Quality and Patient Safety Coordinator

Position Summary:

Reporting to the Clinical Nurse Educator the Quality & Patient Safety Coordinator (Nursing) is responsible for supporting the coordination monitoring and implementation of quality improvement and patient safety initiatives across nursing and clinical operations. This role serves as an operational resource to ensure adherence to evidence-based practices regulatory requirements and internal standards that promote safe high-quality and patient-centered care.

The coordinator supports data tracking audits workflow compliance and performance improvement efforts working closely with nursing leadership and interdisciplinary teams to strengthen clinical outcomes and operational reliability

Primary Responsibilities:

Quality Improvement & Performance Monitoring

General:

• Support the implementation and monitoring of quality improvement initiatives across clinical departments
• Track and report on key nursing and organizational quality metrics (e.g. follow-up rates missed visits patient flow vaccine administration safety events)
• Assist in developing and maintaining dashboards and reports for leadership and committees
• Identify trends gaps and opportunities for improvement and escalate to leadership

Patient Safety & Event Management

• Support reporting tracking and follow-up of patient safety events incidents and near misses
• Assist in conducting preliminary reviews and documentation of safety events
• Coordinate follow-up actions including communication with clinical teams and leadership
• Promote a culture of safety through education communication and reinforcement of reporting practices

Audits Compliance & Workflow Monitoring

• Conduct routine audits to ensure compliance with clinical workflows policies and regulatory standards
  • Examples: documentation compliance vaccine workflows infection control practices medication processes
• Track audit findings and partner with leadership on corrective action plans
• Support readiness for regulatory surveys (e.g. Joint Commission DPH)
• Maintain documentation and logs required for compliance and reporting

Data Tracking & Reporting

• Maintain systems for tracking quality safety and performance data
• Prepare regular reports for nursing leadership quality committees and executive teams
• Support data validation and accuracy for internal and external reporting requirements
• Assist in performance improvement projects using data-driven approaches

Education & Staff Engagement

• Support education efforts related to quality improvement and patient safety initiatives
• Reinforce standardized workflows policies and best practices with staff
• Assist in development of tip sheets communication materials and training tools
• Partner with the Clinical Education & Competency Coordinator to align training with identified gaps

Workflow Optimization & Process Improvement

• Collaborate with nursing leadership to improve clinical workflows and reduce variation
• Identify inefficiencies and support implementation of process improvements
• Support rollout of new workflows policies and quality initiatives
• Reinforce team-based care models and top-of-license practice

Collaboration & Communication

• Collaborate with interdisciplinary teams including nursing providers operations and quality departments
• Participate in quality and patient safety committees and meetings
• Serve as a resource for staff regarding quality measures workflows and safety processes
• Communicate updates and expectations related to quality and patient safety initiatives

Other duties and/or other departments/locations as applies.

Qualifications & Skills:

• High school diploma or equivalent required; completion of an accredited Medical Assistant program or clinical training program strongly preferred
• Medical Assistant certification (CMA RMA or equivalent) preferred; LPN/RN a plus but not required
• Minimum of two (2) years of experience in an ambulatory care or clinical setting required
• Prior experience or strong interest in quality improvement patient safety or compliance preferred
• Basic understanding of clinical workflows patient care processes and safety principles
• Experience with EHR systems (Epic preferred)
• Strong organizational and data tracking skills with attention to detail
• Ability to conduct audits follow protocols and escalate concerns appropriately
• Strong communication skills with ability to engage and educate staff
• Ability to work collaboratively within interdisciplinary teams
• Commitment to patient safety quality improvement and continuous learning

Physical Requirements:

• Must be able to stand or sit for prolonged periods (at least 50% of the time)

• Ability to lift up to 25 pounds and load onto shelves
• Visual acuity sufficient for frequent reading and computer use