At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Coordinates the Memorial Hermann Service Line Program to include developing and implementing policies, procedures and processes to ensure compliance with laws, regulations, standards and conditions required by healthcare programs, governmental agencies, accrediting organizations as well as internal quality standards and policies.

Job Description

Minimum Qualifications

Education:  Bachelor’s Degree in Nursing required; Master’s preferred

Licenses/Certifications: 

• Current State of Texas RN license required
• Certification in field of expertise preferred

• Experience / Knowledge / Skills:

• Three (3) years clinical nursing experience
• Nursing experience in Specific Service Line preferred
• Excellent organizational skills
• Effective oral and written communication skills
• Intermediate or expert level computer skills in Word, Excel, Access, Power Point and Outlook
• Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

  Principal Accountabilities

• Analyzes patient records, program files, reports and other data to ensure approval standards by the TJC and  Other accreditation bodies. Creates charts, graphs, analyzes statistics and presents data at committee meetings. Facilitates service line specific meetings.
• Prepares incidence reports and analyzes statistical data of program activities for audit review, administrative review, and physician review.
• Abstracts and analyzes medical records including records of re-admitted patients for current follow-up and/or secondary treatment.
• Coordinates and facilitates educational activities as required for physicians, staff, patients and the community.
• Facilitates collaborative relationships among medical, nursing, clerical and pre-hospital personnel.
• Works with specialty area medical directors and/or other hospital leaders to identify program needs through compilation of data.
• Maintains Performance Improvement programs in collaboration with Memorial Hermann Health System Registry Reporting. 
• Works in collaboration with other Memorial Hermann program coordinators for Joint Commission certification survey.
• Prepares application documents for initial and/or renewed accreditations and submits interim documents as required by accrediting body.
• Leads the service line Quality Assurance (QA) and Performance Improvement (PI) process.
• Demonstrates a minimum of eight (8) contact hours every year in Service Specificeducation
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Other duties as assigned.