Quality Coordinator

Quality Performance Improvement Nurse

Quality Metrics & Performance Improvement

Oversees assigned quality metrics across inpatient and ambulatory settings, including CMS, internal performance measures, and quality databases such as Vizient.

Works as part of a team of RNs to provide support, guidance, and recommendations to operational leaders in their respective areas of focus.

Each RN may have specialized areas of expertise or assigned programs, but the team collectively ensures consistent monitoring and improvement of quality and performance metrics.

Performs data validation, trending, and root cause analysis to support sustainable performance improvement.

Patient Safety & Compliance

Supports patient safety initiatives, event analysis, and mitigation strategies to reduce risk and improve outcomes.

Assists with regulatory compliance activities related to CMS, Joint Commission, and other accrediting or regulatory bodies.

Participates in readiness activities for surveys, tracers, audits, and regulatory reviews for hospital and clinic environments.

Data Analysis & Reporting

Serves as a clinical and analytical resource for quality data, outcomes reporting, and performance dashboards.

Develops and maintains reports, scorecards, and visualizations to support leadership and operational decision-making.

Acts as a subject matter expert for quality databases such as Vizient, including metric definitions, methodology, weighting, and benchmarking.

Clinical Documentation & Medical Record Review

Performs concurrent and retrospective medical record reviews to ensure accuracy, completeness, and alignment with quality and regulatory requirements.

Educates and advises clinical teams on documentation practices that support quality outcomes and compliance standards.

Education & Collaboration

Provides education, guidance, and consultation to clinical and operational leaders regarding quality metrics, patient safety, documentation, and performance improvement initiatives.

Acts as a shared resource across the RN team, ensuring operational leaders have the data, tools, and expertise needed to design and monitor implementation plans.

Collaborates with physicians, nursing leadership, IS, and operational teams to align workflows with quality goals.

Supports interdisciplinary quality committees, workgroups, and performance improvement projects.

Additional Responsibilities

Supports department workflow, project management, and prioritization of quality initiatives.

Participates in special projects and other duties as assigned to support organizational quality and performance goals.

Minimum Education Required

Associate Degree in Nursing (ADN) required

Bachelor of Science in Nursing (BSN) preferred

Minimum Experience Required

Three (3) years of experience as a Registered Nurse in a hospital or healthcare setting

Licenses / Certifications Required

Current Registered Nurse licensure in the State of Wisconsin

Knowledge, Skills, & Abilities

Strong understanding of quality metrics, patient safety principles, and regulatory requirements.

Experience with CMS measures, Joint Commission standards, and quality databases such as Vizient.

Proficiency in Epic and Microsoft Office applications (Excel, Word, PowerPoint).

Strong analytical, organizational, communication, and interpersonal skills.

Ability to work independently and collaboratively as part of a team.

Benefits:

Medical, dental and vision benefits available

403(b) company match available

Tuition reimbursement

Employee discount program

Competitive PTO

Location: Froedtert South, Inc. · QUALITYSchedule: Full-time, Days, 80