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Job Description Summary

The Quality Improvement Coordinator applies nursing knowledge to improve clinical quality. They support the development, implementation, and evaluation of Southeast Health’s Quality Improvement and Patient Safety program through system-wide coordination of planned and reliable processes designed to promote continuous quality improvement.

They collaborate with stakeholders including ancillary, nursing, and medical staff to identify trends, prioritize and recommend improvements, and ensure compliance with Federal and State regulatory standards.

The Quality Improvement Coordinator will also investigate incident reports, patient complaints, patient care issues, and other issues as requested by the supervisor.

Job Description

Essential Functions

Supports the Director of Quality and Regulatory Programs by:

+ Collecting, abstracting, and summarizing data required for quality review, internal quality projects, or by external agencies.

+ Ensuring that abstracted data is complete, and submitted timely to the Quality Safety Council members, other internal customers, and external agencies.

+ Performing qualitative and quantitative analyses of data using statistical tools.

+ Developing and monitoring quality improvement metrics defined by the hospital or national organizations, in order to identify opportunities for care improvement including but not limited to: readmissions, complications, mortalities, hospital-acquired conditions.

+ Acting as an Improvement Advisor to project teams, in order to establish charters, aims, milestones, and benchmarks for delivering excellent value of care, by utilizing established methodologies and relevant tools.

+ Reviewing quality improvement reports on a daily basis, tracking and trending progress towards goals.

+ Coordinating house-wide response to improvement activities by following defined project milestones. Providing a collaborative medium between the project lead, physician champion, executive sponsor and the team.

+ Keeping the Director of Quality and Regulatory Programs continuously updated of quality improvement and patient safety issues, project status, barriers, and outcomes.

+ Coordinating alongside project stakeholders the development of facility procedures relating to quality improvement and patient safety.

+ Participating in and coordinating systemic quality improvement projects and activities as defined by the facility’s Quality Improvement and Patient Safety Plan.

+ Performs other duties as requested by primary manager that do not compromise moral code of conduct or protocols set in place for patient or employee safety.

Supervised Positions

+ None

Any preexisting employee not meeting the below requirements are grandfathered as of October 1, 2024

Qualifications

+ Minimum Education Required

+ Graduate of an accredited school of nursing.

+ Current RN license in the state of Alabama.

+ Minimum Education Preferred

+ Completion of an undergraduate degree.

+ Certified Professional in Healthcare Quality (CPHQ).

+ Minimum Experience Required

+ Two (2) years’ clinical experience as a nurse.

+ Minimum Experience Preferred

+ Two (2) to four (4) years’ experience in quality improvement activities such as abstracting and reporting of quality data, process improvement project coordination

Required Knowledge/ Skills/ Abilities

+ Maintain Alabama state RN licensure

+ Ability to handle complex issues and problems and refers only the most complex issues to higher-level staff.

+ Demonstrates ability to communicate and organize concepts, ideas, verbally and in writing, with precise word usage, clear meaning, good presentation, vocabulary, grammar and correct spelling.

+ Demonstrates ability to create and provide reports that synthesize quality metric performance

+ Advanced computer skills for creating statistical, qualitative, and quantitative analyses

+ Person in this position is required to understand, agree upon and follow our Six Ground Rules:

+ No excuses.

+ We are a team.

+ Bring up your ideas.

+ Poor performance will be addressed.

+ “‘That’s not my job”’ is not acceptable

+ Manage Up.

Shift

DayShift Details

FTE

1

Type

Regular

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Equal Employment Employer

Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.