About The Position

The Clinical Quality and Patient Safety Nurse Coordinator supports organization-wide efforts to improve clinical outcomes and enhance patient safety. This role collects, analyzes, and reports clinical quality data to identify trends and drive performance improvement. The coordinator ensures compliance with regulatory requirements, including CMS reporting, and collaborates with interdisciplinary teams to implement best practices. The position also provides guidance and education to clinical teams and supports organization participation in national quality initiatives. The role may focus on inpatient, outpatient, or service line-specific programs.

Requirements

  • Bachelor’s Degree in Nursing (or equivalent).
  • Current Montana Licensure as Registered Nurse (RN).
  • Minimum of two (2) years of hospital nursing experience.
  • Demonstrated experience with data analytics.
  • Current Basic Life Support (BLS) from the American Heart Association.

Nice To Haves

  • Experience with quality indicators (IQR, OQR, eCQM).
  • Certified Professional in Patient Safety (CPPS).

Responsibilities

  • Performs concurrent and retrospective medical record audits in assigned clinical areas.
  • Inputs data into clinical quality reporting systems; generates and communicates reports to leadership.
  • Assists clinical teams with developing and implementing performance improvement strategies.
  • Maintains current knowledge of national and regional quality initiatives and regulatory requirements.
  • Collaborates with Information Systems to support electronic data capture and validation.
  • Develops quality dashboards and implements quality improvement protocols.
  • Supports regulatory readiness by assisting leaders in operational compliance activities.
  • Facilitates interdisciplinary planning and policy development aligned with organizational goals.
  • Analyzes incident reports and patient safety data to identify risks and trends.
  • Educates care teams on patient safety standards, protocols, and improvement tools.
  • Participates in Root Cause and Apparent Cause Analyses and develops corrective action plans.
  • Leads or supports team training efforts to build quality and safety capacity across departments.
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