QI Coordinator — Behavioral Health & Compliance

Meadows of Wickenburg; Brookline (MA); On-site; USD 28,000 - 41,000; Full time

Job summary

Bournewood Hospital Brookline seeks a Quality Improvement (QI) Coordinator to drive organization-wide performance initiatives across inpatient and outpatient behavioral health programs. You will coordinate data-driven quality assurance activities, regulatory compliance functions, and survey readiness under the Director of Quality and Compliance.

The role requires at least 1 year in healthcare quality or regulatory work, proficiency in Microsoft 365, Excel, and data management tools, and strong

Qualifications

• Associate’s or Bachelor’s degree in healthcare administration, public health, or a related field preferred.
• Minimum of 1 year experience in healthcare quality, regulatory, or administrative roles.
• Knowledge of Joint Commission, CMS, and behavioral health regulatory standards preferred.
• Proficient in Microsoft 365, Excel, Word, and data management applications.

Responsibilities

• Coordinate Quality Improvement activities, including data collection, agenda preparation, and minutes.
• Track and analyze clinical quality data, patient satisfaction surveys, and incident reports to identify trends and support action planning.
• Maintain documentation for accreditation readiness (Joint Commission, CMS, DMH), including Measures of Success, FMEAs, and audit tools.
• Assist departments in preparing reports, dashboards, and benchmarking data.
• Organize and support Safety/EOC and Pharmacy & Therapeutics (P&T) Committees, including meeting logistics and action tracking.
• Maintain building maintenance inspection records, recall notifications, and safety data sheets in coordination with the Director of Facility Operations.
• Provide administrative backup for the Executive Office as needed.
• Manages and maintains affiliation agreement records.
• Support new staff training on QI-related procedures and tools.
• May Assist with Human Rights complaints and tracking
• Complete special projects as assigned by leadership.

Skills

Organizational skills

Communication skills

Problem-solving

Education

Associate’s degree in healthcare administration

Bachelor’s degree in healthcare administration

Tools

Microsoft 365

Excel

Data management applications

Job description

Bournewood Hospital Brookline seeks a Quality Improvement (QI) Coordinator to drive organization-wide performance initiatives across inpatient and outpatient behavioral health programs. You will coordinate data-driven quality assurance activities, regulatory compliance functions, and survey readiness under the Director of Quality and Compliance.

The role requires at least 1 year in healthcare quality or regulatory work, proficiency in Microsoft 365, Excel, and data management tools, and strong