RN QUALITY IMPROVEMENT COORDINATOR

Beth Israel Deaconess Hospital Plymouth, Inc.; Massachusetts; Hybrid; USD 73,000 - 149,000; Full time

Job summary

Beth Israel Lahey Health in Massachusetts seeks an RN Quality Improvement Coordinator to advance patient care outcomes across the hospital. The role blends clinical expertise with data analysis and project leadership to improve quality and safety.

Under the Quality Improvement Manager, you will lead Lean/Six Sigma initiatives, collaborate with clinical teams, develop dashboards, and ensure compliance with accrediting bodies. 40 hours, day shift, hybrid, Monday through Friday.

Qualifications

• Bachelor’s degree in Nursing (BSN) is required.
• Master’s degree in a healthcare-related field is required.
• At least 2 years of progressive quality improvement experience.
• Experience leading cross-functional projects in clinical/hospital settings.
• Strong knowledge of Lean, Six Sigma, PDSA, RCA, FMEA.
• Familiarity with accreditation standards (TJC, CMS, MassHealth).
• Advanced data analysis and reporting skills; ability to interpret datasets.

Responsibilities

• Lead quality initiatives to improve patient safety indicators and core measures.
• Serve as SME on publicly reported data and clinical registries.
• Support abstraction processes ensuring data accuracy for Core Measures and registries.
• Apply performance improvement methodologies to drive efficiency and outcomes.
• Collaborate with physicians, nurses, and coding teams to optimize documentation and metrics.
• Translate quality data into reports, dashboards, and educational materials.

Skills

Nursing

Quality improvement

Data analysis

Project management

Communication

Cross-functional collaboration

Education

BSN

Master’s degree in a healthcare-related field

Tools

EPIC

Excel

PowerPoint

Word

Lean Six Sigma Green Belt

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. 40 hours, day shift, hybrid, Monday through Friday

Job Description: Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization. It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care.

Position Summary: Under the supervision of the Quality Improvement Manager, the RN Quality Improvement Coordinator plays a vital role in advancing patient care outcomes and experiences at BID-P. This role leads performance improvement initiatives using evidence-based methodologies, fosters a culture of continuous learning, and supports clinical teams in achieving excellence in quality and safety. This position blends clinical expertise, data analysis, project leadership, and collaborative engagement to improve hospital-wide performance metrics and meet regulatory requirements.

Duties/Responsibilities

• Lead, support, and sustain quality initiatives aimed at improving: AHRQ Patient Safety Indicators Expected Complication Rate Index Risk-Adjusted Mortality Index Hospital-Acquired Conditions Core Measures, Value-Based Purchasing, Meaningful Use, and other indicators
• Serve as a subject matter expert on publicly reported data including: IQR, OQR, IPFQR, MassHealth, TJC, e-CQMs Clinical registries such as GWTG, NCDR, and others
• Support Q-Centrix abstraction processes, ensuring clinical data accuracy for Core Measures, e-CQMs, registries, and additional reporting requirements
• Apply performance improvement methodologies such as Lean, Six Sigma, and PDSA to drive process efficiency and outcome improvements
• Collaborate with physicians, nurses, documentation specialists, and coding teams to optimize documentation, care delivery, and metric performance
• Analyze and translate quality data into reports, dashboards, and educational materials for committees and leadership
• Participate in quality-related committees, review best practices and evidence-based literature, and benchmark against national and regional standards
• Assist in evaluating care processes, developing indicators, and tracking performance to meet quality goals
• Support the hospital’s Continuous Quality Improvement Plan and ensure compliance with TJC, CMS, and other accrediting bodies
• Develop and assist in implementing corrective action plans and policy revisions based on findings or regulatory updates
• Foster a collaborative, team-based environment focused on continuous improvement and innovation
• Facilitate service-line level Quality Committees and Morbidity and Mortality Conferences

Education/Experience Required

• Bachelor’s degree in Nursing (BSN) - required
• Master’s degree in a healthcare-related field - required
• At least 2 years of progressive experience in quality improvement, compliance, accreditation, or related healthcare roles
• Experience leading complex, cross-functional projects in a clinical or hospital setting
• Strong knowledge of performance improvement and quality methodologies (e.g., Lean, Six Sigma, PDSA, RCA, FMEA)
• Familiarity with accreditation and regulatory standards (e.g., TJC, CMS, MassHealth)
• Advanced data analysis and reporting skills; able to interpret complex datasets and identify trends
• Excellent oral and written communication skills
• Skilled in Microsoft Office (Excel, PowerPoint, Word); EPIC experience preferred
• Ability to build and maintain effective working relationships across all levels of the organization
• Strong organization, prioritization, and project management skills
• Self-motivated, detail-oriented, and able to work independently while supporting a team environment
• Demonstrated commitment to upholding the mission and values of Beth Israel Deaconess Hospital-Plymouth

Registration/Certification

• Current Massachusetts RN license - required
• Certified Professional in Healthcare Quality (CPHQ) - preferred or obtained within 1 year of employment
• Lean Six Sigma Green Belt or higher - preferred

Physical/Environmental Requirements

• This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs.
• There will be occasional need for climbing stairs, lifting in excess of 50 - 100 lbs and sitting.
• Constant use of hearing, sight and speech.
• Frequent use of smell and touch.
• Frequent keyboard and telephone use.
• Constant concentration and problem solving.

Pay Range: $73,000.00 USD - $149,000.00 USD The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

Equal Opportunity Employer/Veterans/Disabled

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

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