Quality Coordinator

Job Summary

The Quality Coordinator is responsible for the oversight of clinic and hospital data management, analytics, and application to assist with the timely delivery of mandatory reporting, regulation compliance, optimal healthcare management strategies, and quality/process improvement initiatives. Essential Job Responsibilities Promote the mission, vision, and values of the organization Support the Quality Department by acquiring data from primary or secondary sources for interpretation and application for but not limited to public and internal reporting, process improvement, patient satisfaction, patient safety, environment of care, surveillance, credentialing, risk management, policy compliance, and policy generation.

Through audits and surveillance, abstract data for identified quality measures and mandatory reporting requirements, assuring data integrity while adhering strictly to deadlines. Collaborate with staff members throughout the hospital and clinics to ensure compliance with standards of care, mandated by all regulatory entities.

Perform chart reviews for ACO/MACRA/MIPS compliance and to identify and recommend opportunities for improvement. Assist with presenting/preparing quality reports to members of the Board of Trustees, Medical Staff, Administration, and Department Leaders. Establish and maintain open lines of communication regarding data collection, data interpretation, action plans, and quality improvement initiatives with members of the Medical Staff, Administration, and Department Leaders.

Assists with Medical Staff functions as assigned. Non-Essential Functions Performs other duties as assigned. Roosevelt General Hospital (RGH) is committed to providing safe, quality care to patients. Employees are required to adhere to the Values of RGH. Integrity We are committed to honesty and ethical principles, where our words and actions reflect our dedication to fostering strong relationships and maintaining professional credibility.

We take accountability for our actions and their impact on others, consistently honoring our commitments and upholding moral standards and values in every situation. Learning We promote personal growth and professional excellence by embracing continuous learning through training, mentorship, and constructive feedback.

We foster a collaborative culture driven by curiosity and critical thinking, encouraging staff to ask questions, seek answers, and share knowledge. Innovation We confidently embrace changes in technology, processes, and practices, encouraging strategic risk-taking and creativity to enhance healthcare delivery, patient safety, and the quality of care.

We collaborate with partners from other hospitals, academic institutions, industry leaders, and community organizations to promote continuous improvement and remain at the forefront of advancing healthcare outcomes. Kindness We engage in open communication with patients, families, and colleagues to understand their needs and concerns, while respecting their differences and upholding their dignity.

We foster a nurturing environment where individuals feel supported, understood, and valued, strengthening relationships, promoting growth, and enhancing the overall well-being of all. Excellence We strive to be a model rural healthcare facility, setting high standards in healthcare delivery and ensuring exceptional patient satisfaction within the communities we serve.

We take pride in our accountability and fiscal responsibility, skillfully balancing costs and outcomes to guarantee that superior patient care is always delivered. Unity We collaborate across departments and disciplines to deliver effective and compassionate healthcare, working alongside patients, families, and community partners to ensure seamless coordination of care and achieve our common goals of wellness and healing.

We prioritize open communication and mutual respect, empowering our teams to collaborate effectively by acknowledging and celebrating the unique contributions and strengths of each individual.

Qualifications

Bachelor’s Degree required in healthcare administration, business administration, or a similar field of study with a strong analytical and/or statistical base preferred. Master’s Degree preferred. Five+ years relevant experience or equivalent combination of education and experience. Advanced computer knowledge including Microsoft Office applications required.

Medical terminology knowledge required. CPHQ (Certified Professional in Healthcare Quality) preferred Professional Requirements Adhere to dress code, appearance is neat and clean. Complete annual education requirements. Maintain patient confidentiality at all times. Report to work on time and as scheduled. Wear identification while on duty.

Maintain regulatory requirements, including all state, federal and local regulations. Represent the organization in a positive and professional manner at all times. Comply with all organizational policies and standards regarding ethical business practices. Communicate the mission, ethics and goals of the organization.

Participate in performance improvement and continuous quality improvement activities. Attend regular staff meetings and in-services. Knowledge, Skills, and Abilities Possess a level of analytical ability to problem-solve, evaluate, plan, and direct process improvement projects and benchmarking activities for all clinical and non-clinical departments.

Knowledge of system process analysis, quality/process improvement techniques, design, and integration at a level of complexity associated with integrating processes across multiple departments of an organization. Knowledge of CMS and DNV standards and regulations. Skill in organizing and prioritizing workloads to meet deadlines.

Skill in organizing and interpreting data. Skill in telephone etiquette and paging procedures. Ability to develop policies and procedures. Ability to teach and evaluate clinical performance. Physical Requirements and Environmental Conditions Work is performed during regular work hours but will require overtime and/or weekend hours to meet deadlines.

Work in varying degrees of temperature (heated or air conditioned). Work under extreme pressures. Position requires sitting for 4-6 hours per day and walking for 2 hours per day. Position requires light to moderate work with 50 pounds maximum weight to lift and carry. Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing.