Quality Improvement Coordinator RN

Requisition ID
Cardiology Services
Hours / Pay Period
Standard Hours
Monday-Friday 8a-5p
Facility / Process Level : Name
CHI Health


This position is responsible for assisting the Quality Director in developing and managing measurement systems that explain the current state and lead to improved quality.  This position analyses and utilizes quality data and processes to monitor and improve care delivery



  • Reviews medical records and collects data for clinical care review and other quality improvement activities.
  • Assists in organizing teams and responsible for tracking change processes facilitated by those teams. May facilitate select teams to assure timely assessment and implementation of process changes. May perform /support Root Cause Analysis efforts.
  • Supports quality by monitoring various outcomes and quality improvement projects and works with other departments to develop processes to improve and sustain outcomes.
  • Works with related software applications to identify opportunities for improvement and act on clinical data to achieve improved performance rates, evaluates, analyzes, tracks, and trends and displays data from related activities.
  • Participates in the continuous readiness and response to surveys by maintaining and applying knowledge of new and changing accreditation, licensing and readiness programs for TJC, CMS and other regulatory bodies.
  • Manages the peer review process, including both focused and ongoing through chart review, abstracting and data collection of individual physician professional practice activities.
  • Maintains and applies knowledge of new and changing accreditation, licensing, and educational requirements and assists communication of changes. Ensures timely and accurate dissemination of information to all appropriate personnel
  • Prepares agendas and /or reports for designated process improvement committees. Attends other meetings as appropriate, working with ancillary and medical staff to develop future monitoring activities. May coordinate meetings /councils.


Bachelor’s degree in healthcare related field with 5 years healthcare experience.

A minimum of three years acute hospital experience.

Strong emphasis on critical thinking, change management, project management and team building

Experience in quality improvement, clinical outcomes management and / or accreditory/regulatory standards preferred. 



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