Quality Improvement Coordinator

Randolph Health•Asheboro, NC

About The Position

Serves as a coordinator of Provider Practice and Quality, helping ensure high-quality patient care while supporting the organization’s medical staff initiatives. The role assists with developing and implementing an organization-wide quality management program to assess and review patient care, supports provider practice initiatives, and helps ensure regulatory compliance. The coordinator organizes and supports peer review and professional practice evaluation activities, analyzes quality data, and coordinates process improvement and clinical data measurement initiatives. The role supports chart review, data abstraction, public reporting validation, accreditation-related reviews, and internal reporting. It also collaborates with the Medical Staff Office on credentialing and privileges and helps maintain complete, accurate provider files. The successful candidate is an analytical, collaborative team member who can manage multiple tasks in a fast-paced environment, communicate effectively, facilitate improvement work, and translate data and research into actionable plans. The position requires a bachelor’s degree in nursing or a healthcare-related field and applicable nursing licensure; a master’s degree is preferred.

Requirements

Bachelor’s degree in nursing or a healthcare-related field.
Applicable nursing licensure, if required.
Knowledge and experience in conflict resolution and crisis intervention.
Ability to think independently and analytically and function in a fast-paced environment with multiple tasks, frequent interruptions, and decisions under pressure.
Strong oral, written, organizational, interpersonal, speaking, and listening skills.
Ability to multitask and create enthusiasm and accountability among people at all organizational levels.
Ability to translate data and research into action plans.
Ability to build teams and consensus.
Working knowledge of Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
Ability to provide leadership that motivates providers and staff to achieve organizational goals.
Knowledge of relevant internal and external resources that can aid cost reduction and waste management.
Ability to teach new concepts and demonstrate interpersonal communication and coaching skills with providers and staff.

Nice To Haves

Master’s degree preferred.
Strong understanding of performance improvement tools and methodologies with measurable outcomes.
Excellent understanding of computer systems design and applications.
Experience with spreadsheet software; Excel is preferred.
Experience with project management and change management.

Responsibilities

Schedule and organize the Peer Review Process.
Coordinate Medical Staff Professional Practice Evaluation (MSPPE), Focused Professional Practice Evaluation (FPPE), and Ongoing Professional Practice Evaluation (OPPE) activities.
Analyze quality data for accuracy and identify opportunities to improve data measurement, provider care delivery, and clinical processes.
Plan, implement, evaluate, and monitor process improvement and clinical data measurement initiatives.
Assist with public reporting data validation and quality data reviews needed for accreditation compliance.
Serve as a team leader or facilitator for Performance Improvement projects and participate in workflow analysis and process redesign using evidence-based methodologies.
Provide clinical expertise for data collection, review, and internal reporting.
Support organization-wide improvement efforts, including workflow analysis, process redesign, staff education, process documentation, and efficient workflows that maintain patient care quality and safety.
Support CMS and publicly reported data initiatives, including chart review and data abstraction for internal and external needs.
Enter data from clinical chart abstraction into web-based tools and internal databases; abstract data for internal process review; and generate graphs and charts.
Format clinical documents in Word and Excel and convert documents using data from quality data support vendors.
Collaborate with the Medical Staff Office, including supporting credentialing and privilege processes and ensuring provider files are complete and accurate.
Use performance improvement tools and methodologies, facilitate collaboration, and help providers and staff achieve departmental and organizational goals.
Teach new concepts and provide communication and coaching to providers and other staff.
Identify relevant internal and external resources that can support cost reduction and waste management.