SCA Health · 7 hours ago
Quality Standards Coordinator - Surgical Center of Greensboro
Greensboro, NC
Full-time
Onsite
New Grad, Entry Level
$72K/yr - $128K/yrSCA Health is a leading organization in redefining specialty care through accessible, patient-centered practice solutions. The Quality Standards Coordinator will manage quality improvement processes, maintain compliance with accreditation standards, and lead performance improvement activities to ensure high-quality care and patient safety.
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Responsibilities
Maintain knowledge of:
Clinical best practices
Accreditation and regulatory standards
Quality improvement processes
SCA Quality Standards Manual
SCA Governing Body (GB) and Medical Executive Committee (MEC) Bylaws
Center Medical Staff Rules & Regulations
SCA policies and procedures
Infection Control guidelines
Nationally recognized patient safety goals (NPSG’s) for ASCs
Environmental safety regulations and guidelines
SCA Environment of Care (EOC) Manual
SCA Medical Staff Services and Credentialing guidelines
SCA Medical Staff Services and Credentialing Manual
Center and regional education, orientation, and training programs
ASC center leadership responsibilities
SCA Homepages: Clinical Resources, Quality Standards, Environment of Care, Credentialing
Lead, facilitate, and advise the Center Quality Council and internal performance improvement teams:
Set the agenda and maintain meeting minutes
Ensure reporting of all mandatory and center specific monthly and quarterly reports for trends/areas for improvement to the Quality Council and Medical Executive Committee/Governing Body a minimum of quarterly:
Medical Record Audit reports; Monthly or quarterly data collection from ongoing systematic chart review to assess quality of documentation
Infection Control reports
Hospital Transfer/Complication reports
Patient Safety; measurement of key measures of patient safety and hazard analysis/process redesign (adverse events, root cause analysis)
Life safety (environment of care); Provide for a detailed assessment and evaluation of the Environment of Care (EOC) and the associated conditions, staff education and readiness and the various processes. Framework for the EOC includes the management processes and systems that affect safety, security, hazardous materials, emergency preparedness, life safety, medical equipment, and utilities management
Risk Management (incident reporting)
Adverse Drug Reaction reports
Cancellation logs
Service Satisfaction reports (patients, staff and physicians)
Center specific quality indicator reports as appropriate
PI reports; Collection, analysis and summary of performance improvement data
Provides strategic oversight of proactive and reactive patient safety activities:
Root cause analysis
Clinical practice guidelines
Sentinel Event Alerts
Identification and data collection of center specific quality indicators based on high risk, problem prone procedures as appropriate
Review and revision of the PI Plan on an annual basis and preparation of the annual report of the PI program to the Medical Executive Committee/Governing Body
Documentation of all Performance Improvement activities and maintenance of records for a minimum of three years
Provides strategic oversight of proactive and reactive patient safety activities (continued):
Coordination of the center policies/procedures and processes to be in compliance with the current standards of applicable regulatory and accrediting agencies, and mandatory SCA Corporate policies
Working with the Administrator/designee to ensure currency of all physician files, medical staff appointments and/or privileges and compliance with credentialing policies and procedures. Coordinating as appropriate the peer review process and aggregate individual peer review data for presentation and review by the Medical Executive Committee and Governing Body at reappointment
Working with the Administrator/designee to ensure currency and completeness of all human resource and education files for center employees and contract personnel
Maintain Center Survey readiness
Assess center compliance with accreditation standards and regulations in collaboration with leadership and staff
Identify areas of vulnerability and direct the development of strategies to enhance compliance
Provide the overall direction necessary to ensure that clinical services provided are evidence-based, in accordance with standards established through state and federal regulations and applicable accreditation standards, including the National Patient Safety Goals
Communicate Effectively Throughout All Levels of the Organization
Proactively educate and train the leadership and staff regarding regulatory issues, new statutes/guidelines, and safety/quality/performance improvement activities and their respective responsibilities in carrying out the performance improvement program
Maintain effective communication on current center activities related to Safety/Quality/PI and Accreditation and seek consultation as needed for support from the Regional Quality Coordinator or assigned Group Director
Qualification
Required
Hold a minimum of a High School Diploma or GED
Have prior work experience in healthcare
Possess excellent written and oral communication skills
Possess knowledge of standards, survey methodology and related tools and resources for regulatory and accreditation requirements
Benefits
Medical, dental, and vision coverage
401k plan with company match
Paid time off
Life and disability insurance
Company
SCA Health
SCA Health is a national surgical and practice management company serving over two million patients each year at more than 370 clinical locations and 250 physician practice clinics.
Founded in 1982
10001+ employees
H1B Sponsorship
SCA Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2021 (1)
Funding
Current Stage
Public CompanyTotal Funding
$25.75M2017-02-21Acquired
2013-11-08IPO
2011-10-05Seed· $0.75M
Leadership Team
Brian J Rye
Group CEO Melbourne Surgery Center/SCA and Orlando Center for Outpatient Surgery/SCA
T
Tim Szott
Vice President Operations
Recent News
2025-05-17
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