Quality Assurance Coordinator - Nurse

YKHC Yukon Kuskokwim Health Corporation; Bethel (CT); On-site; USD 89,000 - 105,000; Full time

Benefits offered by this job

PTO 4.5 weeks

11 holidays

Healthcare coverage

Life insurance

Disability insurance

FSA

Job summary

YKHC in Bethel, AK seeks a Quality Assurance Coordinator (Nurse) to lead clinical quality improvement initiatives and ensure CMS Promoting Interoperability compliance across departments. The role focuses on evaluating records and outcomes, guiding corrective actions, and reporting performance to leadership.

The ideal candidate is an experienced RN with strong analytical skills, attention to detail and ability to work with multiple teams to reach accreditation and safety goals.

Qualifications

• Bachelor's degree; Master's preferred.
• Five years progressive hospital experience.
• RN license preferred; equivalent experience considered.
• Angyaq Quality Systems training within 6 months of hire.
• HACP certification within 2 years of hire.
• Proficient with computers including Zoom and Excel.

Responsibilities

• Lead and coordinate hospital quality improvement projects and initiatives.
• Analyze clinical data, patient outcomes, and safety reports to identify trends and areas for improvement.
• Develop, implement, and monitor policies, procedures, and best practices for care quality and safety.
• Facilitate root cause analyses for adverse events or near misses.
• Educate staff on quality standards, evidence-based practices and compliance requirements.
• Educate staff on documentation standards to enhance quality.
• Collaborate with clinical teams and external agencies to meet accreditation standards (Joint Commission, CMS).
• Monitor performance metrics and report progress to leadership.
• Stay current on healthcare quality improvement methodologies and regulatory updates.
• Support data collection and documentation for QA activities.

Skills

Written communication

Document editing

Analytical thinking

Attention to detail

Clinical data interpretation

Education

Bachelor's degree

Master's degree preferred

RN license preferred

Angyaq Quality Systems training

HACP certification

Tools

Zoom

Excel

Job description

We are working together to achieve excellent health. Come join us! The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in villages with populations from about 10 to more than 1,000. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The Yukon-Kuskokwim Delta is home to thousands of lakes and two primary rivers—the Kuskokwim and Yukon. We offer a broad range of employment opportunities and the chance to make a meaningful impact on the health of people in the region.

Position Summary

A Quality Assurance Coordinator (QAC) – Nurse is a highly skilled nursing professional responsible for leading and supporting quality improvement initiatives across clinical departments. This role involves evaluating patient records, clinical documentation, and healthcare outcomes to ensure compliance with regulatory standards, organizational policies, best practices, and providing feedback for continuous improvement. The ideal candidate is a detail-oriented, experienced registered nurse committed to maintaining high standards of patient safety and care quality. This position is also responsible to ensure that all requirements of the Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability Program. Responsible for monitoring and ensuring all of the components of the Promoting Interoperability Program are reported in a timely manner. The Quality Assurance Coordinator position will work closely with the various departments to ensure the standards are being met, all corrective actions are taken as appropriate, and reporting is completed on time. The QAC Nurse responsible for the successful planning and execution of all projects related to Promoting Interoperability. This includes the coordination, monitoring, and status reporting of all clinical and technological components related to the demonstration of meaningful use across the health system.

Impact

The specialist collaborates with multidisciplinary teams to foster a culture of continuous improvement and excellence in patient care.

Position Responsibilities

A. Essential Functions

• Lead and coordinate hospital or clinical department quality improvement projects and initiatives.
• The following are examples of the programs involved: Hospital Inpatient Quality Reporting (IQR) Hospital Outpatient Quality Reporting (OQR) Hospital Readmissions Reduction Program (HRRP) Hospital Value-Based Purchasing (VBP) Program Medicare Promoting Interoperability Quality Improvement Organization (QIO) Quality Payment Program (QPP)
• Analyze clinical data, patient outcomes, and safety reports to identify trends and areas for improvement.
• Develop, implement, and monitor policies, procedures, and best practices aimed at enhancing care quality and patient safety.
• Facilitate root cause analyses and investigations of adverse events, sentinel events, or near misses.
• Educate and train staff on quality standards, evidence-based practices, and compliance requirements.
• Educate staff on documentation standards and best practices to enhance overall quality.
• Collaborate with clinical teams, administration, and external agencies to meet accreditation and regulatory standards (e.g., Joint Commission, CMS).
• Monitor performance metrics and prepare reports to communicate progress and outcomes to leadership.
• Stay current on healthcare quality improvement methodologies, regulatory updates, and industry innovations.
• Support data collection, auditing, and documentation efforts for quality assurance activities.
• Support corporate accreditation and licensing processes.

B. Nonessential Functions

• Completing annual mandatory orientation/competency and performance improvement evaluation requirements.
• Special Projects: Involvement in special initiatives or projects of the Performance Improvement Department. While not a part of the primary role these projects may include corporate/departmental team building, Tribal Gathering, Employee Picnics, Patient Safety Week, Culture of Safety Survey, and other special projects.
• Safety Reporting: Reviewing Quantros incident reports or safety concerns on a daily basis and reporting events to the PI Team for discussion and further analysis.
• Participating in the team rotation of facilitating the 10:00am Daily CEO Safety and Quality Call, which includes weekends and holidays.
• Team and Administrative Support: Participating in team meetings, projects, and departmental rounding. Performing general administrative duties, such as answering phones, scheduling meetings, taking meeting minutes, facilitating meetings, managing office supplies, maintaining the office environment, etc.
• Researching Non-Critical Topics: Engaging in research on emerging healthcare trends or practices that aren’t directly tied to current policies or procedures being updated or revised.
• Other duties as assigned.

Position Qualifications

• Minimum Education – Bachelor's degree, Masters degree preferred.
• Minimum Experience – Five Years progressive experience in Hospital setting.
• Prior experience in medical record review, quality assurance or compliance preferred.
• License, Certification, Registration – Registered Nurse (RN) preferred; however, candidates with equivalent experience will also be considered.
• Angyaq Quality Systems basic training within 6 months of hire.
• Healthcare Accreditation Certified Professional (HACP) certification within 2 years of hire.
• Equipment/Tools – Proficient with computers, standard computing platforms including Zoom and Excel.
• Specialized Knowledge and Skills – Strong written communication and document editing skills. Familiarity with accreditation bodies (e.g. Joint Commission, CMS). Health care compliance requirements, laws, and regulations. Strong analytical and critical thinking skills. Attention to detail and organizational abilities. Ability to interpret clinical data and documentation. Ability to work independently and manage multiple deadlines.
• Supervisory Responsibilities – Indirectly – supervising the document owners in all departments as it related to document development, management and compliance.

Benefits

• Generous PTO – starting at 4.5 weeks per year, accrued over time
• Eleven paid holidays
• Comprehensive healthcare coverage
• Life and Disability Insurance
• Flexible Spending Account
• Retirement plans
• Employee Wellness Center
• Plus More!

Compensation

• Pay Range Minimum: 42.92
• Employment Type: Regular Time Type: Full time Hours Per Week: 40 FLSA Exempt: Yes

Yukon Kuskokwim Health Corporation is an Affiritive Action/Equal Opportunity Employer. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly. Under P.L. 93-638, preference is given to Alaska Native/American Indian applicants.

For more information, please contact the YKHC Recruitment Department at [e-mail]

Join YKHC, a Tribal Health Organization serving 58 tribes in southwest Alaska. We offer comprehensive healthcare, from community clinics to a regional hospital, dental, behavioral health, and more. Come be part of our team!