Quality Coordinator

Southwood Children's Behavioral Healthcare • Pittsburgh, PA

91d

About The Position

We are seeking a dedicated and detail-oriented Quality Coordinator to join our team and play a key role in ensuring the highest standards of patient care and safety. This position is responsible for overseeing regulatory compliance, operational quality, and continuous improvement across the facility. The Quality Coordinator will collaborate with leadership to maintain survey readiness, implement process improvements, and engage in proactive monitoring of clinical data and incidents. If you have a passion for quality healthcare and a strong commitment to patient safety, we invite you to apply and contribute to our mission of excellence in care.

Requirements

• Bachelor’s Degree in Human Services or nursing required, Master’s degree preferred.
• One or more years of experience in a Quality or PI role preferred.
• One or more years of management experience preferred.
• Experience with CARF, DEA, Joint Commission, or CMS surveys, as required by service line(s) supported.
• Current licensure appropriate for the degree held required.
• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.

Responsibilities

• Assist the Director of Quality in monitoring day-to-day regulatory readiness, patient safety, and service excellence across the facility.
• Assist the Director of Quality with QAPI program oversight, including utilizing collected data regarding the outcome of activities for delivering continuously improving services.
• Conduct annual preparation and evaluation of the facility QAPI Program.
• Complete process improvement projects and incorporate the results into patient care improvements.
• Submit quality scorecard data to Acadia corporate office as requested.
• Coordinate the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS).
• Identify key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources.
• Coordinate data collection and analysis from all departments within the facility.
• Prepare program data trends and action plans for the monthly Quality Council and quarterly to the Medical Executive Committee and the Governing Board.
• Assist the Director of Quality in implementing sustainable survey preparation and ongoing monitoring processes.
• Collaborate with other departments to sustainably implement best-practices in regulatory/accreditation compliance.
• Develop and maintain proficiency in the functionality and auditing within electronic platforms such as electronic patient observations and the electronic medical record.
• Engage in and assist with timely and regular evaluation of serious incidents, complaints, grievances and related investigations.
• Develop corrective action plans for the resolution of areas of regulatory vulnerability.
• Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies.
• Propose sustainable performance improvement practices through analysis of data.
• Ensure multidisciplinary ownership of best-practices in self-monitoring, auditing, and process improvement.
• Ensure operational implementation of regulatory requirements, guidelines, and standards.
• Serve as a technical advisor, educator and internal consultant to all hospital management, staff, and physicians.
• Ensure facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.
• Review incident/safety concerns with the Quality Director and select members of the leadership team.
• Identify problems or potential problems to prevent risks to patients and staff.
• Propose corrective steps that may include changes in policies/procedures, staffing and assignment changes, additional education or training for staff, and addition or deletion of services.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 51-100 employees