Healthcare Quality and Performance Improvement Coordinator
Job Details
806 West Street - Homestead, PA
Full Time
4 Year Degree
$37,211.20 - $47,008.00 Salary/year
Up to 25%

The Healthcare Quality and Performance Improvement Coordinator is responsible for the coordination and management of the Agency's Quality and Performance Improvement Programs (QPI). This position will focus on quality assurance; incident/risk management; a data-driven QPI plan; quality indicators; healthcare best practices; and agency-wide quality improvement processes. The Healthcare Quality and Performance Improvement Coordinator will have oversight for agency compliance and all activities related to the administration of the Health Insurance Portability and Accountability Act (HIPAA) regulations.


The employee must be able to perform these essential functions with or without reasonable accommodations by TSI, without posing a direct threat to him/her or others.

  1. Develops and implements the Quality and Performance Improvement Plan and oversees all Quality Improvement initiatives.
  2. Designs and implements quality assurance and performance improvement processes that are based on regulations, best practices, and identified needs of the organization.
  3. Develops the agency's evaluation plan and assists in the development and measurement of outcomes promoting the agency's growth and improvement. Ensures outcomes are comparable to national standards (i.e. CARF)
  4. Reviews/ensures the Program Policy Manual and recommends changes to maintain compliance with Federal, State, County regulations and licensing and accreditation standards.
  5. Monitors and oversees all required regulatory quality assurance and risk management activities ensuring accurate completion of related documentation.
  6. Serves as the Compliance Officer and monitors the Compliance plan and delivers required staff compliance training.
  7. Develops and implements training programs, tools, and other documents to help staff successfully implement quality initiatives
  8. Acts as the co-chair for both the Program Review and Quality Analysis Teams. Compiles data and generates reports to ensure organizational quality.
  9. Coordinates and evaluates all program quality reviews preparing summary reports and making recommendations for improvements.
  10. Conducts Abuse/Incident Investigations. Oversees the Agency's incident reporting for both MH/MR programs. Examines final reports and submits recommendations.
  11. Collaborates with managers, staff, from within and outside the agency as needed and related to improving outcomes.
  12. Provides guidance and training to staff on privacy and related matters. Assists with the responsibilities of HIPAA monitoring and compliance.
  13. Ensures that the closed record files are submitted and maintained according to the regulations and agency practice.
  14. Manages the hotline established for persons served and assists with the addressing of individuals' complaints, grievances, and rights related questions.
  15. Compiles and analyzes data generating statistical reports for the Executive Team and Board of Directors according to organizational needs.
  16. Ensures that the Agency evaluation and overall managerial practices are consistent with the Continuous Quality Improvement philosophy
  • Bachelor’s degree from an accredited college or university – Required
  • A minimum of five years of experience in healthcare – Required
  • Quality/Performance Improvement experience – Preferred
  • Experience in process improvement models e.g. PDSA, Lean-six-sigma, etc., meeting facilitation and process improvement tools – Preferred
  • Knowledge of Microsoft Office applications (Word, Excel, and Powerpoint) and how to use them, create surveys, conduct data analysis and generate presentations - Required


Transitional Services, Inc. does not discriminate on the basis of race, color, religious creed, disability, ancestry, national origin (including limited English proficiency), age, or sex.