Compliance and Quality Coordinator, Healthyhorns

The University of Texas at Austin•Austin, UT

1d•$57,000•Onsite

About The Position

Our mission at H ealthyhorns is to enhance the health and well-being of students’ bodies, minds and lives in support of their academic and personal goals. Healthyhorns is the umbrella brand encompassing University Health Services, Counseling and Mental Health Center and Longhorn Wellness Center. Together, the departments work to enhance the health and well-being of students’ bodies, minds and lives in support of their academic and personal goals. University Health Services (UHS) is an accredited on-campus medical facility dedicated to addressing the varied healthcare needs of UT Austin students. UHS provides comprehensive services, including general medical care, public health education and specialty clinics. Counseling and Mental Health Center (CMHC) is an accredited on-campus mental health facility dedicated to supporting the well-being of UT Austin students. CMHC offers a range of services, including assessment and referral, group and individual counseling, psychiatry and well-being services. The Longhorn Wellness Center is the health promotion unit servicing University Health Services and Counseling and Mental Health Center. Staff focuses on educating students about priority college health issues by hosting workshops and events, creating new tools, and collaborating with the campus community to enhance overall well-being. The University of Texas at Austin offers a competitive benefits package that includes but not limited to: 100% employer-paid basic medical coverage Retirement contributions Paid vacation and sick time Paid holidays Please visit UT Austin's Human Resources (HR) website at https://hr.utexas.edu/prospective/benefits to learn more about the total benefits offered. Purpose Partners with Healthyhorns staff to coordinate and support compliance and quality improvement activities, and other administrative and/or operational projects as assigned by the Assistant Director for Quality Management.

Requirements

Bachelor’s degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience).
Strong understanding of quality improvement principles and frameworks, including practical use of methods such as PDSA and root cause analysis.
Ability to utilize assessment, evaluation, and data analytics to deliver insights to leadership.
Demonstrated stakeholder management and collaboration skills—able to confidently engage clinicians, staff, and leadership; facilitate consensus to move initiatives forward in multi-stakeholder environments.
Strong presentation skills, with the ability to effectively communicate information to diverse audiences in both individual and group settings.
Excellent written/oral communication and interpersonal skills.
Proficiency in Microsoft Office Suite, particularly Excel.
Demonstrated ability to successfully work with a varied community and provide services from a non-judgmental perspective.
Relevant education and experience may be substituted as appropriate.

Nice To Haves

Master’s degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience).
Experience facilitating QI education, coaching, and leading cross-functional improvement initiatives.
Working knowledge of basic healthcare privacy concepts and healthcare compliance standards.
Proven experience in managing projects that are long term in nature, involve multiple stakeholders, and/or are related to the healthcare environment.
CPHQ and/or other high reliability recognized certifications.
2-3 years of work experience in a healthcare setting.

Responsibilities

Regulatory & Policy Compliance Executes day-to-day compliance and risk monitoring activities across clinical and administrative workflows, including spot checks and targeted reviews to verify adherence to policies and procedures.
Updates policy and procedure based on the guidance and instruction of stakeholders; tracks the progress of policies in workflow and provides support to assure timely review and approval in collaboration with the Healthyhorns Policy & Procedure Coordinator.
Collects and analyzes compliance data; ensures documentation meets regulatory, policy, and accreditation standards.
In collaboration with the Healthyhorns Clinical Staff Educator/Infection Prevention & Safety Coordinator, support documentation of staff training and compliance, including tracking completion and maintaining training records.
Tracks patient complaints and compliance gaps; documents findings, escalates issues per protocol, identifies areas for opportunity and supports corrective actions.
Quality Improvement Assists with management and coordination of quality improvement (QI) studies and projects from planning through sustainment.
Writes study reports and synthesizes finds for stakeholders.
Leads gap analysis exercises to identify root causes and prioritize improvement opportunities.
Track corrective action plans, follow up with owners on timelines and deliverables.
Coordinates remeasurement cycles to assess post-corrective action implementation performance and sustainment.
Monitors and tracks communication to staff on QI studies and other educational activities.
Assists data collection, performance measurement, and reporting for clinical quality, safety, and patient experience indicators.
Supports peer review activities and generate summary reports that synthesize trends, recommendations, and follow-up actions.
Assists in preparing for AAAHC accreditation and survey readiness.
Serves as a resource for continuous quality improvement frameworks, best practices and tools.
Other Project Management Functions Plans, develops, implements, and evaluates other projects as assigned by Assistant Director for Quality Management in coordination with other administrators and staff in Healthyhorns.
Partners with the Clinical Staff Educator/Infection Prevention & Safety Coordinator to advance risk management and compliance through a team-based, collaborative approach.
Exhibits behaviors consistent with the items listed below: Uses the Customer Service Standards as the benchmark for all interactions with patients and other customers.
Treats others with dignity and respect, regardless of individual differences.
Knows, understands and abides by: Healthyhorns Patient Rights and Responsibilities statement Healthyhorns Principles of Professional Conduct Healthyhorns and department-specific Policies and Procedures Respects patient privacy and maintains confidentiality, disclosing protected health information only as it relates to the plan of care for that patient.
Supports and participates in quality improvement efforts, including adjusting performance and practice in accordance with quality improvement initiatives and findings.