RN Quality Coordinator Womens Services

Job Summary

The Quality Coordinator - RN plans, coordinates, and implements quality management programs to ensure compliance with regulatory standards and the delivery of high-quality patient care, specifically as it relates to the Women's Services (OB/GYN, Labor and Delivery, NICU, Nursery, and/or GYN Surgery). This role involves collecting, analyzing, and reporting performance data, collaborating with medical staff, and facilitating process improvements to achieve optimal patient outcomes. The Quality Coordinator supports accreditation efforts and continuous quality improvement initiatives.

Essential Functions

• Develops and implements quality management strategies, including data collection, analysis, and performance monitoring, to ensure compliance with regulatory and accreditation standards.
• Coordinates the preparation for and assists with survey management and regulatory compliance surveys to include both local, state, and federal programs.
• Conducts medical record reviews to evaluate patient care and identify opportunities for improvement, maintaining accuracy and timeliness.
• Collaborates with healthcare teams to coordinate quality improvement initiatives, providing guidance and education on best practices and standards of care.
• Assists with various quality improvement tasks for the hospital and clinical network sites and assists the VP Quality and Risk Management with review of internal reporting of various quality and risk management categories.
• Abstracts core measure data and enters it accurately into hospital, corporate, and state databases, ensuring timely submission of quality reports.
• Communicates effectively with peers, healthcare staff, and leadership, providing regular updates on quality measures, compliance, and performance metrics.
• Supports the development and maintenance of quality-related policies and procedures, ensuring they align with regulatory requirements and reflect current clinical standards.
• Assists in preparing data for presentations and reports, correlating information to support decision-making and strategic planning.
• Actively presents data to Medical Staff departments, committees, and interdisciplinary teams.
• Participates in the development and implementation of process improvements, contributing to a culture of continuous quality enhancement and patient safety.
• Provides consultation and direction to ensure programs and services are implemented at the highest standards and patients receive the highest level of care.
• Relies on experience and judgment to plan and accomplish goals. A wide degree of creativity and latitude will be expected.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.
• Reports to the VP Quality and Risk Management.

Qualifications

• 2-4 years of experience in quality management, performance improvement, or a similar role in a healthcare setting preferred

Knowledge, Skills and Abilities

• Strong understanding of healthcare quality measures, regulatory standards, and accreditation requirements.
• Excellent analytical skills for data collection, interpretation, and reporting to support quality initiatives.
• Effective communication skills for interacting with healthcare teams, leadership, and external stakeholders.
• Ability to adapt to change, implement process improvements, and foster a culture of quality and safety.
• Proficiency in using electronic medical records (EMR) systems and quality reporting tools.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required
• CPHQ - Certified Professional in Healthcare Quality preferred