Quality Improvement Coordinator Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the quality improvement coordinator job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies

Tailor your resume & cover letter with wording that best fits for each job you apply

Resume Builder

Create a Resume in Minutes with Professional Resume Templates

CHOOSE THE BEST TEMPLATE - Choose from 15 Leading Templates. No need to think about design details.

USE PRE-WRITTEN BULLET POINTS - Select from thousands of pre-written bullet points.

SAVE YOUR DOCUMENTS IN PDF FILES - Instantly download in PDF format or share a custom link.

Create a Resume in Minutes

G Stiedemann

Gwendolyn

Stiedemann

922 Gutmann View

Boston

+1 (555) 917 4200

922 Gutmann View

Boston

Phone

p +1 (555) 917 4200

Experience Experience

New York, NY

Quality Improvement Coordinator

New York, NY

Daugherty Group

New York, NY

Quality Improvement Coordinator

Identify trends and share results with ASO network providers
Assist with coordination of quality improvement activities
Actively participates or leads Performance Improvement Teams
Work with Organizational Leadership to create policies and programs
Assist with the process of data collection and the analysis of data related to Quality Improvement Activities
Assist with the monitoring of compliance with quality assessment and improvement
Incorporate results of annual member and provider surveys into provider follow-up and training

Houston, TX

Performance & Quality Improvement Coordinator

Houston, TX

Bradtke, Stanton and Hudson

Houston, TX

Performance & Quality Improvement Coordinator

Focuses organizational efforts on the improvement of clinical quality performance measures
Identifies population-based member barriers to care and works with the QMP team to identify local-level strategies to overcome barriers and close clinical gaps in care
Uses data to develop intervention strategies to improve outcomes
Supports quality improvement program studies with work that ranges from accessing and analyzing provider records, maintaining databases, and researching to identify members’ encounter history
Designs practice-level quality transformation through targeted clinical education and approved materials related to HEDIS / state-specific quality measures for provider and staff education during field visits
Engages providers in strategies to improve outcomes through collaborative partnerships
Develops and implements PIPs internally and across MCOs

present

New York, NY

Lead Quality Improvement Coordinator

New York, NY

Prohaska-Bechtelar

present

New York, NY

Lead Quality Improvement Coordinator

present

Oversee and participate in validation activities to ensure that reported data are collected according to measurement methodology and meet the population, service and other indicator criteria; recommend improvements for accuracy, operational enhancements and policy changes, to support the most effective and efficient use of health care resources
In-depth knowledge of problem solving and technical writing; project management methodologies; data validation methods; and statistical and data analysis and research methods
Recommend quality improvement activities/strategies for implementation and leads or participates in work groups with Contractors and other stakeholders to implement approved activities/strategies
Proficient in medical record review/evaluation, analyzing and trending data, writing comprehensive reports, and presenting trends to large multi-disciplinary teams and or community stakeholders
Lead Agency efforts related to Quality Improvement Reporting, including the CMS 416, CARTS, MACPro, and quarterly/annual Waiver Update reports. Analyze, interpret and disseminate results of performance measures, PIPs and other studies to Division management and Agency leadership; ensure that results are publicly reported via the AHCCCS website and/or other means
Leadership & Training/Development: Provides leadership and training/development to project team members
Participates in clinical risk assessments and analysis and assists in the development of corrective action plans

Education Education

Bachelor’s Degree in Nursing Preferred

Colorado State University

Bachelor’s Degree in Nursing Preferred

Skills Skills

Excellent relationship skills to include tact and diplomacy with an ability to work effectively with all personnel levels within the organization, including surgeons and physicians
Excellent written and verbal communication skills, includes public speaking
Experience with data extraction, reporting and analysis tools
Strong project management skills
Vision to take an idea and implement into a project, a report, a presentation, etc
2+ years of experience in Medical Office, HMOm or Hospital Environment performing Administrative
Computer savvy
Microsoft Office/Suite proficient (Access, Excel, Outlook, PowerPoint, Word, etc.)
Great interpersonal skills
Excellent communication skills (written and verbal)

