formal Root Cause Analysis

Duties and Responsibilities:

• Gathers and inputs data for CMS Quality Measures and reports on findings
• Performs monthly medical record and ad hoc audits, conducts analyses and creates subsequent reports (e.g., mortality, sepsis, etc.)
• Collects data, maintains excel databases and creates reports/charts depicting the data
• Uses various software/databases to create and analyze reports (e.g., Truven, Greeley, AS)
• Attends and supports various committees which includes presenting reports, writing letters, and facilitating
• Participates/facilitates on performance teams
• Participates/facilitates on safety event reviews
• Serves as a resource for staff related to quality improvement
• Each caregiver is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
• Other duties as assigned

Physical Demands and Environmental Work Conditions:

• Primarily office environment with daily inclusion in operational environments.
• Prolonged sitting, standing, and/or walking.
• Frequent interruptions.
• Moderate noise level.