Coordinator Quality/Patient Safety

The Coordinator Quality/Patient Safety reports to the Director of Oncology with strong collaboration with leadership across the oncology service line. This position supports the delivery of high-quality, patient-centered cancer care by overseeing clinical quality initiatives, regulatory accreditation readiness, and performance improvement activities.

This role is responsible for collecting, analyzing, and reporting oncology quality metrics while ensuring compliance with standards from the Commission on Cancer (CoC), National Accreditation Program for Breast Centers (NAPBC), Quality Oncology Practice Initiative (QOPI), ASTRO and other governing bodies.

The Coordinator Quality/Patient Safety partners closely with clinical, administrative, and leadership teams to maintain accreditation, improve outcomes, and support data-driven decision-making.

MISSION, VALUES and SERVICE GOALS

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

• Maintain ongoing readiness for CoC, NAPBC, QOPI, and other oncology-related accreditation standards.
• Coordinate required accreditation activities, documentation, audits, and site visits.
• Monitor changes to regulatory requirements and communicate updates to relevant teams.
• Support development, implementation, and evaluation of cancer program quality initiatives.

Data Analytics, Reporting & Metrics Tracking:

• Developing data collection instruments for abstraction of relevant clinical data from medical records.
• Collect, validate, and analyze oncology quality data from multiple sources (e.g., cancer registry, EMR, patient experience data, NCDB).
• Develop and maintain dashboards, scorecards, and reports to measure key performance indicators.
• Provide data insights to clinical teams and leadership to support decision-making.
• Review and monitor quality measures (e.g., accountability, quality improvement, and surveillance measures for CoC).
• Prepare and present findings for quality committees, tumor boards, accreditation reviews, and leadership meetings.
• Utilizing strong interpersonal skills to work directly with physicians and other health system personnel to understand and support their data needs.
• Researching and assisting in the interpretation of medical data to maximize presentations and help clinicians/physicians to make conclusions and recommendations.

Supports Service Line by:

• Partner with clinicians and leadership to identify performance improvement opportunities in the cancer program.
• Assist with workflow assessments and process development to optimize patient outcomes and efficiency.
• Collaborate with nurse navigators, registrars, physicians, and interdisciplinary teams to address gaps in care.
• Providing primary support to Oncology Services Committee. Assisting the chair Manager/Director with development of the agenda, preparation of materials and data, and follows through on actions taken by the Committee.
• Designing, developing and assisting with the implementation of the quality improvement programs including tools such as the PDCA (Plan Do Check Act) model, rapid cycle improvement processes, value stream mapping, involvement with LEAN teams and waste reduction strategies.
• Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures.
• Analyzes and reports on data collected from a variety of sources. Develops detailed quality financial reports for specific groups and service lines.
• Serving on Oncology co-management committee to help support and provide data on quality and safety initiatives.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Completing other job-related assignments and special projects as directed.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

Education and Experience

• The knowledge skills and abilities as indicated below are normally acquired through the successful completion of an RN or LPN license in the state of Indiana. Successful completion of a bachelor's degree in nursing and a current license to practice as a Nurse in Indiana preferred but not required. Candidates with a bachelor's degree in a health care field will be given consideration, though not required. Course work in ICD-9-CM coding system ICD-10 and CPT coding methodology is desired.

Knowledge & Skills

• Requires clinical knowledge of medicine, disease and surgical procedures to independently assist in facilitating quality improvement projects.
• Requires strong analytical and critical thinking skills necessary to compile, analyze and process clinical information that has been abstracted.
• Requires working knowledge of ICD-9-CM, ICD-10 and CPT coding systems and system coding methodologies (for example, to ensure that the correct data is collected and analyzed.)
• Demonstrates proficiency in basic computer applications (i.e. email, office word and excel spreadsheets). Working knowledge of database applications and a basic understanding of graphics software is desired.
• Demonstrates the interpersonal and communication (both verbal and written) skills necessary to effectively communicate and maintain working relationships with physicians and other staff members, ability to develop presentations and lead discussions and the ability to teach others.
• Requires strong organizational skills necessary to effectively establish priorities, meet deadlines, work independently and coordinate multiple tasks.

Working Conditions

• Hybrid remote/office opportunity.
• Must be effective in a quality-focused environment that frequently deals with important deadlines and schedules.
• Must provide personal transportation to travel to all clinic locations when needed.

Physical Demands

• Ability to perform all essential job functions.

Location: Beacon Health System · Oncology Administration
Schedule: Full-time, Day, Mon - Fri 8:00 - 4:30pm