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Mackinac Straits Health System is dedicated to providing exceptional healthcare services to the communities we serve. Our mission centers on delivering high-quality, accessible care with a focus on excellence, integrity, and continuous improvement in patient outcomes.

We are seeking a detail-oriented and proactive Quality Improvement Coordinator to join our team. This vital role involves leading efforts to enhance healthcare quality, ensure compliance with regulatory standards, and promote a culture of continuous improvement. The ideal candidate will possess strong knowledge of healthcare regulations and quality management practices, contributing to our commitment to exemplary patient care and safety.

Key Responsibilities

Quality Monitoring & Data Analysis

Collect, validate, and analyze performance and quality data (ED throughput and quality data, Incident reporting data, Provider Performance Data) from various internal and external sources.
DNV regulatory preparation
Facilitates and tracks completion of quality data to external sources (P4P BCBS,MBQIP, MICAH QN, HQR, Q-Centrix ect..)
Responsible for developing and maintaining organizational dashboard of key performance metrics
Support Director in development of dashboards, reports, and presentations to communicate trends, findings, and recommendations.
Support Director in preparing data for Quality Task force and Board Quality.
Monitor quality indicators, key performance metrics, and improvement targets.
Identify opportunities for process improvements based on data-driven insights.
Incident reporting daily oversight
Internal review facilitation
Support policy workflows

Process Improvement & Project Coordination

Facilitate quality improvement initiatives using methodologies such as PDSA, Lean or similar frameworks.
Assist in the planning, implementation, and evaluation of improvement projects through internal audits and PIP.
Tracking progress of departmental corrective action plans.
Coordinate interdisciplinary improvement teams and meetings for internal audits and PIP.
Assist with Emergency Preparedness coordination

Compliance & Accreditation

Ensure ongoing compliance with regulatory standards (DNV)
Participate in audits, accreditation preparation, and policy reviews.
Maintain documentation required for compliance and quality reporting.
Promote a culture of continuous improvement throughout the organization.

Documentation & Reporting

Prepare routine and ad-hoc quality reports for leadership committees and stakeholders.
Maintain quality-related records, databases, and tracking systems.
Document quality improvement activities and outcomes for internal and external reporting.

Required Qualifications

2-5 years relevant hospital experience
Strong analytical and problem-solving skills.
Proficiency with data tracking and reporting tools
Excellent communication, facilitation, and organizational skills.

Preferred Qualifications

Experience in quality improvement, data analysis, compliance, or related roles
Familiarity with regulatory and accreditation standards relevant to the organization.

Key Competencies

Attention to detail and accuracy
Ability to work collaboratively across departments
Strong critical thinking skills
Project management abilities
Commitment to continuous improvement
Ability to translate data into actionable insights

Working Conditions

Office-based environment
Monday thru Friday 8 hour shifts
Occasional travel to organizational sites.

Salary commensurate with experience

Pay: From $28.00 per hour

Expected hours: 40.0 per week

Benefits:

401(k)
401(k) matching
AD&D insurance
Dental insurance
Health insurance
Health savings account
Life insurance
Paid time off
Prescription drug insurance
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: In person

Jobs in St. Ignace

Quality Improvement Coordinator