Quality Improvement Coordinator

Job Description

Job Description

Salary :

Quality Improvement Coordinator Job Title : Quality Improvement Coordinator

Department : Quality Improvement

Immediate Supervisor Title : Quality Improvement Manager

Job Supervisory Responsibilities : None

General Summary : An exempt position responsible for coordinating quality management efforts including development, implementation, education, data collection, and analysis.

Essential Job Responsibilities :

Helps quality improvement (QI) manager to plan, design, implement, and maintain a comprehensive medical practice continuous quality improvement (CQI) program including utilization management and risk management.

Assists in educating new staff, including physicians, about QI systems and requirements.

• Meets with internal and external audiences to identify and problem solve QI issues.
• Monitors medical practice efforts to ensure compliance with internal and external QI standards. Reviews medical records and other documentation to ensure quality care.

Helps to prepare annual QI report.

• Coordinates the effort to gather data and prepare reports to meet the requirements of NCQA and other regulatory / accrediting agencies, including patient satisfaction data.
• Evaluates variance and other data to identify QI opportunities and risk management issues.
• Monitors utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, payer / provider / patient satisfaction surveys, and complaints.

Follows through on complaints including identification of corrective actions needed. Reports on results.

Education : Bachelor's degree in health administration or health-related field. BSN preferred.

Experience : Minimum four years of experience in health care setting with minimum three years of experience in quality management, preferably in medical practice setting.

Other Requirements : Current RN state license. Current CPR certificate.

Performance Requirements :

Knowledge :

• Knowledge of CQI principles, practices, methods, and tools.
• Knowledge of computer applications related to QI, including spreadsheets.
• Knowledge of medical records and clinical care processes.

Skills :

• Skill in effective education and facilitation of CQI efforts in medical practice.
• Skill in application of analytical methods and statistical software by developing appropriate reports.
• Skill in conducting QI checks of medical records and other clinical documentation and performing patient satisfaction surveys.

Abilities :

• Ability to educate staff in both verbal and written form about QI in formal and informal settings.
• Ability to interact effectively with health care team members.
• Ability to analyze QI data and identify trends and corrective actions.

Equipment Operated : Standard office equipment including computer hardware and software.

Work Environment : Primarily office and classroom settings. Rare patient contact.

Mental / Physical Requirements : Combination of office and classroom settings. May occasionally need to lift / carry / move audiovisual equipment weighing up to 50 pounds.

Occasional stress related to deadline pressure.