$15,000 Sign on Bonus

Job Title: Clinical Quality Coordinator-RN Department: Clinical Quality

Reports to: VP of Quality & Patient Safety Revision Date: 01/01/2026

Grade Level: 31 Status: Non-Exempt

 

Job Summary:

Review of all clinical cases according to regulations governing this activity, participation in the review activities of all Oswego Hospital programs as needed. A Quality Coordinator RN is responsible for planning, implementing, and managing quality improvement programs to ensure compliance with regulatory standards and enhance patient care and safety

 

Duties/Responsibilities:

Provide clinical support to professional or paraprofessional staff related to chart reviews and quality improvement activities. Review of clinical records for timeliness and quality of documentation to ensure compliance with regulations governing clinical operation, and provide feedback to clinicians and managers. Provide assistance, training, and education to staff to assist in improving the quality of care provided to patients. Provide education and training to staff on quality improvement processes and regulatory requirements, fostering a culture of continuous improvement. Maintain accurate records of quality review activities and provide reports to the appropriate individuals and committees. Attend committee meetings as appropriate and requested. Develop and implement quality monitoring - plan, coordinate, and implement quality improvement activities to ensure compliance with regulatory standards and improve patient outcomes. Collect, analyze, and report performance data related to quality improvement initiatives, ensuring timely submission of quality reports. Work collaboratively with healthcare teams, including medical staff, to coordinate quality improvement initiatives and provide guidance on best practices. Conduct routine audits and medical record reviews to evaluate patient care, identify opportunities for improvement, and ensure adherence to quality standards. Maintain familiarity with all regulations, which affect the provision and documentation of clinical services (these include but are not limited to the Joint Commission, Department of Health (DOH), Centers for Medicare and Medicaid Services (CMS), & Office of Mental Health (OMH)). Track and report Joint Commission inpatient core measures, Focused professional practice evaluation (FPPE) & Ongoing professional practice evaluation (OPPE). Participate in the tracking and resolution of client/family complaints. Participate in incident report monitoring as well as sentinel events via NYPORTS. Perform other duties as assigned.

Required Skills/Abilities (Unit Specific):

Excellent written and oral communication, analytical, computer, and presentation skills required. Ability to diagnose problems and drive appropriate solutions Professionalism and awareness appropriate for working with senior leaders, board members, employees, clients, physicians, guests, and volunteers.

 

Education and Experience:

NYS Licensed Registered Nurse required. Strong clinical background, excellent interpersonal skills, communication skills, organizational skills, problem solving skills, and knowledge of health care regulatory standards and codes. Minimum three of more years’ medical/surgical experience preferably in a leadership/team leader position including charge nurse capacity. Experience in providing medical staff support and establishing positive rapport and culture. Strong information management experience with personal computer knowledge with an emphasis on standard database/spreadsheet/graphics applications.

Working Conditions:

Extended periods of sitting, using standard office equipment including, but not limited to computers, phones, scanners, fax machines, printers, etc. Requires attendance of seminars, workshops, conferences when appropriate. Requires leading and/or attending staff and executive meetings. Occasionally requires assembling, using and maintaining all departmental equipment. Occasionally requires prolonged periods of standing and walking with the ability to lift, push or pull up to 15 lbs. using proper body mechanics. Actively participates in Quality Assurance programs and QAPI, in-service programs; completes department specific requirements/competencies; attends all mandatory classes as required; participates in meetings and committees as assigned. Complies with DOH requirements for annual health assessments and required immunizations.

 

Pay Range: $40.95-$44.11/hr

Employee salary is based on commensurate experience and other qualifications.

 

About Oswego Health:
The mission of Oswego Health is to provide accessible, quality care and improve the health of residents throughout Oswego County. As a nonprofit healthcare system established in 1881, Oswego Health is proud to be Oswego County’s largest private employer. More than 1,300 employees spread throughout its 18 locations, work for the Oswego Health system, which includes the 132-bed community Oswego Hospital, a 32-bed psychiatric acute-care facility with multiple outpatient behavioral health service locations, The Manor at Seneca Hill, a 120-bed skilled nursing facility, and Springside at Seneca Hill, an independent retirement community. The health system also operates Oswego Health Home Care, the only hospital-based certified home healthcare agency in the County, as well as two outpatient centers, including the Fulton Medical Center, offering urgent care, lab, medical imaging, physical therapy, and occupational health services, and the Central Square Medical Center, offering urgent care, lab, medical imaging, and physical therapy services. In addition, the healthcare system includes Oswego Health Medical Practice, a multi-specialty medical group offering the community accessible, high-quality healthcare. 100+ physicians and advanced practice providers offer an extensive array of services across CNY, including primary care and specialty care in the areas of orthopedics, cardiology, ENT, gastroenterology, breast care, general surgery, urology, and bariatrics.

EQUAL EMPLOYMENT OPPORTUNITY

Oswego Health is committed to providing equal opportunity in all employment-related matters, without regard to race (including traits historically associated with race), creed, color, religion, sex/gender, national origin, age, marital or familial status, disability, pregnancy-related condition, sexual orientation, gender identity, gender expression, transgender status, citizenship status, ancestry, arrest/conviction record, military or veteran status, domestic violence victim status, genetic predisposition or carrier status, reproductive health decision making, relationship or association with a member of a protected category, or any other legally protected characteristic. Decisions affecting your position including, but not limited to, recruitment, hiring, placement, promotion, transfer, compensation, benefits, training, tuition assistance, leaves of absence, disciplinary action, layoff/recall, and terminations will be made in accordance with this policy.