Summary Participates in the planning, development, and implementation of goals and objectives related to accreditation, certification, regulatory, federal, and state requirements. Coordinates gathering and distributing of data in support of these clinical and regulatory programs. Conducts portions of the medical staff performance improvement process, including profiling with intent to maintain and improve quality of care and service. Provides consultation to physicians, staff, PI teams, and departments regarding improvement methodologies and processes. Reports to Director of Quality. Performs other duties as assigned. Responsibilities + Coordinates, implements and evaluates hospital and medical staff performance improvement activities. + Coordinates, implements and evaluates clinical quality initiatives for external comparative benchmarking. + Coordinates and facilitates the accreditation and regulatory compliance processes + Communicates effectively with physicians, staff, external entities. + Educates hospital staff and physicians regarding Performance Improvement tools and techniques. + Contributes to preparation for accreditation, certification, and surveys. + Complete chart abstraction and data analysis. + Assist with development, implementation, and evaluation of quality plan and performance improvement initiatives. + Directs community education and prevention programs. + Identify trends for strategic planning and performance improvement. + Completes assigned goals. Requirements, Preferences and Experience Experience Minimum: 5 years of experience in a clinical setting. Prefer previous experience in quality and performance improvement. Licensure, Registration, Certification Minimum: Registered Nurse About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey. At Baptist, We Offer: + Competitive salaries + Paid vacation/time off + Continuing education opportunities + Generous retirement plan + Health insurance, including dental and vision + Sick leave + Service awards + Free parking + Short-term disability + Life insurance + Health care and dependent care spending accounts + Education assistance/continuing education + Employee referral program Job Summary: Position: 17705 - Coordinator-Quality and Accreditation RN Facility: BMH - Desoto Hospital Department: DC Quality BMH Desoto Category: Nurse RN Type: Clinical Nurse Work Type: Full Time Work Schedule: Days Location: US:MS:Southaven Located in the Memphis metro area REQNUMBER: 23659