Nursing Coordinator Quality and Performance Improvement

Join our team and make a difference at a great and expanding community based hospital, Montefiore Mount Vernon. The hospital is part of Montefiore Einstein, a premier academic health system serving more than 3 million people living in the New York City region and Hudson Valley. We have a fantastic opportunity for a Nursing Coordinator Quality and Performance Improvement to join our staff and be part of the exciting growth happening at Mount Vernon Hospital.Position Summary:Manages clinical data tracking, drives patient safety projects, and ensures hospital units meet national nursing quality standards. Core duties involve tracking the National Database of Nursing Quality Indicators (NDNQI), conducting chart audits, and leading performance improvement plans. Ensures adherence to health standards, evaluates clinical procedures, and monitors patient care for quality improvement. Understands Magnet Recognition designation and can collaborate with nursing leadership to implement and monitor best practices. Essential FunctionsNDNQI Data Management: Collects, enters, and analyzes clinical data for NDNQI benchmarks like falls, pressure injuries, and catheter-associated urinary tract infections (CAUTIs). Performance Improvement: Leads quality projects, root cause analyses (RCAs), and failure mode and effects analyses (FMEAs) to fix gaps in care.Compliance and Audits: Performs patient chart reviews and unit rounds to maintain readiness for groups like The Joint Commission. Review and analyze patient care records for compliance and improvement opportunitiesImplement quality assurance programs across medical departmentsReview and analyze patient care records for compliance and improvement opportunitiesTrain healthcare staff on updated clinical methodologies and standardsCollaborate with interdisciplinary teams to assess quality improvement initiativesPrepare reports on quality metrics for organizational reviewMonitor and evaluate health outcomes against established benchmarksAdvise on regulatory compliance regarding healthcare standards QualificationsBSN RequiredMasters PreferredRegistered Nurse New York - New York State Board of Nursing Required3 to 5 years of acute care clinical nursing required1 to 3 years in healthcare quality, data analysis, or chart auditing preferred.Certified Professional in Healthcare Quality (CPHQ) is often preferred and/or willing to obtain within 18 months of hire.