Quality Improvement Coordinator

Niagara Falls Memorial Medical Center is in growth mode and is seeking a Quality Improvement Coordinator to join our team!

The Quality Improvement Coordinator maintains responsibility for overall support and coordination of Quality Management operations under directive of the Vice President of Quality and Corporate Compliance. The Quality Improvement Coordinator plays a critical role in supporting the hospital’s quality improvement, safety, and regulatory compliance efforts. This position is responsible for coordinating quality improvement initiatives, maintaining accurate reporting systems, and ensuring adherence to regulatory standards to promote high-quality, safe, and patient-centered care.

RESPONSIBILITIES:

• Works collaboratively with departments to develop quality improvement indicators. Monitors quality improvement indicators to evaluate progress and provide input and support as needed.
• Provide education and support to staff on quality improvement processes, regulatory requirements, and reporting expectations.
• Review, investigate, and track management of event reporting database, ensuring timely follow-up and resolution.
• Coordinate the preparation of agendas, accurately document meeting minutes, and track follow-up action items for Quality committees. Ensure timely distribution of meeting materials and monitor the completion of action items.
• Records, investigates and refers patient complaints appropriately as the liaison between complainant and Department Manger to determine outcome. Completes all components of electronic data entry in database; prepares follow-up communication to complainant as indicated.
• Support the submission and follow up process for NYPORTS, Root Cause Analysis, and DOH and other surveyor submissions. Prior to being electronically submitted all reports must be thoroughly investigated and summaries prepared.
• Assist in development, tracking, and follow up of corrective action plans in response to survey findings from DOH, OMH, HFAP, and other regulatory bodies.
• Participate in reviewing, revising, and developing hospital policies and procedures related to quality improvement.
• Attend RCA meetings, take minutes, and ensure timely follow-up on action items.
• Maintain survey readiness by ensuring required documentation, policies, and staff education are up to date.
• Prepare graphs, dashboards, and summary reports to present quality improvement data to leadership and committees.
• Assist in conducting audits to monitor compliance with hospital policies, procedures, and regulatory standards.
• Maintain the confidentiality of quality-related information and uphold ethical standards in all quality improvement activities.
• Work closely with clinical and non-clinical staff to promote a culture of continuous quality improvement.
• Other duties as assigned by Vice President of Quality and Compliance.

REQUIREMENTS:

• Minimum of 2-3 years of experience in quality improvement, patient safety, or healthcare regulatory compliance.
• Strong understanding of healthcare quality improvement methodologies, regulatory requirements, and data management.
• Excellent organizational, communication, and interpersonal skills.
• Proficiency in Microsoft Office Suite, Adobe, and quality reporting software.
• Ability to work independently and collaboratively in a fast-paced environment.

EDUCATION:

• Bachelor’s degree in healthcare administration, nursing, public health, or related field (Master’s preferred).

EXPERIENCE:

• Healthcare quality/leadership background
• Strong computer, written, presentation skills
• Organized and detail oriented
• Familiar with hospital policies, quality standards

BENEFITS INCLUDE:

• Generous Paid Time Off (PTO) Program
• Extended Illness Bank
• Competitive hourly rates
• Group Life Insurance
• Supplemental Short-Term Disability
• Medical Insurance, Dental Insurance
• Employee Assistance Program
• 403(b) Retirement & Savings Plan
• Job-related Tuition Reimbursement Program

WHO WE ARE:

Niagara Falls Memorial Medical Center is the only full-service hospital in Niagara County. The facility offers a 171-bed regional medical center with extensive inpatient and outpatient services, including a full-service Medical & Psychiatric Emergency Room, The Heart Center of Niagara featuring an on-site Cath Lab, Niagara Wellness Connection Center, The Wound Center of Niagara, OB/GYN Center and UBMD Orthopedics & Sports Medicine. We also offer a comprehensive range of surgical services.

The first hospital in Niagara to be designated a stroke center by the New York State Department of Health, we operate several satellite facilities, including the Summit Healthplex, Tuscarora Health Center, primary care offices in Niagara Falls, Wheatfield, and the Town of Niagara. Schoellkopf Health Center, a 120-bed skilled nursing facility that specializes in short-term rehabilitation and elder care. Like the medical center itself, Schoellkopf features 100-percent private room accommodation.

Niagara Falls Memorial's Child Advocacy Center of Niagara enjoys national accreditation. Our community health advocacy efforts coupled with extensive and productive community partnerships make us one of Western New York's most consistently innovative providers of community-based health outreach.

As one of the Greater Niagara region's largest employers, we pride ourselves on playing an active role as an economic engine and a catalyst for community growth.

Through growth and change, we remain faithful to our core mission: Improving the health of the Greater Niagara Region with a passion for excellence.

Job Type: Full-time

Pay: $85,000.00 per year

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Ability to Commute:

• Niagara Falls, NY 14301 (Required)

Ability to Relocate:

• Niagara Falls, NY 14301: Relocate before starting work (Required)

Work Location: In person

Salary : $85,000