Quality & Performance Improvement Coordinator

Position Overview

The Quality & Performance Improvement Coordinator supports safe, high-quality patient care by coordinating quality reporting, reviewing clinical outcomes, and partnering with teams to make meaningful, lasting improvements. This RN role helps turn data and frontline feedback into practical changes across the organization.

Qualifications

Required: Active Alabama Registered Nurse (RN) license in good standing; graduate of an accredited nursing program. Minimum 2 years of acute healthcare experience. Preferred: At least one year of quality or performance improvement experience; Healthcare-related Master’s Degree; CPHQ, Lean, or Six Sigma certification. Skills: Strong communication, organization, critical thinking, teamwork, and ability to work with clinical information and basic data tools.

Key Responsibilities

Quality & Regulatory Support 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 clear reports and dashboards for leaders and committees.

Support regulatory survey readiness, required follow-up, and ongoing monitoring of corrective actions. Performance Improvement 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, such as 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. Performance Expectations: 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.