Position Summary

The Quality Assurance Coordinator Registered Nurse (QA RN) is responsible for leading, coordinating, and supporting the organization’s Quality Assurance and Performance Improvement (QAPI) program. This role ensures compliance with all applicable federal, state, and local regulations, including CMS and Department of Health requirements, while promoting a culture of safety, accountability, and continuous improvement.

The QA Coordinator, RN serves as a clinical and regulatory expert, partnering with nursing leadership and interdisciplinary teams to monitor care processes, analyze outcomes, identify risks, and implement sustainable best practice improvements that enhance resident outcomes and maintain ongoing survey readiness.

Essential Job Functions

• Quality Assurance & Performance Improvement (QAPI)
• Coordinate and maintain a comprehensive QAPI program in accordance with 42 CFR §483.75.
• Develop and monitor facility-wide quality indicators, dashboards, and performance metrics.
• Conduct routine, focused, and for-cause clinical audits, including but not limited to: Medication administration and storage, Falls and accident investigations, Pressure injury prevention and wound care processes, Documentation accuracy, completeness, and timeliness, Care plan compliance and effectiveness.
• Analyze data to identify trends, performance gaps, and opportunities for improvement.
• Lead root cause analyses (RCA) and investigations following adverse events, incidents, or survey findings.
• Develop, implement, and monitor corrective and preventive action plans (Plans of Correction).
• Chair or actively participate in Quality Assurance Committee meetings and performance improvement projects.
• Regulatory Compliance & Survey Readiness
• Ensure continuous compliance with CMS, state, and federal regulations governing long-term care.
• Coordinate ongoing survey readiness activities, including mock surveys and internal tracers.
• Review survey results and collaborate with leadership on timely and effective corrective actions.
• Maintain required regulatory documentation, audit tools, and quality reports.
• Proactively identify compliance risks and support departments in remediation efforts.
• Education & Staff Support
• Provide education, coaching, and guidance to nursing staff and leaders related to quality standards, documentation practices, and regulatory expectations.
• Support department leaders in developing and implementing performance improvement initiatives.
• Serve as a quality and regulatory resource to nurse managers and interdisciplinary team members.
• Data Management & Reporting
• Utilize best practice data reporting systems, technology, and AI strategies.
• Collect, track, and trend quality metrics, including: Falls, Pressure injuries, Medication errors, Hospital readmissions.
• Prepare routine and ad hoc quality reports for leadership, committees, and governing bodies.
• Support Quality Measure (QM) monitoring and performance improvement initiatives.

Qualifications

Education & Licensure:

Current, unencumbered Registered Nurse (RN) license in good standing. Bachelor’s degree in nursing preferred.

Experience

Minimum of 3–5 years of nursing experience, preferably in a long-term care or skilled nursing environment. Demonstrated experience in quality assurance, regulatory compliance, or performance improvement. Strong working knowledge of CMS regulations, the survey process, and QAPI standards.

Skills & Competencies

• Strong analytical, data management, and problem-solving skills.
• Excellent written, verbal, and interpersonal communication abilities.
• Ability to collaborate effectively with interdisciplinary teams.
• Detail-oriented with strong organizational and time-management skills.
• Proficiency with electronic health records (EHR) and quality reporting tools.

Expectation of the Position

• Dependable and punctual; reports to work on time and works scheduled shifts unless on approved PTO.
• Able and willing to work required hours consistent with the needs of the position.
• Maintains a professional appearance and demonstrates a courteous, service-oriented demeanor.
• Supports a collaborative team environment and organizational culture of excellence.
• Adheres to all organizational policies and procedures as outlined in the Employee Handbook.

Conditions of Employment:

Work is performed in a clean, well lit, “Home-Like,” nursing Home setting. Employee must be able to perform essential job functions (reasonable accommodation may apply).

Physical Requirements

Refer to Physical Requirements form. Must meet the general health requirements set forth by Friendly Home. May be requested to assist in the evacuation of Members or perform other procedures to protect the safety of Members, visitors and team members during emergency situations.

Compensation

We consider many different factors to determine your compensation package at FSL. We assess your specific job family, level, relevant skills, experience, and other special trainings, or accomplishments you bring to the position. Pay decisions are also guided by our financial means as well as analyzed against what others earn internally. We strive to pay competitively and offer market differentiated benefits and perquisites in line with our compensation philosophy. The salary range is a reflection of many similar like positions and your actual compensation may not be at the high or low end of the range but will be based on your unique skills and other criteria mentioned. FSL is committed to offering each individual an elevated employee experience through growth and learning opportunities in addition to an inclusive work culture coupled with other perquisites.

NOTE: This job description is not intended to be all-inclusive and very effort has been made to identify the essential functions of the above position. However, this job description in no way states or implies that the duties specifically identified are the only duties required to perform this position. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Employees may perform other related duties within Federal and/or State regulations to meet the ongoing needs of the organization. This job description is not a guarantee of employment for any set period and that either the organization or employee may terminate employment at any time with or without case. Furthermore, this job description may be added to or revised at any time.