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