Quality Improvement Coordinator II

Bachelors Degree in healthcare related field preferred. Minimum of Associate Degree in Nursing required.

Minimum of two (2) years of administrative experience or equivalent in a medical or hospital setting and five (5) years in a clinical setting required.

Active RN license in the state of SC.

Prior experience in quality regulatory and/or compliance highly preferred.

• Lead and coordinate the organizations participation in the CMS TEAM model and other value-based reimbursement programs ensuring performance goals reporting requirements and financial targets are met.
• Monitor patient episodes across the continuum of care identify opportunities to improve outcomes and reduce avoidable costs and work with clinical teams to address gaps in care.
• Build strong relationships with physicians advanced practice providers and operational leaders to drive engagement accountability and performance improvement efforts.
• Analyze clinical operational quality and financial data to identify trends risks and opportunities that impact patient outcomes reimbursement and organizational performance.
• Collaborate with external consultants payer representatives and internal stakeholders to implement best practices and support ongoing program success.
• Develop and maintain dashboards scorecards reports and presentations that provide actionable insights for leaders committees and care teams.
• Partner with Case Management Revenue Cycle Clinical Informatics Information Technology and other departments to optimize workflows documentation and reporting processes.
• Support regulatory accreditation quality improvement and patient safety initiatives through data collection analysis education and performance monitoring.
• Participate in organizational quality initiatives and special projects performing additional quality and performance improvement duties as assigned. Special Qualifications

Required Experience:

IC