Quality & Performance Improvement Coordinator

Springhill Medical Health Systems•Mobile, AL

18h

About The Position

The Quality & Performance Improvement Coordinator is an RN role supporting safe, high-quality patient care through coordination of quality reporting, review of clinical outcomes, and collaboration with teams on meaningful, lasting improvements. The role turns data and frontline feedback into practical organizational changes. It supports quality and regulatory reporting, clinical record reviews and audits, analysis of quality measures and outcomes, survey readiness, and performance improvement initiatives. The coordinator also encourages staff engagement and shared accountability, communicates findings and progress, and maintains confidentiality while following hospital policies.

Requirements

Active Alabama Registered Nurse (RN) license in good standing.
Graduate of an accredited nursing program.
Minimum 2 years of acute healthcare experience.
Strong communication, organization, critical thinking, and teamwork skills.
Ability to work with clinical information and basic data tools.

Nice To Haves

At least one year of quality or performance improvement experience.
Healthcare-related Master’s Degree.
CPHQ, Lean, or Six Sigma certification.

Responsibilities

Collect, review, validate, and submit quality data for CMS, The Joint Commission, and other applicable reporting programs.
Conduct clinical record reviews and audits to monitor quality, patient safety, and compliance with established standards.
Analyze quality measures and outcomes, identify trends, and prepare reports and dashboards for leaders and committees.
Support regulatory survey readiness, required follow-up, and ongoing monitoring of corrective actions.
Partner with clinical and operational teams to identify improvement opportunities, set goals, and develop practical solutions.
Coordinate assigned performance improvement projects, including timelines, progress tracking, and evaluation of results.
Use continuous improvement approaches, including PDSA and Lean principles, to test changes and help teams sustain successful practices.
Encourage staff engagement, open communication, and shared accountability during process changes.
Present findings, celebrate progress, and recommend next steps through meetings, education, and committee participation.
Maintain confidentiality, follow hospital policies, and perform other related duties as assigned.
Complete assigned reporting and data validation accurately and within established deadlines.
Complete clinical reviews, audits, and project updates within agreed timeframes.
Maintain clear goals, documented progress, and follow-up measures for assigned improvement initiatives.
Build effective partnerships that support adoption and sustainability of improvements.