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The University of Texas at Austin · 4 weeks ago

Compliance and Quality Coordinator, Healthyhorns

Austin, TX

Full-time

Onsite

Entry, Mid Level

$57K/yr - $57K/yr

2+ years exp

The University of Texas at Austin is dedicated to enhancing the health and well-being of its students through the Healthyhorns initiative. The Compliance and Quality Coordinator will partner with Healthyhorns staff to support compliance and quality improvement activities, ensuring adherence to policies and procedures while managing various administrative projects.

Corporate TrainingEducationHigher EducationUniversities

Responsibilities

Executes day-to-day compliance and risk monitoring activities across clinical and administrative workflows, including spot checks and targeted reviews to verify adherence to policies and procedures

Updates policy and procedure based on the guidance and instruction of stakeholders; tracks the progress of policies in workflow and provides support to assure timely review and approval in collaboration with the Healthyhorns Policy & Procedure Coordinator

Collects and analyzes compliance data; ensures documentation meets regulatory, policy, and accreditation standards

In collaboration with the Healthyhorns Clinical Staff Educator/Infection Prevention & Safety Coordinator, support documentation of staff training and compliance, including tracking completion and maintaining training records

Tracks patient complaints and compliance gaps; documents findings, escalates issues per protocol, identifies areas for opportunity and supports corrective actions

Assists with management and coordination of quality improvement (QI) studies and projects from planning through sustainment

Writes study reports and synthesizes finds for stakeholders

Leads gap analysis exercises to identify root causes and prioritize improvement opportunities

Track corrective action plans, follow up with owners on timelines and deliverables

Coordinates remeasurement cycles to assess post-corrective action implementation performance and sustainment

Monitors and tracks communication to staff on QI studies and other educational activities

Assists data collection, performance measurement, and reporting for clinical quality, safety, and patient experience indicators

Supports peer review activities and generate summary reports that synthesize trends, recommendations, and follow-up actions

Assists in preparing for AAAHC accreditation and survey readiness

Serves as a resource for continuous quality improvement frameworks, best practices and tools

Plans, develops, implements, and evaluates other projects as assigned by Assistant Director for Quality Management in coordination with other administrators and staff in Healthyhorns

Partners with the Clinical Staff Educator/Infection Prevention & Safety Coordinator to advance risk management and compliance through a team-based, collaborative approach

Uses the Customer Service Standards as the benchmark for all interactions with patients and other customers

Treats others with dignity and respect, regardless of individual differences

Knows, understands and abides by: Healthyhorns Patient Rights and Responsibilities statement, Healthyhorns Principles of Professional Conduct, Healthyhorns and department-specific Policies and Procedures

Respects patient privacy and maintains confidentiality, disclosing protected health information only as it relates to the plan of care for that patient

Supports and participates in quality improvement efforts, including adjusting performance and practice in accordance with quality improvement initiatives and findings

Qualification

Healthcare AdministrationQuality Improvement PrinciplesData AnalyticsStakeholder ManagementMicrosoft Office SuitePresentation SkillsWritten CommunicationInterpersonal Skills

Required

Bachelor's degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience)

Strong understanding of quality improvement principles and frameworks, including practical use of methods such as PDSA and root cause analysis

Ability to utilize assessment, evaluation, and data analytics to deliver insights to leadership

Demonstrated stakeholder management and collaboration skills—able to confidently engage clinicians, staff, and leadership; facilitate consensus to move initiatives forward in multi-stakeholder environments

Strong presentation skills, with the ability to effectively communicate information to diverse audiences in both individual and group settings

Excellent written/oral communication and interpersonal skills

Proficiency in Microsoft Office Suite, particularly Excel

Demonstrated ability to successfully work with a varied community and provide services from a non-judgmental perspective

Relevant education and experience may be substituted as appropriate