Quality Coordinator

Description

Join Livingston Regional Hospital, a 114-bed, community hospital certified for sepsis care by the Joint Commission and accredited for chest pain by the American College of Cardiology. As part of the ScionHealth network, Livingston Regional proudly delivers quality care covering all aspects of healthcare, from 24-hour emergency services to inpatient and outpatient rehabilitation, a Level I neonatal nursery, a 16-bed gero-psych unit, and many other specialty services. Livingston serves a five-county area in central Tennessee and southern Kentucky. Grow your career where your work touches your neighbors.

Job Summary

The Quality Coordinator is responsible for supporting hospital-wide performance improvement, patient safety, and regulatory compliance initiatives. This role coordinates data collection and analysis, facilitates root cause investigations, prepares reports, leads performance improvement teams, and supports ongoing readiness for accreditation and surveys. The Quality Coordinator works collaboratively with clinical, medical, and administrative teams to enhance quality outcomes and promote a culture of safety.

Essential Functions

• Coordinates and supports performance improvement and patient safety activities across the hospital and medical staff.
• Conducts open record reviews, data abstraction, and timely chart audits for quality indicators and regulatory compliance.
• Assists in development, monitoring, and evaluation of performance improvement plans and corrective actions.
• Supports event reporting, root cause analyses, and data entry into event management systems.
• Facilitates hospital and department responses to sentinel events and accreditation survey activities.
• Maintains and analyzes quality data, prepares statistical reports, and presents findings to leadership and committees.
• Coordinates quality initiatives related to National Patient Safety Goals and Core Measures.
• Assists with Joint Commission, CMS, OSHA, and state health department compliance.
• Leads or participates in performance improvement teams and facilitates related meetings.
• Trains staff and develops documentation on new systems and processes to support quality initiatives.

Knowledge/Skills/Abilities/Expectations

• Working knowledge of regulatory and accreditation standards (egg:, Joint Commission, CMS).
• Proficiency in quality improvement methodologies and root cause analysis.
• Strong skills in data collection, analysis, and presentation.
• Proficient in Microsoft Office and EMR systems.
• Excellent interpersonal, organizational, and critical thinking abilities.
• Ability to maintain confidentiality and prioritize multiple assignments.

Qualifications

Education

• Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required) And
• Bachelor's Degree in nursing (Preferred)

Licenses/Certifications

• LPN or LVN - Licensed Practical or Vocational Nurse - State Licensure in state of practice Upon Hire (Preferred) Or
• RN - Registered Nurse - State Licensure and/or Compact State Licensure in state of practice Upon Hire (Preferred) And
• BCLS - Basic Life Support Upon Hire (Required) And
• ACLS - Advanced Cardiac Life Support Within Facility-Specified time frame (May be Required-Facility Specific)

Experience

• 3+ years clinical experience in healthcare or quality improvement (Required)