Create a Resume in Minutes

14 Quality Improvement Coordinator resume templates

Read our complete resume writing guides

Quality Improvement Coordinator Resume Examples & Samples

Knowledge of quality improvement and performance improvement principles and demonstrated practices there of
Demonstrated knowledge and experience with medical staff committee support and peer review processes
Knowledge of current public reporting requirements and indicators and metrics there of
Knowledge of current regulatory requirements including but not limited to standards of the Joint Commission, the CMS Hospital Conditions for Participation, and Title 22 licensing requirements
Understanding of audit/study methodology, healthcare statistics, and automated data information system as applicable to hospital and medical staff activities
Demonstrated clinical expertise in facilitating the evaluation of process improvement
Demonstrated advanced skills in data management and the ability to collect, analyze, and present data to groups and individuals
Demonstrated project management knowledge and skills
Ability to work collaboratively with physicians, hospital staff, and external organizations
Minimum three to five years clinical experience in related health care field
Minimum two years experience in healthcare quality assessment and improvement, including hands-on experience with supporting clinical department quality improvement committee structures and processes

Performance & Quality Improvement Coordinator Resume Examples & Samples

Current CPHQ or CHCQM certification Experience and education in data and outcomes measurement
5+ years healthcare experience, or other relevant experience
2+ years of quality improvement experience
Experience working in Medicaid
Access to reliable transportation to travel 50% within the state
Experience with Word, Excel, Power Point, Outlook, and Internet
Knowledge of one or more of: clinical standards of care, preventive health standards, NCQA, governing and regulatory agency requirements and the managed care industry
Masters degree
Six Sigma prepared

RN Quality Improvement Coordinator Resume Examples & Samples

Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality / safety / service
RN, with state license to practice required
Associates degree required. Bachelor’s degree in nursing preferred, but will consider bachelor’s degree in other healthcare related field (ie: healthcare administration, business administration)
Working knowledge of National Quality Forum (NQF), Agency for Healthcare Research and Quality (AHRQ), Institutes for Healthcare Improvement (IHI) safety indicators, serious reporting events, safe medical practices, and Centers for Medicare and Medicaid Services (CMS) quality measures helpful
Minimum of 3 years relevant clinical and quality work experience in a healthcare setting
Knowledge of regulatory and accrediting standards preferred
Strong project management skills a plus
Knowledge of regulatory and accrediting standards and Medical Staff Office preferred
Patient safety experience and work with High Reliability Organizations / Systems a plus
Clinical knowledge and expertise in a clinical service line specialty is preferred

Rn-quality Improvement Coordinator Days CHI Health Nebraska Heart Resume Examples & Samples

Collaborates with the Director Quality and Safety and key ministry stakeholders to coordinate the reporting measures managed by the Quality Department
Reviews medical records and collects data for clinical care review and other quality improvement activities
Assists in organizing teams and responsible for tracking change processes facilitated by those teams. May facilitate select teams to assure timely assessment and implementation of process changes. May perform /support Root Cause Analysis efforts
Supports quality by monitoring various outcomes and quality improvement projects and works with other departments to develop processes to improve and sustain outcomes
Works with related software applications to identify opportunities for improvement and act on clinical data to achieve improved performance rates, evaluates, analyzes, tracks, and trends and displays data from related activities
Supports Quality Department goals by analyzing, interpreting and reporting data
Presents, educates and encourages the use of quality data/processes to improve safety and care delivery
Supports the Quality Department by inputting data measurements, monitoring various outcomes and quality improvement projects. Reports data through effective use of computer software programs

Rn-quality Improvement Coordinator Resume Examples & Samples

Bachelor’s degree required, bachelor’s degree in nursing preferred, will consider bachelor’s degree in other healthcare related field (ie: healthcare administration, business administration)
Will consider candidate that has an associate’s degree in nursing and is currently in a bachelor’s degree program or is willing to enroll and obtain a bachelor’s degree within three years from date of hire
Nationally recognized quality-related certification (ie: CPHQ, PMP, CJCP, CPPS) preferred
Experience in quality improvement principles, performance improvement methodology, project management and change management preferred

