Coordinator-Quality and Accreditation

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

Job summary

Baptist Memorial Health Care in Oxford, Mississippi is seeking a Dedicated Clinical Performance Improvement Specialist to enhance healthcare quality and accreditation processes. Applicants should have a minimum of 5 years' experience in a clinical setting and a valid Registered Nurse license. Responsibilities include coordinating quality improvement activities, educating staff, and conducting data analysis to support regulatory compliance. Join a dedicated team committed to delivering excellence in patient care.

Qualifications

• Minimum 5 years of experience in a clinical setting, preferably in quality and performance improvement.
• Strong background in clinical quality initiatives and accreditation processes.

Responsibilities

• Coordinates and evaluates hospital performance improvement activities.
• Facilitates accreditation and regulatory compliance processes.
• Educates staff and physicians on performance improvement tools.
• Conducts data analysis and chart abstraction.

Skills

Clinical quality improvement

Data analysis

Communication skills

Accreditation processes

Training and education

Education

Registered Nurse License

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.

Experience

Minimum Required

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

Licensure

• Registered Nurse