Position Summary: 

The Clinical Quality and Patient Safety Nurse Coordinator supports organization-wide efforts to improve clinical outcomes and enhance patient safety. This role collects, analyzes, and reports clinical quality data to identify trends and drive performance improvement. The coordinator ensures compliance with regulatory requirements, including CMS reporting, and collaborates with interdisciplinary teams to implement best practices. The position also provides guidance and education to clinical teams and supports organization participation in national quality initiatives. The role may focus on inpatient, outpatient, or service line-specific programs.

Minimum Qualifications:

Required

• Bachelor’s Degree in Nursing
• Current Montana Licensure as Registered Nurse (RN)
• Minimum of two (2) years of hospital nursing experience
• Demonstrated experience with data analytics
• Current Basic Life Support (BLS) from the American Heart Association

Preferred

• Experience with quality indicators (IQR, OQR, eCQM).
• Certified Professional in Patient Safety (CPPS).

Essential Job Functions:

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

• Performs concurrent and retrospective medical record audits in assigned clinical areas.
• Inputs data into clinical quality reporting systems; generates and communicates reports to leadership.
• Assists clinical teams with developing and implementing performance improvement strategies.
• Maintains current knowledge of national and regional quality initiatives and regulatory requirements.
• Collaborates with Information Systems to support electronic data capture and validation.
• Develops quality dashboards and implements quality improvement protocols.
• Supports regulatory readiness by assisting leaders in operational compliance activities.
• Facilitates interdisciplinary planning and policy development aligned with organizational goals.
• Analyzes incident reports and patient safety data to identify risks and trends.
• Educates care teams on patient safety standards, protocols, and improvement tools.
• Participates in Root Cause and Apparent Cause Analyses and develops corrective action plans.
• Leads or supports team training efforts to build quality and safety capacity across departments.

Knowledge, Skills, and Abilities

• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times.
• Ability to work in a busy and stressful environment.
• Strong interpersonal, verbal and written communication skills.
• Ability to work varied shifts.
• Exercises tact, discretion, sensitivity and maintains confidentiality.
• Quickly adapts to and proficiently utilizes both current and new computer applications and office equipment at Bozeman Health.
• Analyzes, organizes and prioritizes work while meeting multiple deadlines.
• Detail oriented, organizational skills and the ability to prioritize.
• Strong emotional intelligence, interpersonal and teamwork skills.

Schedule Requirements

• This role requires regular and sustained attendance.
• The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
• On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements

• Lifting (Repeatedly – 50 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
• Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination.
• Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
• Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints.
• Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
• Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
• Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
• Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
• Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
• Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions

*Frequency Key:  Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).