Quality Improvement Facilitator

Carilion Clinic•Roanoke, VA

About The Position

The Quality Improvement Facilitator leads and supports organizational initiatives to improve clinical quality, patient safety, and patient experience. The role collaborates with interdisciplinary teams to design, implement, and evaluate performance improvement strategies, ensuring regulatory compliance and advancing a culture of safety across the organization. The facilitator monitors and analyzes clinical data, develops quality and performance improvement reports and dashboards, supports accreditation, licensure, audit readiness, and quality reporting, and facilitates improvement methods such as root cause analysis and failure mode and effects analysis. The role also provides staff education, supports committees and team meetings, partners with leadership on action plans, and works with frontline teams to improve workflows and communication. The facilitator applies project management principles to coordinate multiple initiatives and translates data into actionable recommendations while supporting the organization’s mission, vision, and values.

Requirements

Bachelor’s degree in Nursing or a related field.
Minimum of 5 years of clinical experience, or demonstrated experience leading quality improvement or patient safety initiatives in a complex healthcare environment may be considered.
Strong analytical, communication, and interpersonal skills.
Demonstrated ability to apply quality improvement methodologies and data analysis tools.
Strong project management and organizational skills.
Ability to work independently and collaboratively in a fast-paced environment.
Proficiency with Microsoft Office and data analysis tools.
Must obtain one certification in healthcare quality, patient safety, or risk management within 2 years of hire.

Nice To Haves

Coding/CDI experience is strongly preferred.
Certification in healthcare quality, patient safety, or risk management preferred (e.g., CPHQ, CPPS, or CPHRM).

Responsibilities

Lead and facilitate quality improvement and patient safety initiatives across clinical departments.
Collaborate with interdisciplinary teams to design, implement, and evaluate performance improvement strategies.
Monitor and analyze clinical data to identify trends, risks, and opportunities for improvement.
Develop and maintain quality and performance improvement reports and dashboards.
Support regulatory compliance activities, including accreditation, licensure, and audit readiness.
Facilitate root cause analyses (RCA), failure mode and effects analyses (FMEA), and other improvement methodologies.
Serve as a subject matter expert and resource for quality improvement, patient safety, and risk management.
Provide education and training to staff on quality improvement principles, patient safety practices, and regulatory requirements.
Support performance improvement committees and interdisciplinary team meetings.
Partner with leadership to develop and implement action plans to improve patient outcomes and operational performance.
Conduct workflow observations and collaborate with frontline teams to improve processes and communication.
Assist with preparation and submission of regulatory and quality reports.
Maintain policies, procedures, and supporting documentation related to quality improvement initiatives.
Apply project management principles to organize, coordinate, and complete multiple initiatives.
Use data to translate findings into actionable recommendations.
Support a culture of continuous improvement and promote patient safety across the organization.
Deliver high-quality customer service and support the organizational mission, vision, and values.