Quality & Compliance Coordinator (3709)
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Overview
Job Description
Position Summary:
The Quality and Clinical Compliance Coordinator supports the Director of Nursing in maintaining regulatory compliance, promoting quality improvement initiatives, and ensuring adherence to federal, state, and organizational standards across resident care services. This role focuses on quality assurance activities, survey readiness, clinical documentation review, infection prevention support, policy management, and performance improvement initiatives. The position works collaboratively with nursing staff, providers, and interdisciplinary team members to promote resident safety, positive outcomes, and continuous quality improvement. While limited supervisory responsibilities may be assigned, the primary focus of this position is quality monitoring, regulatory compliance, staff education, and process improvement.
Key Responsibilities:
- Coordinate and support the facility's Quality Assurance and Performance Improvement (QAPI) program.
- Conduct routine clinical record audits to evaluate compliance with federal and state regulations, facility policies, and documentation standards.
- Monitor quality indicators, resident outcomes, infection surveillance data, incident reports, and performance metrics.
- Assist with preparation for state, federal, and accreditation surveys, including ongoing survey readiness activities.
- Participate in development, implementation, review, and revision of clinical policies, procedures, and quality improvement plans.
- Identify opportunities for performance improvement and assist in implementing corrective action plans.
- Monitor compliance with infection prevention practices, resident safety initiatives, and quality measures.
- Assist with investigation and follow-up of incidents, grievances, concerns, and quality-related events.
- Support staff education initiatives related to regulatory requirements, quality measures, documentation standards, and best practices.
- Assist with monitoring completion of assessments, care plans, physician orders, and required clinical documentation.
- Compile and analyze quality data and prepare reports for leadership, committees, and governing bodies.
- Participate in interdisciplinary meetings focused on resident outcomes, quality initiatives, and regulatory compliance.
- Provide limited clinical support and oversight as delegated by the Director of Nursing.
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