Coordinator-Quality and Accreditation
Company: Baptist Memorial Health
Location: Oxford
Posted on: February 5, 2026
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Job Description:
Job Summary Participates in the planning, development, and
implementation of goals and objectives related to accreditation,
certification, regulatory, federal, and state requirements.
Coordinates gathering and distributing of data in support of these
clinical and regulatory programs. Conducts portions of the medical
staff performance improvement process, including profiling with
intent to maintain and improve quality of care and service.
Provides consultation to physicians, staff, PI teams, and
departments regarding improvement methodologies and processes.
Reports to Director of Quality. Performs other duties as assigned.
Responsibilities - Coordinates, implements and evaluates hospital
and medical staff performance improvement activities. -
Coordinates, implements and evaluates clinical quality initiatives
for external comparative benchmarking. - Coordinates and
facilitates the accreditation and regulatory compliance processes -
Communicates effectively with physicians, staff, external entities.
- Educates hospital staff and physicians regarding Performance
Improvement tools and techniques. - Contributes to preparation for
accreditation, certification, and surveys. - Complete chart
abstraction and data analysis. - Assist with development,
implementation, and evaluation of quality plan and performance
improvement initiatives. - Directs community education and
prevention programs. - Identify trends for strategic planning and
performance improvement. - Completes assigned goals. Specifications
Experience Minimum Required - 5 years of experience in a clinical
setting. Prefer previous experience in quality and performance
improvement. Preferred/Desired Education Minimum Required
Preferred/Desired Training Minimum Required Preferred/Desired
Special Skills Minimum Required Preferred/Desired Licensure Minimum
Required - Registered Nurse Preferred/Desired
Keywords: Baptist Memorial Health, Oxford , Coordinator-Quality and Accreditation, Healthcare , Oxford, Mississippi
