Quality Improvement Coordinator – Healthcare Quality
Location: Trout Lake, WA, US
Employment Type: Full-time
Work Model: Healthcare / field-based with PST hours
Salary: $33.71–$60.67/hour
Travel: Some travel for health intervention events
Overview
Quality improvement role supporting healthcare quality, compliance, utilization and clinical performance. Responsible for delegated entity reviews, medical record audits, quality investigations, reporting and corrective action plans, with regular collaboration across providers, healthcare organisations and community partners.
Key Responsibilities
- Conduct quality reviews of delegated entities, physician offices and clinics.
- Audit medical records and analyse claims, quality data and intervention outcomes.
- Investigate and resolve quality-of-care complaints, risk events and sentinel events.
- Document findings and develop written quality review reports.
- Develop and monitor Corrective Action Plans.
- Coordinate Quality Improvement Committee activities and meetings.
- Gather data and prepare utilisation and quality improvement reports.
- Monitor delegated entity compliance with contractual data submission requirements.
- Serve as a liaison with community agencies and healthcare providers on clinical initiatives.
- Identify best practices and recommend quality and process improvements.
- Support development of reporting, data and outcome measurement processes.
- Recommend enhancements to quality improvement policies and procedures.
Requirements
- Bachelor’s degree in Nursing or related field preferred.
- 3+ years of clinical, quality improvement or healthcare experience.
- 2+ years of healthcare quality experience.
- Experience with healthcare quality audits, medical records and quality improvement activities.
- Strong analytical, documentation and communication skills.
- Ability to work independently and collaborate with healthcare stakeholders.
- LPN, LVN, RN, PA or LCSW license preferred.
- CPHQ certification preferred.
- Washington RN license and Washington residency strongly preferred.
- Ability to work PST hours and travel occasionally for health events.