Wellstar Health System · 22 hours ago
Coordinator Cardio Accreditation & Quality
LaGrange, GA
Full-time
Onsite
Mid, Senior Level
3+ years expWellstar Health System is dedicated to enhancing health and well-being, and they are seeking a Coordinator for the Cardiovascular Service Line Accreditation and Quality Program. This role involves leading accreditation efforts, ensuring compliance with quality standards, and fostering collaboration among healthcare teams to improve patient outcomes in cardiovascular care.
FitnessHealth Care
Responsibilities
Assumes responsibility and leadership of the Cardiovascular Accreditation and Quality Program by collaborating with Cardiovascular Performance Improvement Committee (CV PIC), CV Committee (Cardiologist/Leadership), West Georgia (WG) Performance Improvement (PI) Committee, Clinical Nurse Managers, and Administrative Leadership in the development and achievement of the Cardiovascular Accreditation and Quality program at West Georgia Medical Center
Provides direction and strategic planning including the attainment of short and long term goals for the hospital Cardiovascular Accreditation and Quality program
Evaluates and ensures compliance with performance improvement activities defined through The Joint Commission (TJC) accreditation and the Quality initiatives
Completes all intracycle reports to be submitted to TJC within required time frame
Maintains communication with CV PIC, CV Committee, and WG PI Committee regarding on-going quality initiatives and accreditation projects within TJC guidelines
Develops and provides education for staff necessary for the successful certification and recertification of all Cardiovascular Accreditation per Joint Commission guidelines
Assumes the role of Chest Pain Center Coordinator
Coordinates TJC Primary Heart Attack Center (PHAC) accreditation
Coordinates the STEMI Alert Response with all team members
Analyzes data for opportunities for STEMI improvement and follows up with stakeholders on review of each STEMI case within 24-48 hours
Continuously evaluates standards of care to ensure cardiovascular care is consistent with current guidelines, recommendations, and evidence
Develops and maintains clinical protocols/order sets and care paths and updates annually to reflect evidence-based practices. Monitors adherence to clinical protocols, tracks variances from protocols/care paths and reports outcome data to the CV PIC
Works collaboratively with the CV Registries (examples: GWTG CAD, GWTG Heart Failure, NCDR Cath/PCI, and NCDR ICD) to achieve concurrent data collection. Assist with validation of accuracy, analysis, interpretation and making recommendations based on clinical outcomes data
Evaluates program data and collaborates with program team members for areas of success and opportunities for improvement
Provides regular, timely feedback to leaders and direct care providers regarding CV performance and patient outcomes
Ensures complete and timely follow up on all opportunities for improvement in CV clinical care
Serves as a liaison between clinical departments, EMS, and physician offices by providing feedback on patient outcomes and analyzing individual dept. performance regarding established goals
Meets regularly with the CV Service Line Leader to assure cohesive integration of Cardiac Care
Regularly attends all Cardiac Performance Improvement Committee meetings at West Georgia in addition to all Cardiovascular System Service Line meetings
Provides timely updates to all performance improvement committees regarding all performance improvement initiatives
Teams up with Physicians to ensure metrics and standards are achieved per current guidelines
Identifies potential barriers to success in performance improvement, communicates the nature of those barriers, and works collaboratively with hospital and system leadership to overcome barriers
Coordinates efforts across all cardiovascular programs to ensure consistent communication, efficient resource utilization, and standardization of care processes
Serves as project manager with timeliness in initiatives as assigned
Defines scope of service, goals and objectives for the Cardiovascular Accreditation and Quality program
Develops and updates program policies and associated communication documents
Effectively communicates program expectations to team members in a timely and clear fashion
Estimates resources and participants needed to achieve program goals
Sets and continually manages program expectations with team members
Delegates tasks and responsibilities to appropriate personnel
Identifies and resolves issues and conflicts within the Cardiovascular Accreditation and Quality program
Plans, schedules, and tracks project timeliness and milestones using appropriate tools
Develops and delivers progress reports, proposals, required documentation and presentations as assigned
Documents and facilitates the presentation of current PI activities to the CV PIC utilizing A3 thinking (Plan-Do-Check-Act) and Lean/Six Sigma resources and tools
Manages changes in project scope, identifies potential crises and devises contingency plans
Coaches, mentors, motivates, and supervises Cardiovascular Accreditation and Quality team members and influences them to take positive action and accountability for their assigned work
Develops and maintains Cardiovascular Accreditation and Quality website
Participates in identifying learning needs, planning, and implementing educational programs on an annual basis for those areas involved in the CV focus areas of certification
Serves as a resource to emergency services, cardiology, inpatient nursing, and physician practices to ensure cohesive cardiovascular patient care
Collaborates with CV Nursing Units to ensure proper planning and facilitation of education is following current standards to improve clinical outcomes
Works collaboratively with CV leadership to plan and implement community outreach events for CV disease awareness and prevention which are in line with the CV Service Line mission
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct
Qualification
Required
Bachelors Nursing or Accredited Program Nursing or Masters Nursing-Preferred
RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact
BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor
hold a privilege to practice in the State of Georgia under the Enhanced Nurse Licensure Compact (eNLC). Upon Hire Required
Minimum 3 years of cardiovascular nursing experience in an acute care environment Required
Computer/data entry experience. Required
Strong leadership, interpersonal, time management, change management, performance improvement, and project management skills
Must have the ability to work independently and maintain focus on goal attainment
Must possess a solid understanding of team dynamics
Ability to communicate with various members of the healthcare team
Ability to use Excel, Word, PowerPoint, and have basic computer operational knowledge
Company
Wellstar Health System
The largest health system in Georgia.
10001+ employees
H1B Sponsorship
Wellstar Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (22)
2024 (18)
2023 (13)
2022 (14)
2021 (18)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Candice L. Saunders
President and CEO
B
Bill Bellando
SVP and Chief Information Officer
Recent News
BiometricUpdate.com
2025-10-28
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