About The Position

The Coordinator-Quality and Accreditation participates in planning, developing, and implementing goals and objectives related to accreditation, certification, regulatory, federal, and state requirements. The role coordinates the gathering and distribution of data supporting clinical and regulatory programs and conducts portions of the medical staff performance improvement process, including profiling, to maintain and improve quality of care and service. The coordinator consults with physicians, staff, performance improvement teams, and departments on improvement methodologies and processes. Reports to the Director of Quality and performs other duties as assigned.

Requirements

  • At least 5 years of experience in a clinical setting.
  • Registered Nurse licensure.

Nice To Haves

  • Previous experience in quality and performance improvement.

Responsibilities

  • Coordinate, implement, and evaluate hospital and medical staff performance improvement activities.
  • Coordinate, implement, and evaluate clinical quality initiatives for external comparative benchmarking.
  • Coordinate and facilitate accreditation and regulatory compliance processes.
  • Communicate effectively with physicians, staff, and external entities.
  • Educate hospital staff and physicians on performance improvement tools and techniques.
  • Contribute to preparation for accreditation, certification, and surveys.
  • Complete chart abstraction and data analysis.
  • Assist with development, implementation, and evaluation of the quality plan and performance improvement initiatives.
  • Direct community education and prevention programs.
  • Identify trends for strategic planning and performance improvement.
  • Complete assigned goals.
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