Salary: $33.71–$60.67/hour
AI-generated summary of the employer’s posting. Always check the full description below before applying.
What They’re Looking For
A bachelor’s degree in nursing or a related field is preferred, along with at least three years of clinical, quality improvement, or healthcare experience and two years of healthcare quality experience. Candidates should have experience with audits, medical records, and quality improvement; relevant clinical licensure and CPHQ certification are preferred, as are Washington residency and an active Washington RN license.
Skills to Bring
Healthcare Quality Auditing, Medical Record Auditing, Quality Improvement, Claims Analysis, Quality Data Analysis, Quality-of-Care Investigations, Corrective Action Plans, Regulatory and Contractual Compliance, Utilization Reporting, Quality Reporting, Data Analysis, Documentation, Stakeholder Collaboration, Process Improvement, Committee Coordination, Clinical Performance Monitoring
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.