Performance & Quality Improvement Coordinator Resume Examples & Samples

Focuses organizational efforts on the improvement of clinical quality performance measures
Identifies population-based member barriers to care and works with the QMP team to identify local-level strategies to overcome barriers and close clinical gaps in care
Uses data to develop intervention strategies to improve outcomes
Supports quality improvement program studies with work that ranges from accessing and analyzing provider records, maintaining databases, and researching to identify members’ encounter history
Designs practice-level quality transformation through targeted clinical education and approved materials related to HEDIS / state-specific quality measures for provider and staff education during field visits
Engages providers in strategies to improve outcomes through collaborative partnerships
Develops and implements PIPs internally and across MCOs
Reports quality improvement and performance outcomes to MLTC
Bachelor’s degree in science or equivalent work experience
Current unrestricted RN licensure for the state of Nebraska (preferred), or, at a minimum, a Certified Professional in Health Care Quality (CPHQ) or Certified in Health Care Quality and Management (CHCQM) or have comparable experience and education in data and outcomes measurement
More than five years of clinical or field-related experience
More than two years of experience in quality improvement or a related field such as Six Sigma
Experience working in Medicaid or Medicare
Knowledge of one or more clinical standards of care, preventive health standards, CMS standards, HEDIS, NCQA and governing and regulatory agency requirements
Health care and insurance industry experience, including regulatory and compliance

Lead Quality Improvement Coordinator Resume Examples & Samples

Analyze and evaluate data to ensure accuracy, reliability, and validity. Ensure alignment with measurement methodologies. Update Contract, website, and any other document that references performance measures as methodologies and/or performance measure requirements change
Oversee and participate in validation activities to ensure that reported data are collected according to measurement methodology and meet the population, service and other indicator criteria; recommend improvements for accuracy, operational enhancements and policy changes, to support the most effective and efficient use of health care resources
Lead Agency efforts related to Quality Improvement Reporting, including the CMS 416, CARTS, MACPro, and quarterly/annual Waiver Update reports. Analyze, interpret and disseminate results of performance measures, PIPs and other studies to Division management and Agency leadership; ensure that results are publicly reported via the AHCCCS website and/or other means
Evaluate deliverables and performance results for assigned Contractors and recommends appropriate regulatory action when Contractors do not meet AHCCCS performance standards (e.g., require corrective action plan, sanction, etc.)
Take a leadership role in the Agency’s External Quality Review process. Document processes and provide appropriate data to the EQRO
Recommend quality improvement activities/strategies for implementation and leads or participates in work groups with Contractors and other stakeholders to implement approved activities/strategies
Strong understanding of methodology requirements, including but not limited to HEDIS and CMS Core Measure sets, as well as current quality improvement and health care theories and practices
Proficient in medical record review/evaluation, analyzing and trending data, writing comprehensive reports, and presenting trends to large multi-disciplinary teams and or community stakeholders
In-depth knowledge of problem solving and technical writing; project management methodologies; data validation methods; and statistical and data analysis and research methods
Excellent written and oral communication skills, including technical writing report publication and group presentations (within and/or outside the agency)
Demonstrated experience with organizational skills that result in prioritization of multiple tasks and ability to meet deadlines
Certified Professional in Healthcare Quality
At least one year experience working in a managed care environment

Quality Improvement Coordinator Resume Examples & Samples

Provides support for the quality improvement functional area
Completes special projects or assignments as needed to meet initiatives and/or objectives of department
Assists and coordinates QI projects as needed
Maintains all department files in an organized, accurate manner
Assists with preparations for meetings by typing agendas, attachments and minutes
Maintains supply levels, equipment maintenance, communications and records
Maintains and secures files of QI activities
Directs communication to the appropriate staff
Required or equivalent work experience
Required 2+ years of experience in medical office HMO or hospital environment performing adminstrative duties with a clincal focus
Required Other Experience with medical terminology
Intermediate Ability to communicate and make recommendations to upper management
Intermediate Ability to work in a fast paced environment with changing priorities
Intermediate Other Ability to communicate effectively with people at all levels
Intermediate Other Ability to arrange their own work day
Required Intermediate Microsoft Access

