RN Clinical Quality & Risk Coordinator

JOB SPECIFIC COMPETENCIES

1. Clinical Expertise: Strong nursing background with knowledge of quality improvement principles and risk management.

2. Analytical Skills: Ability to conduct root cause analyses, evaluate incident reports, and perform trend analysis.

3. Communication Skills: Proficient in written and verbal communication, including presenting information to large groups.

4. Collaboration: Ability to work effectively with staff, patients, visitors, and external agencies.

5. Regulatory Knowledge: Understanding of regulatory compliance standards related to patient safety and quality care.

6. Patient Safety Leadership: Strong commitment to continuous patient safety improvement, with the ability to:

• Champion evidence-based practices.
• Inspire team members towards safety excellence.
• Drive systemic changes to reduce medical errors and improve outcomes.

RESPONSIBILITIES

1. Risk Management Program

• Review safety events and ensure reasonable resolution with impacted parties.
• Provide education in high-risk areas.
• Coordinate root cause analyses for serious safety events and develop action plans.
• Identify and resolve areas of organizational risk.
• Assist staff with resolving escalated patient complaints.
• Assists in the coordination of the Critical Recall System
• Conduct regular clinical risk audits to proactively identify potential safety issues.
• Promote a Just Culture and culture of safety within the organization.
• Analyze patient safety data to identify trends and areas for improvement.
• Collaborate with department leaders to implement safety improvement initiatives.
• Coordinate activities of the Safety Culture Workgroup.
• Manage the Safety Champion program for near-miss and actual events.

2. Quality Improvement (QI) Program

• Develop, monitor, and complete QI program initiatives.
• Update policies and procedures.
• Develop and support organizational QI tools and processes.
• Coordinates, supports and leads performance improvement projects.
• Assist with regulatory compliance activities.
• Assist with the peer review program.
• Active participant in committees, project work and process changes as appropriate/assigned.

3. Data Management and Reporting

• Coordinate clinical data and report development activities.
• Track and trend safety events, risks, and quality issues.
• Provide reporting to the QI Committee and Internal Affairs Committee of the Board.
• Maintain RL Datix system for event reporting and analysis.

4. Regulatory Compliance and Accreditation

• Maintain continuous accreditation and regulatory readiness.
• Ensure compliance with patient safety standards from accrediting/regulatory agencies.
• Participates in the coordination and facilitation of accreditation activities.

5. Staff Support and Education

• Serve as a resource and coach for quality and risk-related issues.
• Train new staff and conduct in-service education as appropriate.
• Educate staff on system-based causes for medical errors.

General Duties and Responsibilities

• Performs other duties and tasks as assigned by supervisor.
• Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
• Conforms to safety policies, general housekeeping practices.
• Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
• Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
• Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
• Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
• Conforms to CVCH policies, Joint Commission standards and HIPAA regulations.

JOB SPECIFICATIONS

EDUCATION/CERTIFICATIONS/LICENSURE

Associates or Bachelors degree in Nursing.

CERTIFICATIONS/LICENSURE

Current Washington State Registered Nurse license required. Current BLS certification required.

EXPERIENCE

Minimum of five (5) years health care experience preferably with a minimum of one year experience in health care quality, risk, or accreditation management.

Desired: Working knowledge of Quality Management theory, and familiarity with regulatory and accreditation organizations standards. Knowledge of Lean improvement methodology and health care quality improvement practices.

LANGUAGE SKILLS

English required.

ESSENTIAL TECHNICAL/MOTOR SKILLS

Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company's computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background.

INTERPERSONAL SKILLS

Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions.

ESSENTIAL PHYSICAL REQUIREMENTS

This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents.

ESSENTIAL MENTAL ABILITIES

Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions.

ESSENTIAL SENSORY REQUIREMENTS

Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.

EXPOSURE TO HAZARDS

Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them.

BLOOD/FLUID EXPOSURE RISK

N/A

AGE SPECIFIC COMPETENCY

N/A

TELECOMMUTING

Position eligible for Partial Telecommuting

This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned, and management may, with or without notice, add or change the duties at any time. Employees are employed "at will".

• "Partnering to achieve optimal health and wellness with compassion and respect for all."

Benefit:

Coverage:

Effective:

Medical

Premera (Self Insured)

Preferred Provider

Employee covered - $70.00 per month

Dependents covered - please refer to the benefits Guide 2026 for rates

First of the month following the first date of employment.

Dental

Washington Dental

Employee covered - 100%

Dependents covered - 50%

First of the month following the first date of employment.

Paid Leave

120 hours - Year 1

136 hours - Year 2

Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.

Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.

Extended Illness Bank (EIB)

Allows for maximum accrual of 200 hours

PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.

Holidays

88 hours related to:

• New Year's Day
• Memorial Day
• 4th of July
• Labor Day
• Thanksgiving Day
• Day after Thanksgiving
• Christmas Eve
• Christmas Day
• 3 Diversity Days

Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below:

• Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
• May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
• Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)

Please refer to the Paid Leave policy for additional details.

403(b) Retirement Plan

Lincoln Financial

150% CVCH match up to 3% of the employee's contribution

Immediately. Vesting schedule:

20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.

Employee Assistance Program

Mutual of Omaha

No cost short-term counseling for employee and family

Immediately. Call 800-316-2796

Long-term Disability

Mutual of Omaha

Employee Only (variable)

First of the month following the first date of employment.

Benefit:

Coverage:

Effective:

Basic Term Life

Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Group Accidental Death and Dismemberment (AD&D)

Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Supplemental Term Life

Mutual of Omaha

Employee / Spouse / Dependent(s)

First of the month following the first date of employment.

Voluntary AD&D

Mutual of Omaha

Employee / Family

First of the month following the first date of employment.

Health Reimbursement Arrangement

RedQuote

Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.

First of the month following the first date of employment.

Flex Plan: Medical

RedQuote

Flex Plan: Maximum $3,400 per year

Direct Deposit available

First of the month following the first date of employment.

Flex Plan: Dependent Care

RedQuote

Flex Plan: Maximum $7,500 per year

Direct Deposit available

First of the month following the first date of employment.

AFLAC

Supplemental insurance - cafeteria plan

First of the month following the first date of employment.

Wellness Stipend

CVCH will reimburse staff up to $30 per month for a local gym membership

OR

CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)

Immediately. Once employee has submitted invoice to HR/Payroll department.

Cell Phone Discounts

Discounted monthly access fees

Discounted select accessories and special equipment

Available for personal cell phones, currently in place with AT&T & Verizon

Tuition Reimbursement

For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of:

• $4,000 for an Associate's degree, vocational, technical, or certification program
• $6,000 for a Bachelor's degree
• $8,000 for a Master's degree

Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.

Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams.