Quality / Performance Improvement Coordinator

Southern Regional Medical Center•Riverdale, GA

About The Position

In collaboration with the manager/director of Performance Improvement, the Quality / Performance Improvement Coordinator assists with coordinating, integrating, and implementing organization-wide performance improvement activities. The role supports compliance with company policies and state and federal regulatory and accreditation standards through chart reviews, data abstraction for CMS Core Measures and other quality outcome studies, and staff education on core measures and indicator updates. The coordinator monitors and analyzes patient-care metrics, incident reports, satisfaction surveys, and operational indicators to identify trends and improvement opportunities. The role facilitates quality improvement projects with organizational leaders and clinical teams, supports regulatory audits and accreditation surveys, promotes patient safety, educates staff, and coordinates quality and safety committees.

Requirements

  • Excellent computer skills, including proficiency in MS Office (Word, Excel, and Access).
  • Experience reviewing charts for care issues.
  • Detail-oriented organizational skills.
  • Ability to handle multiple cases and directions and follow through.
  • Good verbal and written communication skills.
  • Experience communicating with medical staff.
  • Excellent interpersonal relationship skills and exceptional professional work ethics.
  • Proficiency in word processing, spreadsheets, databases, and typing.

Nice To Haves

  • Bachelor's degree in a healthcare-related field preferred.
  • State RN licensure or certification in a healthcare field preferred.

Responsibilities

  • Help coordinate, integrate, and implement organization-wide performance improvement activities in collaboration with the manager/director of Performance Improvement.
  • Ensure compliance with company policies and state and federal regulatory and accreditation standards.
  • Conduct chart reviews and abstract data for CMS Core Measures and other quality outcome studies.
  • Educate staff about core measures and updates to new and enhanced indicators.
  • Monitor and analyze patient-care metrics, incident reports, satisfaction surveys, and operational indicators to identify trends and areas for improvement.
  • Facilitate quality improvement projects using PDSA, Lean, or Six Sigma methodologies in collaboration with leaders and clinical teams, and help create action plans.
  • Prepare documentation for audits and accreditation surveys and support compliance with The Joint Commission, CMS, and state agency standards.
  • Track events and near misses with the Patient Safety Officer and recommend process changes to reduce risks.
  • Educate and train staff on quality improvement processes, documentation requirements, compliance standards, and best practices.
  • Coordinate quality and safety committees by preparing agendas, tracking follow-up actions, and reporting performance metrics to leadership.

Benefits

  • Health, dental, and vision insurance options.
  • Paid vacation, sick time, and holidays.
  • Bereavement leave, FMLA, and other leave options.
  • Employer 401(k) options.
  • Tuition reimbursement options.
  • Life, disability, and other insurance options.
  • Many other benefits.
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