Quality Improvement Coordinator Days Resume Examples & Samples

Strong computer skills in Microsoft Word, Excel and PowerPoint- required
Excellent communication skills- written, oral and presentation skills- required
Analytical ability to interpret data trends- required
Acts independently and demonstrates organizational and problem solving skills- required

Clinical Quality Improvement Coordinator Resume Examples & Samples

Bachelor's degree in related field or equivalent healthcare education and training
Minimum of 2 years of related work experience such as healthcare quality improvement activities, informatics and/or project management
Excellent MicroStrong written and verbal communication skills
Microsoft (including Access database programming and Excel) and Vizio skills
Basic statistics
Strong data analysis skills
Lean, Six Sigma, CPHQ
Knowledge of Centers for Medicare and Medicaid Transforming Clinical Practice Initiative (TCPI)
Training or experience in health care informatics, including: Data warehousing; Time sequence charts; Reports; Access database programming

Quality Improvement Coordinator Resume Examples & Samples

Maintains and updates department policies/procedures
Coordinates provider profiling activities
Organizes and may conduct Policy and Procedure Committee meetings

Quality Improvement Coordinator Resume Examples & Samples

Under the direction of Director of Quality Improvement, organizes and maintains medium to large scale projects, including documentation of project proposal, project scope, project plan, time lines and reporting
Establishes and maintains a tracking and filing system for documents & projects across the health-plans; distributes materials
Participates and makes recommendations for process improvements in work organization, communication and efficiency with internal and external customers. Supports on-going monitoring of quality assurance processes by running the system reports, conducting trouble shooting and providing feedback to plans
Assists with data entry and data base management to effectively compile data for trending/reporting. Assists with preparation of reports. Able to identify, specify, retrieve data from a variety of sources. Able to manipulate data sets and conduct qualitative analysis (tabulations, averages, ranges
Develops, implements and maintains time table matrix / work plans to ensure timely and successful project completion. Prepares and submits project update reports to Director of Quality Improvement
Conduct focus groups in service delivery area as needed to ensure member needs are being addressed; assist in health fairs as appropriate
Educate members on covered services available to them, including preventive services
Participate in department projects as requested to gather data on
Make recommendations to management of any changes needed to improve the care provided or the way delivered
Refer members to community resources available to meet member needs not available from Molina
Ability to abide by Molina's policies
Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Quality Improvement Coordinator Resume Examples & Samples

Required A High School or GED required
Required 2+ years of experience in medical office, HMO or hospital environment performing administrative duties with a clinical focus
Required experience with medical terminology
Advanced demonstrated written communication skills
Advanced demonstrated interpersonal/verbal communication skills
Intermediate ability to communicate and make recommendations to upper management
Intermediate ability to work in a fast paced environment with changing priorities
Intermediate ability to communicate effectively with people at all levels
Intermediate ability to arrange their own work day
Required intermediate Microsoft Word
Required intermediate Microsoft Excel
Required intermediate Microsoft PowerPoint
Required intermediate Microsoft Outlook

Quality Improvement Coordinator Resume Examples & Samples

Exhibits responsibility and accountability for assigned work, works independently
Must balance multiple tasks/projects while meeting organizational standards
Must be extremely detail oriented and able to follow through on all assigned tasks
Uses various software programs to develop, generate and update documentation
Works effectively as a team member
Develops, implements and maintains quality monitoring and analysis processes that support the Performance Improvement Plan
Researches applicable evidence based best practices in developing chart abstraction and analytical tools for assigned performance improvement monitors/indicators
Uses generated outcomes and process data/reports for further analysis creating final reports for committees that includes conclusions, recommendations, actions and follow up
Uses generated outcomes and process data/reports for further Level I and Level II peer review procedures under the supervision and direction of the Quality/Risk Management Director
Compiles and submits individual medical staff member and allied health comparative data profiles that supports medical staff credentialing process
Participates in investigating hospital and medical staff identified concerns for further review and analysis according to the Performance Improvement Plan
Actively participates or leads Performance Improvement Teams
Educates hospital and medical staff in the facility PI Program as assigned
Graduate from accredited school of nursing required. BSN preferred
One (1) year experience in a health care setting in a Quality Coordinator (or equivalent) role preferred
Three (3) to five (5) years’ clinical experience in a hospital setting (Hospital quality experience preferred.)

