Clinical Quality Improvement Coordinator CQI

CABS Health Network; New York (NY); On-site; USD 65,000 - 75,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Parental leave

Retirement plan

Vision insurance

Job summary

CABS Health Network in Brooklyn, NY is seeking a Clinical Quality Improvement Coordinator to support the Director of Nursing in maintaining quality assurance, regulatory compliance, and documentation standards. The CQI Monitor links nursing, clinical support, intake, scheduling, and quality to ensure accurate records and continuous improvement.

The role involves chart audits, reviewing orders and plans of care, monitoring KPIs, and coordinating enhancements across departments.

Qualifications

• Audit clinical records for regulatory compliance and quality standards.
• Review physician orders and plans of care for accuracy.
• Coordinate enhanced services referrals and track status.
• Maintain HIPAA and PHI confidentiality.

Responsibilities

• Audit: clinical records for NYSDOH, CMS and agency requirements.
• Identify documentation deficiencies and coordinate corrective action.
• Monitor KPI trends and prepare reports for Nursing leadership.
• Attend meetings and support quality improvement initiatives.
• Ensure timely physician sign-offs and escalation as needed.

Skills

Attention to detail

Organizational skills

Analytical abilities

Medical record auditing

Communication

Time management

Critical thinking

Prioritization

Education

Associate degree (Preferred)

Tools

EMR systems

HHAeXchange or similar software

Microsoft Excel

Job description

Job Description

Posted: November 5, 2026

Pay: $65,000.00 - $75,000.00 per year

TITLE: Clinical Quality Improvement Coordinator

REPORTS TO: Director of Nursing

POSITION SUMMARY

The Continuous Quality Improvement (CQI) Monitor is responsible for supporting the Director of Nursing in maintaining the agency's quality assurance, regulatory compliance, clinical documentation standards, and operational performance. This position serves as a critical link between the Nursing, Clinical Support, Intake, Scheduling, and Quality departments to ensure accurate documentation, timely follow-up, and continuous improvement throughout the agency. The CQI Monitor performs detailed clinical record reviews, audits documentation for regulatory compliance, tracks key quality indicators, coordinates escalations in physician certifications, supports enhanced service referrals, and identifies opportunities for process improvement. This position may be filled by either: A Licensed Practical Nurse (LPN); or A highly experienced senior healthcare administrative/clerical professional with demonstrated knowledge of home care operations, clinical documentation, quality improvement, and medical record management. The CQI Monitor works independently while receiving supervision from the Director of Nursing.

RESPONSIBILITIES

Clinical Documentation & Quality Monitoring

• Conduct routine and targeted audits of clinical records to ensure compliance with New York State Department of Health (NYSDOH), CMS, Managed Care Organization, and Agency requirements.


• Audit:Initial Assessments Reassessments Supervisory Visits Medication Profiles Individualized Plans of Care Caregiver Instructions Progress Notes Clinical Documentation Discharge Records


• Review documentation for completeness, accuracy, timeliness, consistency, and regulatory compliance.


• Identify documentation deficiencies and coordinate corrective action with clinical staff.


• Monitor compliance with agency documentation standards and report trends to the Director of Nursing.


• Collect and trend common documentation errors for educational purposes and Quality Improvement initiatives.

Physician Orders & Plan of Care Management

• Audit physician orders (MD Orders) for completeness and regulatory compliance.


• Review Plans of Care (485s) for accuracy, completeness, and required signatures.


• Follow up on escalations from the Clinical Assistant regarding outstanding physician signatures.


• Escalate unresolved issues to the Director of Nursing as appropriate.

Enhanced Services Coordination

• Initiate referrals to enhanced clinical services as indicated by nursing assessments or agency protocols, including programs such as: CAPABLE, NHTD/TBI, GUIDE, Care Management, Social Care Network, Other approved enhanced service programs


• Track referral status from initiation through completion.


• Follow up with referral partners to ensure timely processing and communication.


• Document all referral activity within the appropriate tracking systems.

Maintain and update agency quality monitoring tools including:

• Avoidable Hospitalization Tracking Spreadsheet


• Fall Tracking Reports


• Hospitalization Follow-Up Logs


• Nursing Productivity Reports


• Clinical Documentation Compliance Reports


• Quality Improvement Dashboards


• Key Performance Indicator (KPI) Dashboard


• Monitor trends related to: Hospitalizations, Emergency Department utilization, Falls, Missed visits, Documentation compliance, Timeliness of nursing visits, Physician order completion, Regulatory compliance metrics


• Prepare reports for review by the Director of Nursing and Quality Committee.

Meetings & Communication

• Attend weekly meetings with the Director of Nursing for review of: Clinical statistics, KPI Dashboard, Documentation compliance, Physician order status, Hospitalization trends, Audit findings, Corrective action progress, Quality Improvement initiatives.


• Participate in Nursing, Quality Assurance, and interdisciplinary meetings as assigned.

Compliance Responsibilities

• Maintain strict adherence to HIPAA, patient confidentiality, and agency privacy policies.


• Maintain confidentiality of all Protected Health Information (PHI).


• Follow all NYSDOH, CMS, OSHA, and Agency policies and procedures.


• Report compliance concerns immediately to leadership.


• Demonstrate professionalism, integrity, and ethical conduct at all times.

Skills

• Strong attention to detail


• Excellent organizational skills


• Strong analytical abilities


• Medical record auditing


• Effective written and verbal communication


• Excellent follow-up skills


• Time management


• Critical thinking


• Ability to prioritize multiple projects


• Intermediate to advanced Microsoft Excel

Qualifications

• Current unrestricted New York State LPN License or


• Progressive healthcare administrative, records, or home care experience.


• Experience with Electronic Medical Records (EMR) systems.


• Experience with HHAeXchange or similar home care software.


• Excellent attendance, reliability, and professionalism.

Benefits

• 401(k)


• 401(k) matching


• Dental insurance


• Flexible spending account


• Health insurance


• Life insurance


• Paid time off


• Parental leave


• Retirement plan


• Vision insurance

Education

• Associate (Preferred)

Experience

• Health information management: 3 years (Required)


• EMR systems: 3 years (Required)


• Data entry: 3 years (Required)


• Internal audits: 3 years (Required)


• Data analytics: 3 years (Required)


• Microsoft Excel: 1 year (Required)

License/Certification

• Licensed Practical Nurse (Preferred)

Willingness to travel

• 100% (Preferred)

Work Location

In person

Company Description

CABS Health Network, (CABS) is a well-established Licensed Home Care Agency located in Brooklyn, New York, an innovative home healthcare agency with a 40-year history in the home healthcare industry. CABS is proud to offer a wide range of comprehensive services to meet the needs of seniors, adults, and other patients. The company’s team of professional caregivers specializes in providing personalized medical care, rehabilitative therapy, and companion assistance.