Clinical Quality Improvement Coord - Franklin County

Chambersburg, PA | Professional | Tracking Code: 65657

General Summary:


Under general supervision, uses data for healthcare quality and safety measures to review for trends and gaps related to documentation of clinical practice, established clinical staff quality improvement procedure and peer review indicators, and quality performance.  Elevates and communicates gaps and opportunities with improvement recommendations through established channels to improve care quality and safety. Prepares and organizes information for meetings and audit visits and assists in coordination of deliverables.  Participates in development and implementation of quality assessment indicators. Provides project management for selected planning and operational implementation of quality initiatives, developing project work plans, impact and communicating progress and any identified risks. Covers all responsibilities for peers in their absence.


Duties and Responsibilities:


   1  Provides project oversight, including planning, scheduling, vendor management, risk assessment, change management, time management, interpersonal leadership skills, and project control.

   2  Apply process improvement principles and quality improvement tools and techniques to identified processes/systems/ tasks.

   3  Creates timelines and deliverables for workflow development, implementation and monitoring for selected quality measures.

   4  Compiles data for and prepares regularly scheduled or special reports, analyses and statements.

   5  Educates to measure definitions when sharing data. Facilitates conversations and assists staff to identify and translate quality outcomes into a change in practice (e.g., policy, procedure, process, protocol, etc.).

   6  Researches and analyzes requests (using knowledge of the system network and internal and external resources) for possible process improvement/quality improvement opportunities, as assigned by the Director, VPMA, or Regional Director.

   7  Provides consultation regarding data analysis and interpretation to clinicians, leadership and others. Works collaboratively to provide consistent, meaningful information to all levels of the organization, including the information provided to the Hospital Board of Directors.

   8  Uses problem analysis skills and critical thinking to collect and analyze data, propose solutions, develop and write reports, letters and materials needed to achieve desirable results as requested.  Able to manage advanced database and spreadsheet applications (e.g., formulas, linking calculations, graphing and reporting) as well as web-based systems needed to obtain or manage clinical information.




Bachelor’s Degree or a Graduate of an accredited nursing program

2 years experience in healthcare quality assurance and Performance Improvement

Registered Health Information Administrator (RHIA); Certified Health Data Analyst (CHDA); Certified Professional Healthcare Quality

(CPHQ); licensure as a medical professional or registration

Current RN license in PA Preferred


Proven outstanding interpersonal skills;

Demonstrated ability to function as a team player.

Excellent computer skills, including word processing, internet, data entry, and spreadsheet use.

Able to conceptualize and convey the importance/impact of data integrity in terms of patient management, study results, cost efficiency,

quality of service, and the goals of clinical improvement and related project management

PDSA knowledge.

Excellent prioritization and organizational skills.

James Kane
James Kane
Sr. Talent Acquisition Consultant
Similar Opportunities

Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Franklin County, named after Benjamin Franklin, was officially formed in 1784. One of its two main towns, the borough of Chambersburg, lies 13 miles north of Maryland, and is known for its "green, safe environment." In the southern part of Franklin County, the borough of Waynesboro sits just two miles north of the Mason-Dixon Line and is known for its rich industrial history.

Franklin County is in the heart of South-Central Pennsylvania where you'll find mountains, lakes, and a picturesque countryside coupled with theater, music, skiing, hunting, fishing, and much more. We're in the heart of America's fruit orchards, so peaches, apples, and lots of other local produce are available close by. The area features local wineries and breweries, along with a vibrant arts scene at the historic Capitol Theatre and Totem Pole Playhouse. Franklin County merges the best of small-town friendliness with easy access to metropolitan areas. (Patient population: 154,000)