RN, Quality Improvement Coordinator Resume Examples & Samples

Minimum of 1 year clinical experience
Experience working with quality management across continuum teams
BSN or other health related degree
Knowledgeable of Home Health CMS and State rules and regulations and Joint Commission standards
Demonstrated knowledge of home care service delivery concepts; quality standards; utilization management; and continuous process improvement
Excellent written and verbal English communication skills
Demonstrates ability to drive processes
Ability to exemplify good interpersonal and facilitation skills with all levels of employees and management
Strong problem solving, time management, and financial management skills
Ability to use qualitative and quantitative data, performance improvement tools and methodologies
Demonstrates knowledge of QAPI principles relative to the organization of information, the analysis of data, and the identification/ initiation of opportunities for improvement
Demonstrates ability in development and use of spreadsheets, graphics, word processing, and data management
Demonstrates ability to organize and prioritize work efficiently
Current and valid California Registered Nursing license

Clinical Competency & Quality Improvement Coordinator Resume Examples & Samples

Develops and manages continuing educational programs; assures completion of all required training, in collaboration with Field Operations Managers, Medical Assistants, Regional Care Coordinators and other departments as required
Assesses and prioritizes ongoing educational needs through assessing Paladina data and available reports, literature review, employee surveys and professional contacts. Participates in Quality Assurance / Quality Improvement (QA/QI) activities and policy and procedure review
Develops and provides (when necessary) direct clinical instruction to new Medical Assistants in basic primary care clinical skills and procedures including but not limited to patient rooming, vitals, phlebotomy and patient charting and documentation
Monitors state and federal regulations to ensure Paladina training programs meet or exceed requirements. Maintains current clinical knowledge and ensure that clinic training and education needs are met in accordance with Paladina’s policies, procedures, and guidelines, as well as OSHA, HIPAA, federal state and local regulations. Also provides updates and training on changes in regulations
Evaluates the effectiveness of all educational activities. Evaluations will include attendee satisfaction and competence. Provides periodic reports on educational activities
Provides continuing education and in-services/materials to teammates to improve knowledge base and any needed continuing educations requirements needed by the clinical personnel
Collaborate with the Learning and Development manager to create educational modules that are delivered to teammates across the country
Provides infection control oversight and guidance for all clinic locations
Registered Nurse in the state of Colorado
2+ years' nursing experience required
Understanding of adult education and learning
Able to provide positive learning environment through strong leadership skills and positive role modeling
Delivers educational materials in a variety of settings (e.g. classroom, self-paced modules, virtual, etc.)
Demonstrated expertise in effectively teaching adult learners with different learning styles
Understanding of QA/QI
Able to communicate effectively verbally and in writing
Willingness to travel up to 30%

Quality Improvement Coordinator Resume Examples & Samples

Assist with coordination of quality improvement activities
Coordination of Meeting Activities
Drafting Minutes
Chart Audits
Report Creation and Distribution
Assist with the process of data collection and the analysis of data related to Quality Improvement Activities
Process improvement projects
Work with the staff to promote quality practices and assess effectiveness of programs and initiatives
Work with Organizational Leadership to create policies and programs
Compile study and report findings within appropriate time frames
Assist with the monitoring of compliance with quality assessment and improvement
Assist the Director of Managed Care and Quality in working closely with Quality Medical Director and clinical departments to ensure optimal and efficient quality improvement
Assist with accreditation readiness
Gather and report data to meet quality payment program requirements
Perform other duties and professional responsibilities as needed

