RN Quality & Outcomes Coordinator

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America

Address:

9100 W 74TH ST

City:

SHAWNEE MISSION

State:

Kansas

Postal Code:

66204

Job Description:

RN Quality & Outcomes Coordinator - Full-Time

Location: AdventHealth Shawnee Mission

Schedule: Full-Time | Day Shift

Job Summary

Responsible for collecting, aggregating, analyzing, and summarizing quality, clinical, and physician performance data to support organizational performance improvement initiatives. This position collaborates with hospital leadership, medical staff, and clinical departments to ensure compliance with regulatory, accreditation, and quality standards. Coordinates Medical Staff quality improvement, peer review, and data management activities while supporting physician leaders in the consistent application of Medical Staff Peer Review policies. Contributes to organizational excellence by facilitating quality initiatives, supporting regulatory readiness, and driving performance improvement efforts.

Essential Functions

• Collects, abstracts, analyzes, and summarizes quality, clinical, and physician performance data for organizational and Medical Staff committees.

• Develops, maintains, and utilizes databases to support quality management, performance improvement, peer review, and regulatory reporting processes.

• Coordinates Medical Staff quality improvement and peer review activities in accordance with organizational policies and procedures.

• Facilitates and coordinates quality improvement, peer review, and Medical Staff committee meetings.

• Prepares meeting agendas, reports, presentations, minutes, correspondence, and supporting documentation.

• Completes event report reviews and assists with investigations to identify trends, opportunities, and improvement initiatives.

• Monitors organizational quality metrics and performance indicators to support strategic and operational goals.

• Provides data analysis and reporting support to service lines, departments, physicians, and leadership teams.

• Collaborates with leaders to ensure compliance with accreditation, certification, regulatory, and quality requirements.

• Supports readiness activities for regulatory and accreditation surveys, including The Joint Commission, CMS, state departments of health, and other applicable agencies.

• Assists with regulatory certifications, quality reporting initiatives, and performance improvement projects.

• Prioritizes and manages multiple projects, deadlines, and competing priorities effectively.

• Maintains confidentiality and security of sensitive quality, peer review, practitioner, and organizational information.

• Supports Medical Staff leadership in fulfilling responsibilities related to quality improvement, physician performance monitoring, and peer review.

• Performs other duties as assigned.

Knowledge, Skills, and Abilities

• Knowledge of healthcare quality improvement principles, performance improvement methodologies, and regulatory standards.

• Knowledge of healthcare data collection, abstraction, analysis, reporting, and interpretation.

• Knowledge of Medical Staff quality programs, peer review processes, and physician performance improvement activities.

• Ability to collect, organize, analyze, and summarize data from multiple sources.

• Strong critical thinking, analytical, and problem-solving skills.

• Ability to develop and maintain databases, reports, spreadsheets, and tracking systems.

• Proficiency in Microsoft Office applications, including Excel, Word, Outlook, and PowerPoint.

• Strong organizational skills with the ability to manage multiple projects and deadlines simultaneously.

• Ability to communicate effectively, both verbally and in writing, with leaders, physicians, and interdisciplinary teams.

• Ability to prepare professional reports, presentations, correspondence, and meeting materials.

• Knowledge of regulatory, accreditation, and certification requirements within healthcare organizations.

• Ability to collaborate effectively with physicians, clinical staff, operational leaders, and regulatory agencies.

• Experience with quality improvement, data collection, and healthcare performance measurement preferred.

• Ability to maintain confidentiality and exercise sound professional judgment.

Education

• Bachelor of Science in Nursing (BSN required.

Field of Study

• Nursing.

Work Experience

• One year of nursing experience required.

• Registered Nurse clinical experience required.

• Two years of healthcare quality, performance improvement, peer review, regulatory compliance, data analysis, or related experience preferred.

Licenses and Certifications

• Registered Nurse (RN required.

• Basic Life Support (BLS certification required.

• Certified Professional in Healthcare Quality (CPHQ preferred.

Additional Information

• N/A.

Physical Requirements: (Please click the link below to view work requirements

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$67,600.00 - $125,736.00

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.