Quality Coordinator

Overview

We are seeking a dedicated and detail-oriented Quality Coordinator to join our team and play a key role in ensuring the highest standards of patient care and safety. This position is responsible for overseeing regulatory compliance, operational quality, and continuous improvement across the facility. The Quality Coordinator will collaborate with leadership to maintain survey readiness, implement process improvements, and engage in proactive monitoring of clinical data and incidents.

If you have a passion for quality healthcare and a strong commitment to patient safety, we invite you to apply and contribute to our mission of excellence in care.

PURPOSE STATEMENT:

The Quality Coordinator is responsible for ensuring patient safety and superior quality of care as measured by survey readiness, treatment program fidelity, and compliance with state and federal laws and regulations and accreditation standards. As such, the Coordinator is responsible for overseeing all aspects of policy and procedure implementation; operational quality oversight standards, and programmatic expectations; critical incident reporting; regulatory engagement, including development and submission of plans of correction;

certification achievement and maintenance; oversight of the quality assurance and process improvement (QAPI) program; and on-going regulatory readiness strategies at the facility. Through routine physical presence in patient care areas, data review and documentation monitoring, and intentional sharing of subject-matter expertise, the Coordinator will ensure a proactive, multidisciplinary focus on quality and excellence within the facility.

We offer a full suite of benefits ranging from:

• Competitive hourly rates

• Medical, Dental, and Vision Insurance

• Paid Holidays

• Paid Time Off

• HSA & FSA

• Company Paid Basic Life & AD&D

• Disability

• 401(k) Retirement Plan - with company match

• Employee Assistance Program/Employee Discount Program

ESSENTIAL FUNCTIONS:

• Assist the Director of Quality in monitoring day-to-day regulatory readiness, patient safety, and service excellence across the facility.
• Assist the Director of Quality with QAPI program oversight, including assistance with:
• Utilizing collected data regarding the outcome of activities for delivering continuously improving services.
• Conducting annual preparation and evaluation of the facility QAPI Program.
• Completing process improvement projects and incorporate the results into patient care improvements.
• Submitting quality scorecard data to Acadia corporate office as requested.
• Coordinating the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS).
• Identifying key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices.
• Coordinating data collection and analysis from all departments within the facility.
• Preparing program data trends and action plans for the monthly Quality Council and quarterly to the Medical Executive Committee and the Governing Board.
• Regulatory preparedness – assist the Director of Quality in implementing sustainable survey preparation and ongoing monitoring processes, including facility-wide auditing and early-issue identification, to maximize achievement of zero- or standard-level survey outcomes.
• Facility-wide support – collaborate with other departments to sustainably implement best-practices in regulatory/accreditation compliance as evidenced by measurable results with regard to survey outcomes, patient safety metrics, patient experience results, HBIPS, etc.
• Develop and maintain proficiency in the functionality and auditing within electronic platforms such as electronic patient observations and the electronic medical record, as applicable.
• Engage in and assist with timely and regular evaluation of serious incidents, complaints, grievances and related investigations.
• Develop corrective action plans for the resolution of areas of regulatory…