Quality Improvement Coordinator II

Bachelor's Degree in healthcare related field preferred. Minimum of Associate Degree in Nursing required.

Minimum of two (2) years of administrative experience or equivalent in a medical or hospital setting and five (5) years in a clinical setting required.

Active RN license in the state of SC.

Prior experience in quality, regulatory, and/or compliance highly preferred.

Lead and coordinate the organization's participation in the CMS TEAM model and other value-based reimbursement programs, ensuring performance goals, reporting requirements, and financial targets are met.

Monitor patient episodes across the continuum of care, identify opportunities to improve outcomes and reduce avoidable costs, and work with clinical teams to address gaps in care.

Build strong relationships with physicians, advanced practice providers, and operational leaders to drive engagement, accountability, and performance improvement efforts.

Analyze clinical, operational, quality, and financial data to identify trends, risks, and opportunities that impact patient outcomes, reimbursement, and organizational performance.

Collaborate with external consultants, payer representatives, and internal stakeholders to implement best practices and support ongoing program success.

Develop and maintain dashboards, scorecards, reports, and presentations that provide actionable insights for leaders, committees, and care teams.

Partner with Case Management, Revenue Cycle, Clinical Informatics, Information Technology, and other departments to optimize workflows, documentation, and reporting processes.

Support regulatory, accreditation, quality improvement, and patient safety initiatives through data collection, analysis, education, and performance monitoring.

Participate in organizational quality initiatives and special projects, performing additional quality and performance improvement duties as assigned. Special Qualifications