Joint Venture Quality Program Coordinator Nurse (RN)

Quality Data Abstraction & Clinical InterpretationCollect, abstract, and validate clinical and operational quality data across all joint ventures, applying nursing knowledge to ensure clinical accuracy and completeness for internal and external reporting.Interpret clinical documentation, diagnoses, medications, and care plans within the EHR to accurately capture quality measure data that non-clinical abstractors may misread or miss.Maintain and update quality scorecards, performance dashboards, and tracking tools on a regular basis to reflect current performance across the JV portfolio.Generate recurring and ad hoc quality performance reports for the Quality Program Supervisor, joint venture leadership, and physician partners.Support accurate documentation and submission of quality and cost performance data in compliance with CMS, MSSP, ACO, and other value-based care program requirements.Performance Monitoring, Gap Analysis & Clinical AssessmentMonitor quality metrics and performance benchmarks across all joint ventures, flagging variances, trends, and care gaps for supervisor review and action.Apply clinical nursing judgment to analyze root causes of quality score variances, distinguishing between documentation gaps, true care deficiencies, and coding issues enabling more targeted and effective performance improvement interventions.Conduct clinical record reviews to identify missed or incomplete quality measure documentation, providing specific, actionable guidance to physicians and clinical staff for correction and improvement.Track care gap closure activities across joint ventures, coordinating with clinical staff and physician offices to ensure timely completion and documentation.Support the preparation of performance summaries and trend analyses to inform physician engagement and leadership decision-making.Clinical Education & Provider EngagementEducate physicians and clinical staff on quality measure requirements, documentation best practices, and evidence-based care standards using clinical expertise to communicate in terms that resonate with care teams.Serve as a trusted clinical resource for physician partners and nursing staff, bridging the gap between quality program requirements and day-to-day patient care delivery.Lead or support clinical staff education sessions on risk adjustment documentation, chronic disease management coding, and preventive care measure completion.Review and interpret clinical guidelines and evidence-based protocols to inform quality improvement recommendations, translating complex clinical standards into practical workflows for joint venture partners.Care Coordination & Transitions of CareCoordinate care gap closure workflows between hospital and physician group partners, applying clinical knowledge to triage urgency, identify high-risk patients, and prioritize outreach for maximum impact on quality outcomes.Conduct or support clinical outreach to patients with complex or chronic conditions, providing nursing-level guidance on preventive care, medication adherence, and follow-up appointments to close quality measure gaps.Support transitions of care initiatives by reviewing discharge summaries, identifying patients at risk for readmission, and coordinating follow-up with outpatient care teams to reduce avoidable readmissions and complications.Maintain organized records of care coordination activities, clinical outreach, follow-up actions, and outcomes across joint venture entities.Meeting Coordination & Administrative SupportCoordinate and prepare materials for quality meetings, performance reviews, and joint venture leadership presentations, including agendas, data summaries, and follow-up action items.Maintain organized documentation of meeting minutes, governance decisions, performance records, and compliance activities across the JV portfolio.Support the onboarding of new joint venture programs by assisting with data setup, reporting infrastructure, and workflow integration.Compliance & Audit SupportAssist in maintaining audit-ready documentation for regulatory and payer reviews, ensuring quality and performance records are complete and accessible.Apply clinical knowledge to review and validate the accuracy of quality measure documentation during audit preparation, identifying and correcting clinical discrepancies prior to submission.Support the development of Plans of Correction (POC) by compiling data, tracking corrective action progress, and documenting outcomes.Ensure data abstraction and reporting activities align with HIPAA privacy standards, CMS program requirements, and joint venture governance policies.QualificationsEducation: Associate's or Bachelor's degree in Nursing required. Bachelor of Science in Nursing (BSN) preferred.Licensure: Current, unrestricted Registered Nurse (RN) license in the state of Indiana required.Experience: 2+ years of clinical nursing experience required, with preference for experience in ambulatory care, care management, or quality improvement settings. Experience in an ACO, value-based care, or joint venture environment is a plus. Familiarity with CMS quality programs, HEDIS/Stars measures, or HCC risk adjustment preferred.Technical Skills:Proficiency in Electronic Health Records (EHR) systems with ability to navigate and interpret clinical documentation.Experience with data visualization or reporting platforms such as PowerBI, Tableau, or Excel.Strong attention to detail with demonstrated ability to manage and validate clinical data sets accurately.Knowledge Areas:Working knowledge of CMS regulations, value-based payment models, and quality reporting requirements.Familiarity with Stars quality measures, care gap closure processes, and chronic disease management standards.Understanding of HIPAA privacy standards, healthcare data governance practices, and clinical documentation requirements.Strong clinical assessment skills with ability to evaluate patient records, identify care gaps, and communicate findings effectively to physicians and multidisciplinary care teams.Scope & ImpactSupports quality performance across all joint ventures within the Deaconess Health System portfolio, bringing clinical depth to data analysis and care improvement efforts.Contributes directly to CMS Star Ratings, shared savings performance, and regulatory compliance through clinically accurate data abstraction, meaningful provider engagement, and targeted care gap closure.Reports to the Quality Program Supervisor of Joint Ventures; collaborates with physicians, clinical staff, and operational leaders across joint venture entities.Plays a key role in building scalable, clinically informed quality infrastructure to support the continued growth and performance of the JV portfolio.Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. 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