Coordinator-Quality and Accreditation

Baptist; Jonesboro (AR); On-site; USD 70,000 - 100,000; Full time

Job summary

Baptist is seeking an experienced Registered Nurse to participate in planning, development, and implementation of accreditation, certification, and regulatory requirements. The role involves data collection, analysis, and support for clinical performance improvement programs.

The position reports to the Director of Quality and includes collaboration with physicians, staff, PI teams, and departments to improve care quality and service outcomes. Other duties may be assigned as needed.

Qualifications

• RN licensure required.
• 5 years clinical experience, prefer quality/perf improvement.
• Experience with performance metrics and data interpretation.

Responsibilities

• Coordinate hospital and medical staff performance improvement activities.
• Lead clinical quality initiatives for external benchmarking.
• Manage accreditation and regulatory compliance processes.
• Communicate with physicians, staff and external entities.
• Educate staff on PI tools and techniques.
• Assist preparation for accreditation, surveys and certification.
• Complete chart abstraction and data analysis.
• Support development and evaluation of quality plans and PI initiatives.
• Direct community education and prevention programs.
• Identify trends for strategic planning and performance improvement.
• Complete assigned goals.

Skills

Quality Improvement

Data Analysis

Clinical Operations

Regulatory Knowledge

Education

Registered Nurse

Job description

Job Summary

Participates in the planning, development, and implementation of goals and objectives related to accreditation, certification, regulatory, federal, and state requirements. Coordinates gathering and distributing of data in support of these clinical and regulatory programs. Conducts portions of the medical staff performance improvement process, including profiling with intent to maintain and improve quality of care and service. Provides consultation to physicians, staff, PI teams, and departments regarding improvement methodologies and processes. Reports to Director of Quality. Performs other duties as assigned.

Responsibilities

• Coordinates, implements and evaluates hospital and medical staff performance improvement activities.
• Coordinates, implements and evaluates clinical quality initiatives for external comparative benchmarking.
• Coordinates and facilitates the accreditation and regulatory compliance processes
• Communicates effectively with physicians, staff, external entities.
• Educates hospital staff and physicians regarding Performance Improvement tools and techniques.
• Contributes to preparation for accreditation, certification, and surveys.
• Complete chart abstraction and data analysis.
• Assist with development, implementation, and evaluation of quality plan and performance improvement initiatives.
• Directs community education and prevention programs.
• Identify trends for strategic planning and performance improvement.
• Completes assigned goals.

Specifications

Experience

Minimum Required

• 5 years of experience in a clinical setting. Prefer previous experience in quality and performance improvement.

Licensure

Minimum Required

• Registered Nurse