Quality Improvement Coordinator Resume Examples & Samples

Maintains denial templates and generates denial letters
Tracks denial data
Collects data for appeals and grievances for health plans and QIC clinical review
Provides feedback to Clinical Services Supervisor regarding process improvement
Performs data entry as required
Prepares tracking reports
Files / faxes
Access to reliable transportation
3+ years of experience in managed care environment, medical office or clinic setting, preferably in a QM Department
Knowledge of UM / QM processes and principles
Knowledge of training and audit principles and processes
Knowledge of and experience with medical coding
Knowledge of general IPA operations
Computer literate in Microsoft Word and Excel
Strong ability to work effectively with nurses, physicians and other clinical and operational staff, both written and verbally
Flexible and adaptable of schedule to attend various meetings and / or promotional events

Quality Improvement Coordinator Resume Examples & Samples

Performs retrospective and concurrent review of core measure patients in compliance with National Hospital Inpatient Quality Measures and regulatory agencies such as Joint Commission, CMS, HQID project, American College of Cardiology, etc
Participates in the education of medical staff, employees, leadership and Board on quality and performance indicators selected by the organization as well as the requirements and implications of these measures for clinical practice
Performs retrospective and concurrent review of specific focused studies (including procedures, diagnosis and other studies) requested by medical staff, hospital departments and committees
Flags and documents variances for selected indicators and variables for focused studies and implements indicators for medical staff, peer review including OPPE and FPPE required by TJC
Provides continued improvement consulting services to customers
Participates in data extraction for submission of required data electronically to QNET/ACC/TJC/CMS/MHCC. Facilitates the organization's responses in order to meet established time frames for submission
Identifies and interprets objective and subjective data found in the medical records
Abstracts and reports PI information in appropriate format to detect patterns and/or problems in the delivery of care
Coordinates Medical Staff (departmental) peer reviews in cooperation with the Review Committee Chairmen
Maintains current knowledge of TJC, CMS, ACC national quality indicator guidelines, Magnet and NDNQI and assesses compliance for assigned areas
Graduation from an accredited school of Nursing
Minimum 5 years of clinical experience
Minimum 2 years combined QA, QI, RM, UR or CM experience

Quality Improvement Coordinator Resume Examples & Samples

Provides effective Project Management/Leadership to ensure completion of Medical Center Quality and Performance Improvement projects to meet goals and objectives
Clinical Expertise: Demonstrates clinical expertise in specific patient population(s) related to projects managed
Technical Execution: Demonstrates technical execution in collection, verification and analysis of data
Leadership & Training/Development: Provides leadership and training/development to project team members
Communication & Interpersonal Skills: Communicates effectively with all levels of internal and external personnel

Quality Improvement Coordinator Resume Examples & Samples

Completes non-clinical review of charts and provides initial decision on eligibility; also responsible for reviewing re-assessments
Prepares and triages charts ready for review
Provides feedback on documentation errors while guiding towards documentation improvement
Prepares information used for management presentations and submission to various internal and external customers including but not limited to state regulators, CMS auditors and internal auditors
Prepares and sends communications to vendors and/or provider's office in a manner that is clear and actionable
Data entry input, as well as documents, tracks and queries data in appropriate reporting tools
Organizes and reports data in databases, spreadsheets and graphics
Generates standard reports for Quality team as needed
Follows the process through to ensure it is completed and/or resolved
Assists clinical reviewers with other tasks such as system navigation, as needed
Supports team in day to day functions, accreditation activities and ad hoc reporting as required.

Quality Improvement Coordinator Resume Examples & Samples

Coordinate local, Plan-specific quality improvement activities
Conduct monthly beneficiary satisfaction surveys and summarize results
Incorporate results of annual member and provider surveys into provider follow-up and training
Identify trends and share results with ASO network providers
Coordinate and carry out routine clinical chart reviews
Prescribe and monitor provider-specific corrective action plans
Participate in annual provider trainings
Follow-up on member-generated issues and concerns
Participates in County ASO QI meetings quarterly and other meetings as necessary
Ability to communicate effectively orally and in writing with providers and members

Quality Improvement Coordinator Vascular Surgery Resume Examples & Samples

2-3 years hospital experience with knowledge of medical diagnosis and treatment essential
Must be able to communicate with tact and confidentiality
Database management preferred
Experience with Excel and PowerPoint preferred

