Openings

Summary

The Quality, Risk, and Credentialing (QRC) Coordinator is an essential member of SCHC’s patient-centered, team-based approach to healthcare. This position supports quality improvement, regulatory compliance, risk management, patient safety initiatives, reporting, data analytics, and credentialing backup functions. The QRC Coordinator helps ensure SCHC meets federal, state, and accreditation standards while advancing safe, effective, and patient-centered care.

Essential Duties and Responsibilities

Compliance Support

• Maintains and supports monitoring of policies and procedures within the designated platform.
• Supports HIPAA privacy and security compliance, including incident/event tracking and related documentation.
• Maintains compliance documentation, reports, and tracking systems, including Smartsheet.
• Coordinates documentation and preparation activities for HRSA site visits, operational assessments, and other state/federal reviews.
• Participates in safety committee activities and assists with meeting coordination, documentation, and follow-up related to risk and compliance.
• Supports risk assessments and monitors corrective action plans.

Quality Improvement

• Collects, compiles, and analyzes quality data for federal/state reporting and accreditation requirements using organizational platforms.
• Serves as a super-user for SCHC’s data platform.
• Supports performance improvement projects across clinical and operational departments, including PDSAs.
• Maintains the Master Reporting Directory.
• Participates in the Board PIQARM Committee and other committees as assigned.
• Assists with implementation of strategic initiatives.

Credentialing Back-up

• Provides backup support for credentialing activities, including collecting, verifying, and maintaining provider credentials such as licenses, certifications, DEA registrations, malpractice insurance, and education/training records.
• Assists with processing initial applications and reappointments for medical staff privileges.
• Conducts primary source verification through state licensing boards, the National Practitioner Data Bank (NPDB), and other applicable databases.
• Maintains and updates credentialing databases or software systems.
• Ensures credentialing files meet accreditation and regulatory standards, including NCQA and HRSA requirements for FQHCs.
• Assists with provider enrollment applications for Medicare, Medicaid, and commercial insurers.
• Follows up on pending enrollments and re-enrollments as needed.
• Monitors for sanctions, exclusions, and license actions, including OIG and SAM.gov checks.

Training and Education

• Supports coordination and tracking of mandatory compliance training for staff, including fraud, waste, and abuse; HIPAA; cultural competency; and other required training.
• Assists with developing training materials at appropriate reading levels for diverse staff populations.
• Performs other duties as assigned.

General

To ensure the health of our community, patients, and staff, SCHC requires proof of completed vaccine series or serologic test results for MMR (Measles, Mumps, and Rubella), Varicella (Chicken Pox), Pertussis and Hepatitis B, as well as TB screening, prior to employment.