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Bon Secours Mercy Health Quality Improvement Coordinator in Franklin, Virginia

Thank you for considering a career at Bon Secours!

Summary of Primary Function/General Purpose of Position (2-3 sentences)

Ensures the delivery of high quality, excellent care that meets or exceeds regulatory standards and requirements and payor expectations, as well as assisting the organization to successfully achieve organizational objectives for quality and patient safety. Participates in quality reviews, reporting and performance improvement. Collaborates with nursing leadership, nursing staff members, and medical staff as needed. Prepares and submits quality reports as required by external agencies and payors. Facilitates and supports the quality, patient safety, and performance improvement committee infrastructure. Provides support for organizational quality, patient safety, and performance improvement committees and projects as needed. Supports Medical Staff Quality and Peer Review.

Essential Job Functions

Essential Functions (7-10) Statements - List the essential functions of the job. Essential functions are the reasons a job exists.

Collaborates and acts as a resource to the organization and medical staff in the abstraction, analysis, and submission of data for evaluation to ensure compliance with regulatory agencies, CMS conditions of participation, payor requirements, and medical staff bylaws. Includes support of the Medical Staff Quality/Peer Review function

Collects quality indicator data and provides comparative analysis with other healthcare facilities.

Participates as a member of quality improvement teams to provide data, analysis and document learnings to ensure spread of best practices.

Collaborates with hospital departments to ensure site survey readiness and compliance with regulatory requirements and conditions of participation

Serves as an internal consultant and educator for performance improvement activities and patient safety processes

Participates in an environment promoting individual and team accountability and commitment to high-quality and safe patient care.

Participates in the development and implementation of the organization-wide quality and performance improvement plan

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Employment Qualifications

Education Qualifications - List the minimum education, training, and experience required to perform the essential functions of the position.

Required Minimum Education:

Bachelors Degree


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Preferred Education

Masters Degree

Healthcare related topic

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Licensing/ Certification - If registration, certification or licensure is required, include the name of the accrediting or licensing body.

Licensure/Certification Required

Registered Nurse

Licensure/Certification Preferred

CPHQ or other Quality certification

Minimum Qualifications

Minimum Years and Type of Experience

3 years acute clinical experience

Other Knowledge, Skills and Abilities Required

Ability to lead teams, ability to interpret data, excellent communication skills

Other Knowledge, Skills and Abilities Preferred

Lean or Six Sigma Training

Combination of post-secondary education and experience in lieu of a degree.

Bon Secours is an equal opportunity employer.

We’ll also reward your hard work with:

  • Comprehensive, affordable medical, dental and vision plans

  • Prescription drug coverage

  • Flexible spending accounts

  • Life insurance w/AD&D

  • An employer-matched 403(b) for those who qualify

  • Paid time off

  • Educational Assistance

  • And much more

S cheduled Weekly Hours:


Work Shift:

Days (United States of America)


Quality Assurance - Southampton - Franklin

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at .