Quality Management Coordinator

The Quality Management Coordinator plays a vital role within the Quality Management team by overseeing hospital-wide quality improvement initiatives. This position is responsible for assisting in the formulation and coordination of quality objectives to enhance patient outcomes, meet evidence-based standards, and optimize cost efficiency. The coordinator also supports periodic collaboration with hospital committees to advance quality management goals.

Responsibilities

• Monitor and evaluate quality improvement initiatives across the hospital
• Analyze data to track performance and identify areas for improvement
• Support the design and implementation of quality improvement projects
• Coordinate quality objectives to align with organizational goals
• Assist in maintaining compliance with evidence-based standards and regulatory requirements
• Collaborate periodically with hospital committees related to quality management

Required Qualifications

• Graduate of an accredited Health Information Management, Nursing, or related Allied Health degree program, or equivalent combination of education and relevant experience
• Minimum of two (2) years clinical or hospital experience
• Proficiency in word processing, spreadsheets, and database tools for data abstraction

Preferred Qualifications

• Two or more years of experience in clinical or hospital settings
• Registered Nurse or Bachelor’s degree in Healthcare Administration or related field
• Experience with Joint Commission regulations and Period Performance Review software
• Working knowledge of Meditech software
• Experience coordinating quality improvement projects and presentations

Duties & Responsibilities:

General:

• Monitor and evaluation hospital-wide Quality Improvement Program initiatives with focus on process improvement implementation.
• Plan, develop, and implement QI software systems to support the QI program.
• Monitor process/outcome quality assessment studies that are pertinent to the Quality Improvement program.
• Conduct ongoing monitoring and collection of data for inclusion in the Quality Improvement reports.
• Compile reports and present findings to the appropriate medical staff, departments, or hospital committees.
• Utilize various computer systems for tracking and trending.
• Complete various statistical reports and create supporting graphical diagrams, as needed.
• Provide support services to departments and providers needing assistance in developing Quality Improvement studies.
• Review clinical records and perform department/unit quality and safety surveys.
• Assist management in preparation for and during any regulatory surveys.
• Promote hospital approach of “Continuous Survey Readiness”.
• Educate staff regarding quality improvement processes, activities, and patient safety.
• Maintain compliance with JCAHO standards.
• Develop and implement methods and procedures for monitoring work activities in order to keep management informed of current overall quality status including identified improvement opportunities.
• Keep informed of current professional standards and represent hospital at various external organization meetings.
• Conduct Risk Management assessment, as needed.
• Development of Clinical Protocols and order sets.
• Develop and maintain Quality Measures Dashboard.

A Roman Catholic facility founded by the Religious Hospitallers of St. Joseph and sponsored by Catholic Health International, St. Bernard Hospital aspires to live in the healing mission of Christ within the South Side community of Chicago. This mission calls us to care for the sick and promote the health of the residents in the community while witnessing the Christian values of respect, dignity, caring and compassion for all persons. In all matters, St. Bernard Hospital will show a special sensitivity to the culture of the people we serve and the unique needs of the poor and powerless.