Quality & Compliance Coordinator

Position Summary

The Quality Compliance (QC) Coordinator is responsible for supporting the functions of Regulatory Compliance and Quality Improvement for the Rolling Hills Clinic. The QC Coordinator prepares statistical analysis for both GRPRA (Government Performance and Results Act) and HEDIS (Healthcare Effectiveness Data and Information Set) reporting information. The QC Coordinator is supervised by the Compliance Manager but also receives direction from the Quality Manager in preparing audits, surveys, and measuring patient data and outcomes.

• Assists with tracking data and statistics for internal quality measures as directed.
• Assists with objective review and evaluation of compliance issues and standards.
• Monitors and retrieves information from the Electronic Health Record(s) as required for data compilation.
• Assists in monitoring key quality indicators.
• Performs routine observation of staff activities as directed, to assess compliance with regulatory or AAAHC requirements.
• Assists with risk management activities to support compliance strategies.
• Attends medical and dental staff department and committee meetings and other pertinent meetings to ensure the organization’s overall QI plan implementation and compliance.
• Drafts minutes for Infection Control Committee, Safety Committee, and Utilization Review Committee.
• Strong time management and the ability to adapt to multiple or changing priorities.
• Works with medical staff department chairpersons on peer review activities.
• Coordinates the development, implementation and revision of the Rolling Hills Clinic QI program to meet the needs of patients, staff, and external agencies.
• Provides QI support and consultative services to staff in effectively achieving regulatory accreditation and organizational compliance for QI activities.
• Organizes, compiles, and reports QI data for all Rolling Hills Clinic departments to identify trends, establish priorities, and recommend improvement activities.
• Keeps abreast of current AAAHC standards and other accreditation standards, and the latest quality techniques in health care.
• Employee Safety:
  Safely performs all duties; follows required protective protocols to ensure personal safety and the safety of others.
• Ensures that PHI of employees, plan participants, patients, and/or other assigned individuals is maintained and transmitted in a secure and legally compliant manner.
• Perform other duties as assigned.

• Bachelor’s degree in healthcare administration, business administration, nursing or related field.
• At least three (3) years of healthcare field related experience.
• Combination of equivalent experience and education may be considered.

• Experience working with Tribal populations and underserved populations.

• Valid CPR Certification
• Valid California Driver’s License

• Pre-employment drug testing.
• Department of Justice fingerprint clearance through Federal, State, and Child Abuse Index.

Work is performed in a health clinic setting. The noise level in the work environment is usually low to moderate. Will work with blood-borne pathogens and will require OSHA training. This job routinely uses standard office equipment such as computers, telephones, photocopiers, and fax machines.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand, walk, sit, use hands to finger, handle, or feel; and reach with hands and arms.

The employee is occasionally required to stoop. The employee must occasionally lift and/or move up to 25 pounds. Position may require exertion up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently or constantly lift, carry, push, pull or otherwise move objects. Specific vision abilities required by this job include close vision, distance vision, color vision peripheral…