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The QA Coordinator plays a critical role in supporting accurate data collection, incident reporting, and continuous quality and performance improvement as an integral member of the Hospital's Quality Assurance and Performance Improvement (QAPI) team. This position is the primary individual responsible for processing and submitting Public Records Requests, ensuring all redactions comply with HIPAA, regulatory guidelines, and State requirements. The QA Coordinator supports risk management functions through incident report coding, video reviews, and the preparation of Hospital committee agendas and minutes. The role also assists in developing required documentation for the Hospital's Independent Oversight Committee (IOC) and collaborates closely with the Patient Rights Advocate (PRA) to address patient concerns and support Adult Protective Services (APS) investigations when necessary. Additionally, this position supports regulatory readiness by compiling and preparing incident-related documentation for surveys conducted by the Arizona Department of Health Services (ADHS) and The Joint Commission (TJC).

Review, code, and classify incident reports based on type, severity, and relevant Quality of Care (QOC) indicators to support accurate data tracking, trend analysis, and regulatory compliance. Ensure consistent application of standardized coding guidelines. Collaborate closely with the QA Specialist on incident report coding and video review processes, and document all incidents requiring video review in the Video Tracker Log daily. Follow-up on pending incident report reviews.
Collect and process patient-specific Public Records Requests, including Incident Reports, Complaints, Grievances, Appeals (CGA), and Hospital policies. Track all requests using the Hospital's tracking system and submit them to the Office of Administrative Counsel & Rules (OACR) with appropriate HIPAA-compliant redactions in accordance with Hospital policy and regulatory requirements. Conduct follow-up with OACR every 30 days until requests are fulfilled and keep patient's apprised.
Assist the Hospital's Patient Rights Advocate (PRA) in addressing patient concerns and, when appropriate, submitting reports to Adult Protective Services (APS) and the Arizona Department of Health Services (ADHS) related to allegations of abuse, neglect, or exploitation. Support and coordinate on-site APS investigations as needed.
Prepare and submit daily Executive Risk Management Team (ERMT) meeting minutes, summarizing incidents and providing them to the Chief Quality Officer (CQO) each morning. Additionally, record and submit monthly minutes for Hospital QAPI committee meetings including Zero Harm, Utilization Management, and Quality Council.
Assist the Hospital's Performance Improvement (PI) Specialist with data collection, tracking, and trending, and support performance improvement projects and initiatives.
Collect and review Seclusion & Restraint (S&R) packets, ensuring S&R packet supports the submitted incident report. Complete S&R packet audit, in collaboration with medical records, to report compliance during monthly Hospital committees.
Prepare and redact required documentation for the Hospital's monthly Independent Oversight Committee (IOC), including Incident Reports and Complaints, Grievances, and Appeals (CGA).

Knowledge of:
- Google Suit (calendar, sheets, slides, and Google Meet)
- Microsoft Office Products, including Excel
- Electronic Health Records (EHR)
- Principles and practices of administration and management, agency and program rules, regulations, and operating procedures
- HIPAA laws
Skill in:
- Managing multiple priorities and projects
- Facilitating meetings and completing minute minutes
- Establishing and maintaining effective working relationships across multiple disciplines and management levels
- Organizing workload and developing and following Standard Works
- Written communication
- Oral and interpersonal communications necessary to perform responsibilities
- Reviewing data and analyzing data
Ability to:
- Develop meeting minutes and agendas
- Think critically and problem solve
- Meet deadlines and track deliverables
- Create presentations

Bachelor's degree in Hospital Administration or similar filed. Two (2) years experience in related field. Preference will be given for experience in Behavioral Health field and/or experience in providing nursing care and has experience in quality assurance, performance improvement, and risk management in a healthcare setting. Lean Six Sigma preferred.

Driver's License.
A State Hospital employee must be able to obtain a valid Level One Fingerprint Clearance Card pursuant to A.R.S. 41-1758.07.
High school diploma
Associates Degree

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

The State of Arizona provides an excellent comprehensive benefits package including:
Affordable medical and dental insurance plans
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
10 paid holidays per year
Wellness program and plans
Life insurance
Short/long-term disability insurance
Defined retirement plan
Award winning Infant at Work program
Credit union membership
Transit subsidy
ADHS Student Assistance Pilot Program

Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

To help you build a financially secure future, the State makes monthly contributions to finance your retirement benefit. The State will contribute to the ASRS in an amount equal to your contribution. In other words, you and the State will each pay 50% of the total cost of the benefit. New State employees have a 27-week wait period for contributions to begin.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 542-1085. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. DHS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.