RN QUALITY IMPROVEMENT COORDINATOR

Beth Israel Lahey Health•Plymouth, MN

3d•$73,000 - $149,000•Hybrid

About The Position

Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization. It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care. Position Summary: Under the supervision of the Quality Improvement Manager, the RN Quality Improvement Coordinator plays a vital role in advancing patient care outcomes and experiences at BID-P. This role leads performance improvement initiatives using evidence-based methodologies, fosters a culture of continuous learning, and supports clinical teams in achieving excellence in quality and safety. This position blends clinical expertise, data analysis, project leadership, and collaborative engagement to improve hospital-wide performance metrics and meet regulatory requirements.

Requirements

Bachelor’s degree in Nursing (BSN) – required
Master’s degree in a healthcare-related field – required
At least 2 years of progressive experience in quality improvement, compliance, accreditation, or related healthcare roles
Experience leading complex, cross-functional projects in a clinical or hospital setting
Strong knowledge of performance improvement and quality methodologies (e.g., Lean, Six Sigma, PDSA, RCA, FMEA)
Familiarity with accreditation and regulatory standards (e.g., TJC, CMS, MassHealth)
Advanced data analysis and reporting skills; able to interpret complex datasets and identify trends
Excellent oral and written communication skills
Skilled in Microsoft Office (Excel, PowerPoint, Word); EPIC experience preferred
Ability to build and maintain effective working relationships across all levels of the organization
Strong organization, prioritization, and project management skills
Self-motivated, detail-oriented, and able to work independently while supporting a team environment
Demonstrated commitment to upholding the mission and values of Beth Israel Deaconess Hospital–Plymouth
Current Massachusetts RN license – required

Nice To Haves

Certified Professional in Healthcare Quality (CPHQ) – preferred or obtained within 1 year of employment
Lean Six Sigma Green Belt or higher – preferred

Responsibilities

Lead, support, and sustain quality initiatives aimed at improving: AHRQ Patient Safety Indicators, Expected Complication Rate Index, Risk-Adjusted Mortality Index, Hospital-Acquired Conditions, Core Measures, Value-Based Purchasing, Meaningful Use, and other indicators
Serve as a subject matter expert on publicly reported data including: IQR, OQR, IPFQR, MassHealth, TJC, e-CQMs, Clinical registries such as GWTG, NCDR, and others
Support Q-Centrix abstraction processes, ensuring clinical data accuracy for Core Measures, e-CQMs, registries, and additional reporting requirements
Apply performance improvement methodologies such as Lean, Six Sigma, and PDSA to drive process efficiency and outcome improvements
Collaborate with physicians, nurses, documentation specialists, and coding teams to optimize documentation, care delivery, and metric performance
Analyze and translate quality data into reports, dashboards, and educational materials for committees and leadership
Participate in quality-related committees, review best practices and evidence-based literature, and benchmark against national and regional standards
Assist in evaluating care processes, developing indicators, and tracking performance to meet quality goals
Support the hospital’s Continuous Quality Improvement Plan and ensure compliance with TJC, CMS, and other accrediting bodies
Develop and assist in implementing corrective action plans and policy revisions based on findings or regulatory updates
Foster a collaborative, team-based environment focused on continuous improvement and innovation
Facilitate service-line level Quality Committees and Morbidity and Mortality Conferences