Quality Improvement Coordinator Resume Examples & Samples

Conducts targeted record reviews to identify trends and discover practices needing improvement
Practices confidentiality principles set by the agency and federal HIPAA guidelines
Adheres to departmental requirements for required training
Identifies specific learning needs and goals and collaborates with leadership in developing a plan to meet them
Minimum of two years as a field clinician in a certified home health agency
Quality Improvement experience desired
Coding experience a plus
Knowledge of federal and state regulations pertinent to home health
Strong assessment skills
Ability to mentor and educate clinical home care staff both onsite with patients and in the office setting
Team Player. Scheduled Hours Full-time Days, Monday through Friday
HomeCare EliteTM, which annually names the top 25 percent of home health agencies in the United States based on quality of care, quality improvement and financial performance, first named Lahey Health at Home to its select list in 2011 and annually thereafter
Home Health Quality Improvement National Campaign Agency of the month (AOTM)
Fazzi Associates has also honored us with its Patient Satisfaction Award of Distinction, presented annually to home health organizations that have demonstrated superior performance in overall patient satisfaction results

Quality Improvement Coordinator Resume Examples & Samples

Reviews OASIS assessment and OASIS coding for accuracy. Ensures the plan of care on the 485 reflects the accuracy of the OASIS assessment and primary focus. Ensures correlation between the patient’s needs as identified in the clinical documentation and the resources allocated as indicated in the plan of care
Communicates to staff on an on-going and regular basis, the current agency and individual performance relative to benchmark data
Mentors and educates staff on the most efficient ways to assess the patient/client needs, plan for the most cost-effective delivery of care, and implement the plan of care while ensuring high quality clinical outcomes. Evaluates education programs, and competency testing to meet education and training needs to ensure the knowledge and skill level necessary for the provision of quality care and compliance with federal, state and accrediting body safety regulations
Identifies patients who are appropriate for Care Path use and ensures that the patient is on the pathway, and that the patient and family/caregiver is in agreement with the plan
Researches alternative methods and practices to enhance care delivery and to move the patient to desired outcomes
Maintains department resources in a manner consistent with department budgets and departmental activity. Works in an efficient manner to streamline the revenue cycle. Evaluates for opportunities to improve processes and work flows. Communicates those opportunities to the administrative team and participates in projects to improve agency performance
Understands payer principles, terminology of managed care, and the goals of the managed care industry. Demonstrates knowledge of regulations related to provision of and reimbursement for home care services
Correlates Case Mix Weight, HHRG scores, and ICD-9 coding for maximum services delivery, optimal outcomes, and fiscally responsible resource management
Evaluates trends in quality improvement scores as it relates to OASIS completion. Collaborates with the Quality Improvement Manager to develop corrective action plans. Utilizes appropriate home care staff (administration, Team Managers, Quality Manager, etc) when appropriate to accomplish goals
Serves as a knowledge resource to the clinical staff by actively researching and maintaining expertise in the area of OASIS/485 review. Responsible for keeping abreast of industry, governmental, and regulatory updates and preparing the agency to maintain optimal effectiveness and regulatory compliance

Rn-quality Improvement Coordinator Resume Examples & Samples

Minimum 5 years of health care experience
Minimum 2 years of Home Health experience that includes quality measures or audit functions
Current RN license in practicing state
Bachelor of Science in Nursing degree preferred
Firm working knowledge of concepts, practices and procedures and ability to use in varied situations
Knowledge of regulatory standards for the home health industry, quality improvement, utilization review, and risk management
Able to some advanced skills that allow employee to adapt and meet some complex or non-routine situations
Strong project/process management skills with the ability to influence and problem solve
Ability to create complex documents, spreadsheet analysis models, and advanced graphics
Excellent ability to draft, edit, and proofread internal and external correspondence, ensure files are organized, manage electronic schedule as appropriate
Ability to work in a fast paced, multi-task environment with competing priorities
Excellent interpersonal/listening skills and demonstrated relationship building skills
Possess a responsible, detail-oriented, results-driven work ethic

