Quality Improvement & Outcomes Coordinator

University of Maryland Medical System; Baltimore (MD); On-site; USD 55,944 - 83,978; Full time

Job summary

A major healthcare provider in Maryland is seeking a Quality Improvement & Outcomes Coordinator. The role involves managing quality reporting and outcomes for rehabilitation patients, coordinating departmental improvement activities, and ensuring data integrity. The ideal candidate will hold a relevant bachelor's degree and current Maryland licensure, with knowledge of IRF-PAI and quality improvement practices. This position offers competitive pay rates, and participation in patient safety initiatives is essential.

Qualifications

• Bachelor’s degree in a relevant field is required.
• Current healthcare licensure in the State of Maryland is mandatory.
• Preferred certification as a CRRN for nursing candidates.
• Knowledge of IRF-PAI and accreditation standards is essential.

Responsibilities

• Coordinate quality reporting and outcomes management.
• Develop and implement quality improvement activities.
• Analyze patient outcomes against benchmarks.
• Facilitate quality improvement projects for continuous improvements.

Skills

Knowledge of quality improvement and risk management

Effective verbal and written communication skills

Ability to learn facilitation of clinical quality improvement

Ability to assess utilization and quality management problems

Education

Bachelor’s degree in Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology

Current healthcare licensure in the State of Maryland

CRRN preferred for nursing candidates

Knowledge of IRF-PAI

Knowledge of The Joint Commission and CARF standards

Job description

Quality Improvement & Outcomes Coordinator

We’re making Maryland stronger! With roots that go as far back as 1895, the UM Rehab & Ortho Institute continues to be a pioneer in orthopedics and neurological disorders. From bones to brains, our cutting‑edge hospital heals even the most serious injuries, specializing in total joint replacement, spinal cord injuries, and neurological conditions. Our 141‑bed facility welcomes over 3,000 patients each year and is the state’s largest provider of inpatient rehabilitation services. We offer advanced therapies for stroke, spinal cord injury, traumatic brain injury, orthopedic and sports injury, among many others.

Job Description

Under general supervision, oversees and coordinates quality reporting and outcomes management of acute and chronic inpatient rehabilitation patients. Responsible for coordinating departmental quality improvement activities to ensure consistency with organizational policies, procedures and philosophy, and to maintain and improve the quality of care given to the patient. Develops, implements, and documents activities relating to the Quality Assurance Program. Collects and analyzes data, conducts presentations, provides consultation, and staffs hospital‑wide committees.

Assumes the primary role for coordination of data and data integrity of the IRF‑PAI in Uniform Data System (UDS). The coordinator collects, reviews and monitors the information contained in the IRF‑PAI to ensure accuracy and to reflect the patient’s status and care needs as documented in the medical record. Provides ongoing monitoring of program and patient outcomes versus state, regional and national benchmarks, and performs trends analysis to inform continuous improvement.

Principal Responsibilities and Tasks

• Responsible for coordination of data entry and data integrity of the IRF‑PAI in UDS.
  • Using clinical judgment, coordinate the accurate completion of IRF‑PAI data for submission to UDS. Works with clinical teams to ensure data accuracy in both the IRF‑PAI and the electronic medical record, and communicates errors to program leadership for timely education.
  • Collaborates with the Program Medical Director and Program Directors to ensure correct impairment group codes and acute inpatient rehabilitation diagnosis codes are assigned.
  • Helps ensure medical record integrity and compliance through medical record audits.
• Work closely with Health Management Information Team to ensure accurate coding and data quality.
• Plans, organizes, and directs departmental quality improvement activities. Conducts studies of identified problem areas in accordance with the Quality and Performance Improvement Plan.
  • Provides staff support to quality management committees by assembling data for review. Handles correspondence to/from committees with letters/memos to inform them of recommendations or actions to be taken.
  • Reviews data related to clinical care, in conjunction with the quality management committee, to determine committee agenda and identify areas requiring further information.
  • Prepares reports for medical staff and committees to identify trends or patterns that present an opportunity to improve patient care.
  • Shares trends, patterns or issues identified during concurrent reviews, providing explanations and details regarding monthly quality assurance reports.
  • Facilitates the clinical review and problem‑solving processes through the use of quality improvement methodology and tools.
  • Coordinates special quality improvement projects and studies, identifies resources needed, and participates in state and federal quality projects to obtain comparative data on quality indicators.
• Analyzes and assesses key aspects of care (e.g., diagnosis appropriateness, blood transfusions, indications for surgery, documentation pertinence, complications, anesthesia care, infections, utilization issues) for specific patient populations to identify improvement opportunities.
  • Works with the healthcare team to determine the quality of care provided and support compliance with The Joint Commission standard of multidisciplinary quality improvement.
  • Works with the healthcare team to determine compliance with the Commission on Accreditation of Rehabilitation Facilities (CARF) multidisciplinary quality improvement standard.
  • Identifies opportunities for improvement in the care provided.
• Facilitates development of strategies and action plans to correct improvement areas and leads multidisciplinary teams to achieve improved quality care.
• Collects quality and risk management data on an ongoing basis such as unplanned readmissions, deaths, unplanned returns to the operating room, Maryland Hospital Association quality indicators, clinical quality indicators for board reports, occurrence screens.
  • Measures and assesses data using pre‑determined criteria to identify cases requiring peer review, causes for indicator rate outliers, and document trends or patterns indicating improvement opportunities.
  • Provides feedback to multidisciplinary teams regarding patient outcomes and processes of care.
• Develops effective working relationships with Risk Managers, Case Managers, and Department managers to ensure cooperation and data sharing for improved patient care.
• Provides consultation to ancillary support and clinical departments within the Medical System to establish quality indicators, analyze data, identify trends, and formulate resolution plans.
• Staffs organization‑wide quality improvement committees and participates on process management teams.

Qualifications

Education & Experience

• Bachelor’s degree in Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology or an equivalent combination of education and experience (required).
• Current healthcare licensure in the State of Maryland (required).
• CRRN preferred for nursing candidates.
• Knowledge of IRF‑PAI required.
• Knowledge of The Joint Commission and CARF standards.

Knowledge, Skills and Abilities

• Knowledge of quality improvement and risk management (required).
• Highly effective verbal and written communication skills necessary to work with medical, nursing staff and external review agencies.
• Ability to learn facilitation of clinical quality improvement and the problem‑solving process, including quality improvement tools and methodology.
• Ability to assess utilization and quality management problems, recommend solutions, and resolve issues in a timely, efficient and effective manner.

Patient Safety

• Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
• Acts to correct observed risks to patient safety.
• Reports adverse events and near misses to appropriate management authority.
• Identifies possible risks in processes, procedures, devices and communicates them to those in charge.

All your information will be kept confidential according to EEO guidelines.

Compensation

Pay Range: $40.61 – $60.96 per hour.

Other Compensation (if applicable): n/a.

Review the 2025‑2026 UMMS Benefits Guide.

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