Coordinator-Quality and Accreditation

Baptist; Oxford (MS); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization in Oxford, Mississippi is seeking an experienced individual to coordinate quality improvement activities and ensure compliance with accreditation requirements. The role involves data analysis, collaboration with clinical staff, and implementation of quality initiatives. Candidates should have a minimum of five years of clinical experience and hold a valid Registered Nurse license. This is an opportunity to contribute to quality care and service enhancement in a supportive environment.

Qualifications

• Minimum 5 years of experience in a clinical setting, preferably in quality and performance improvement.
• Licensure as a Registered Nurse required.

Responsibilities

• Coordinates hospital and medical staff performance improvement activities.
• Implements clinical quality initiatives for benchmarks.
• Facilitates accreditation and regulatory compliance.
• Educates staff and physicians on performance tools.
• Completes data analysis and assists in quality plan development.

Skills

Clinical quality initiatives

Performance improvement methodologies

Data analysis

Effective communication

Education

Registered Nurse

Job description

Overview

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

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

Licensure

• Registered Nurse