Quality Nurse Coordinator
About The Position
The Quality Nurse Coordinator is a Registered Nurse responsible for supporting clinical quality initiatives, transitional care management, and care coordination to improve patient outcomes and ensure compliance with regulatory and payer quality standards. This role emphasizes post-discharge outreach, care gap closure, quality measure support, and clinical task management while upholding the organization's Qssentials Standards of Excellence. The Quality Nurse Coordinator collaborates closely with providers, clinic staff, and external partners to deliver timely, patient-centered, and compliant care across all age groups.
Requirements
- Current licensure as a Registered Nurse required
- 3–5 years of experience in clinical or community health settings preferred
- Outpatient or ambulatory care experience preferred
- Experience with quality measures, audits, or insurance reporting strongly preferred
- Proficiency with EMR systems and payer portals
- Current Illinois Registered Nurse license
- Basic Life Support (BLS/CPR) for Healthcare Providers
Nice To Haves
- BSN or higher degree preferred
Responsibilities
- Transitional Care Management (TCM)
- Provide timely telephonic outreach to patients discharged from hospitals or skilled nursing facilities.
- Assess post-discharge needs, including medication reconciliation and symptom review.
- Schedule and coordinate TCM visits with the patient's Primary Care Provider (PCP).
- Document all outreach and care coordination activities in the electronic medical record (EMR).
- Quality Measures & Care Gap Closure
- Support quality measures primarily for PCPs, with potential expansion to specialty services (Cardiology, Pulmonology, Gastroenterology).
- Collaborate with providers, clinic staff, and insurance companies to improve quality metrics and close care gaps related to preventive services, chronic disease management, and wellness requirements.
- Navigate payer portals for quality reporting, audits, data submission, and documentation.
- Assist with audits, reporting deadlines, and performance improvement initiatives.
- Clinical Support & Triage
- Triage incoming patient calls and portal messages; identify urgent concerns and escalate appropriately.
- Provide patient education related to test results, preventive care, and follow-up instructions.
- Assist providers by managing clinical task queues and ensuring timely patient communication.
- Task Management & Documentation
- Manage clinical task buckets, including:
- Medication refill requests per protocol
- Patient portal messages
- Diagnostic and lab result follow-up
- Ensure accurate and timely documentation of all patient interactions in the EMR.
- Vaccine Program & Regulatory Support
- Support vaccine program compliance (e.g., Vaccines for Children – VFC).
- Monitor vaccine storage requirements and maintain temperature logs.
- Coordinate thermometer calibration and maintain required documentation.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
