Clinical Program Coordinator
RESPONSIBILITIES:
Clinical Operations
- Support daily clinical operations and provide direct patient care as needed.
- Assist with staff orientation, competency validation, and clinical education.
- Collaborate with leadership to promote patient safety and operational excellence.
Quality, Compliance & Performance Improvement
- Coordinate the facility's Quality Assessment and Performance Improvement (QAPI) Program.
- Prepare reports and documentation for leadership, committees, Governing Board, corporate, and regulatory agencies.
- Maintain continuous compliance with CMS Conditions for Coverage, OSHA, HIPAA, accreditation standards, and organizational policies.
- Assist with accreditation surveys, regulatory inspections, policy review, and survey readiness activities.
Infection Prevention & Risk Management
- Serve as the facility's Infection Prevention Coordinator.
Credentialing & Staff Compliance
- Coordinate provider credentialing and recredentialing activities.
- Partner with Human Resources to support onboarding and ongoing regulatory compliance.
Education & Leadership
- Coordinate required certifications and annual education programs.
- Provide guidance on quality improvement, infection prevention, regulatory compliance, and patient safety initiatives.
- Participate in committees and perform other duties as assigned.
KNOWLEDGE AND SKILLS
- Knowledge of ambulatory surgery center operations, QAPI principles, infection prevention, and regulatory compliance.
- Understanding of CMS Conditions for Coverage, OSHA, HIPAA, and accreditation standards.
- Strong analytical, organizational, communication, and problem-solving skills.
- Ability to interpret data, manage multiple priorities, and maintain confidentiality.
- Proficiency with Microsoft Office and quality reporting systems.
EDUCATION / REQUIREMENTS
- Current unrestricted Registered Nurse (RN) license in the state of employment.
- Bachelor's degree in Nursing (BSN) preferred.
- Minimum of three (3) years of clinical nursing experience; ambulatory surgery or healthcare quality experience preferred.
- Experience in quality management, infection prevention, regulatory compliance, or risk management preferred.
- Current BLS certification required; ACLS and PALS required or obtained within organizational guidelines.
- Certification in Infection Prevention (CIC) or Healthcare Quality (CPHQ), or willingness to obtain, preferred.
ENVIRONMENTAL / WORKING CONDITIONS
- Works in an ambulatory surgery center environment with potential exposure to communicable diseases and biohazards.
- Requires prolonged standing, walking, computer use, and occasional lifting or assisting patients.
PERFORMANCE EXPECTATIONS
The Clinical Program Coordinator consistently:
- Maintains regulatory and accreditation readiness.
- Ensures timely completion of required quality, infection prevention, credentialing, and compliance activities.
- Promotes continuous quality improvement and patient safety.
- Collaborates effectively with physicians, leadership, and staff to achieve organizational goals.
Benefits:
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.