Rn-quality Improvement Coordinator Resume Examples & Samples

Support quality improvement activities including practice coaching, data management and reporting, health insurance incentive programs, population health management and other value-based reimbursement programs
Monitors key internal & external clinical quality metrics reports, provider dashboards, performance based compensation reports & other performance reports. Develops/deploys targeted training to improve patient outcomes & increase value to the client organization
Collaborates with leadership to identify opportunities for improvement and develops supportive plans to target opportunities using PI/QI improvement methods and tools
Identifies providers for targeted outreach for QI Initiatives and Quality Improvement metrics (e.g. underperformers or those not meeting baseline goals/benchmarks)
Develops and updates educational materials regarding data capture in clients' EMRs to maximize quality metric outcomes
Develops & updates educational materials for new provider & staff orientation, ongoing/ad hoc provider education & clinical staff education
Educates staff and providers on quality and population health initiatives to maintain or improve performance
Provides ongoing training and mentoring of clinical informatics specialists, system analysts and data analysts to support providers/offices regarding clinical documentation and quality metric satisfaction in the electronic health record
Oversees clinical data collection, completes clinical chart reviews and provides expertise to Population Health team to complete chart reviews for

Quality Improvement Coordinator Resume Examples & Samples

Support quality improvement activities including practice coaching, data management and reporting, health insurance incentive programs, population health management and other value-based reimbursement programs
Monitors key internal & external clinical quality metrics reports, provider dashboards, performance based compensation reports & other performance reports. Develops/deploys targeted training to improve patient outcomes & increase value to the client organization
Collaborates with leadership to identify opportunities for improvement and develops supportive plans to target opportunities using PI/QI improvement methods and tools
Identifies providers for targeted outreach for QI Initiatives and Quality Improvement metrics (e.g. underperformers or those not meeting baseline goals/benchmarks)
Develops and updates educational materials regarding data capture in clients' EMRs to maximize quality metric outcomes
Develops & updates educational materials for new provider & staff orientation, ongoing/ad hoc provider education & clinical staff education
Educates staff and providers on quality and population health initiatives to maintain or improve performance
Provides ongoing training and mentoring of clinical informatics specialists, system analysts and data analysts to support providers/offices regarding clinical documentation and quality metric satisfaction in the electronic health record
Oversees clinical data collection, completes clinical chart reviews and provides expertise to Population Health team to complete chart reviews for

Quality Improvement Coordinator Resume Examples & Samples

Demonstrates effective skills in all forms of communication
Develops, implements and maintains quality monitoring and analysis processes that support the Performance Improvement Plan, patient safety, risk management programs and outcome improvement efforts
Uses generated outcomes and process data/reports for further analysis creating final reports for committees that includes conclusions, recommendations, action and follow up
Uses generated outcomes and process data/reports for further Level I and Level II peer review procedures under the supervision and direction of the QM Director
Actively leads core measure projects and serves as a mentor to staff in regard to these projects
Assists in investigation of incidents that could lead to professional/general liability claims
Assists in analyzing occurrences and identifies patterns as evidence for decision making
Assists with development and implementation of educational programs for employees, medical staff and board members based on analysis of risk assessments, historical and concurrent occurrence and claims data and national trends
Assists appropriate medical staff and nursing committees in the resolution of peer review, medical quality of care and nursing quality of care issues posing clinical risk exposures
Assists in the identification, evaluation and trending of employee safety issues
In accordance with all applicable regulatory standards and in cooperation with the hospital’s Education Plan assists
With: design, implementation, coordination and evaluation of educational activities related to assessed learning
Needs, policies / procedures, standards of care, equipment or knowledge deficits
Participates in clinical risk assessments and analysis and assists in the development of corrective action plans
Disseminates information and research related to changes in regulatory requirements and clinical research pertinent
To potential liability exposures and risk issues
Participates in the development and review of the Risk Management Program, to include policies and procedures
Associates Degree in nursing required
Bachelor’s degree in nursing preferred