University of Texas
Compliance and Quality Coordinator, Healthyhorns
University of Texas, Austin, Texas, us, 78716
* 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.* Healthyhorns Patient Rights and Responsibilities statement* Healthyhorns Principles of Professional Conduct* Healthyhorns and department-specific Policies and Procedures* 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.** Master’s degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience).* Experience facilitating QI education, coaching, and leading cross-functional improvement initiatives.* Working knowledge of basic healthcare privacy concepts and healthcare compliance standards.* Proven experience in managing projects that are long term in nature, involve multiple stakeholders, and/or are related to the healthcare environment.* CPHQ and/or other high reliability recognized certifications.* 2-3 years of work experience in a healthcare setting.**Start Here, Change the World**At The University of Texas at Austin, tradition meets innovation in the heart of a city that frequents lists of the best places to live and work. Named by Forbes as one of America's Best Large Employers for the sixth year in a row in 2025, UT offers both a dynamic work environment and a gateway to vibrant local culture. Whether you're at the forefront of the student experience, conducting world-changing research or supporting the engine that drives Texas’ flagship university, working at UT means making a lasting impact on our city, our state and our world.Our more than 20,000 faculty and staff empower 55,000+ students to challenge ideas, pursue passions and shape their futures. Joining UT, you’ll become part of a community dedicated to making a meaningful impact on campus and throughout the world.Please see our .**Comments and Inquiries:**Email comments to hrsc@austin.utexas.edu. For questions or concerns regarding equal opportunity only, contact .Additional information for applicants can be found on the Human Resources web page: .
For more job information, call the Human Resource Service Center at (512) 471-4772, or toll-free at (800) 687-4178. #J-18808-Ljbffr
+ 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.* Healthyhorns Patient Rights and Responsibilities statement* Healthyhorns Principles of Professional Conduct* Healthyhorns and department-specific Policies and Procedures* 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.** Master’s degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience).* Experience facilitating QI education, coaching, and leading cross-functional improvement initiatives.* Working knowledge of basic healthcare privacy concepts and healthcare compliance standards.* Proven experience in managing projects that are long term in nature, involve multiple stakeholders, and/or are related to the healthcare environment.* CPHQ and/or other high reliability recognized certifications.* 2-3 years of work experience in a healthcare setting.**Start Here, Change the World**At The University of Texas at Austin, tradition meets innovation in the heart of a city that frequents lists of the best places to live and work. Named by Forbes as one of America's Best Large Employers for the sixth year in a row in 2025, UT offers both a dynamic work environment and a gateway to vibrant local culture. Whether you're at the forefront of the student experience, conducting world-changing research or supporting the engine that drives Texas’ flagship university, working at UT means making a lasting impact on our city, our state and our world.Our more than 20,000 faculty and staff empower 55,000+ students to challenge ideas, pursue passions and shape their futures. Joining UT, you’ll become part of a community dedicated to making a meaningful impact on campus and throughout the world.Please see our .**Comments and Inquiries:**Email comments to hrsc@austin.utexas.edu. For questions or concerns regarding equal opportunity only, contact .Additional information for applicants can be found on the Human Resources web page: .
For more job information, call the Human Resource Service Center at (512) 471-4772, or toll-free at (800) 687-4178. #J-18808-Ljbffr