Default Work Shift: Day (United States of America) Hours: 40 Salary range: $22.83 - $34.69 Schedule: Full Time Shift Hours: 8 Hour employee Department: Quality Improvement Job Objective: Provides administrative support and the coordination of department functions for the Quality Improvement department while participating in key organizational initiatives and regulatory compliance projects. Contributes to organization-wide survey readiness, assists with the collection of healthcare quality metrics, and promotes culture of safety initiatives. Job Description: Education: Required: High school diploma, GED or higher level degree Preferred: Bachelor’s degree Licensure/Certification: N/A Experience: Required: Two (2) years of experience in a healthcare office/clinical setting or quality/process improvement department; bachelor’s degree will be considered in lieu of experience Reports To: Director-Quality/Patient Safety Officer Supervises: N/A Ages of Patients: N/A Blood Borne Pathogens: Minimal/ No Potential Skills, Knowledge, Abilities: Ability to ask clarifying questions and review documents for accuracy, Ability to communicate with patients, healthcare professionals, and staff to ensure clear and accurate exchange of information, Ability to coordinate and evaluate regulatory requirements for multiple projects, Ability to organize information or data to facilitate easy retrieval and use, Ability to prioritize tasks and manage time efficiently to meet deadlines, Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications, Written and verbal communication skills Essential Responsibilities 1. Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations. 2. Provides administrative support for the Quality Improvement Department inclusive of but not limited to Patient Safety, Peer Review, Regulatory Compliance, and Infection Prevention; this is inclusive of but not limited to ordering office supplies, coordinating meetings and luncheons, and preparing meeting agendas and minutes. 3. Serves as a key coordinator during regulatory and accreditation surveys conducted by agencies such as CDPH, CMS, and The Joint Commission; works with the team to develop, maintain, and organize documentation to support regulatory compliance and ongoing survey readiness activities. 4. Partners with the Quality Improvement staff to collect, prepare and maintain metrics and supporting documentation required by regulatory, licensing, and accrediting agencies, ensuring accuracy and compliance with applicable standards. 5. Supports leadership by creating reports and presentations using various applications. 6. Collaborates with organizational leaders to collect, validate, and prepare quality performance metrics from multiple departments; works with Quality Program Manger to prepare reports for the Quality Council. 7. Oversees the intake, triage, and coordination of quality of care and service-related concerns received from insurance groups through written complaints; collaborates with appropriate leadership and Quality staff to facilitate timely investigations, resolutions, and service recovery efforts when warranted. 8. Collaborates with department leadership to assist with planning and coordinating department specific and organization-wide quality and patient safety initiatives, such as Patient Safety Week and Healthcare Quality Week to promote the culture of safety and continuous quality improvement. 9. Coordinates the organization’s Good Catch program in collaboration with the Patient Safety Program Manager; works to coordinate recognition efforts for staff who proactively identify and report patient safety risks, fostering a culture of safety. 10. Performs other duties as assigned.