(Full-Time, Days)
Annual Salary Pay Range: $53,400 - $80,100
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Safety & Quality Operations Coordinator
REPORTS TO POSITION: Director, Quality Management
DEPARTMENT: Quality Management
DATE LAST REVIEWED: October 2026
OUR VISION: Creating America’s healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring, Safety and Teamwork
DEPARTMENT SUMMARY: The Quality Management Department provides essential services to St. Charles Health System (SCHS) including: Quality Improvement support , Accreditation and Licensing expertise, auditing support, Data Abstraction, Data Analysis, Document Library management and support, Environment of Care program management, Emergency/Safety program management, Infection Prevention program management, Caregiver Health program, Injury Prevention program, and Patient Experience program management.
POSITION OVERVIEW: The Safety & Quality Operations Coordinator (SQOC) provides centralized operational coordination for regulatory compliance, accreditation readiness, quality improvement, patient safety, risk management, and Environment of Care activities across St. Charles Health System. Supporting the Senior Director of Facilities, Security, and Environment; Directors of Quality Management and Risk Management & Patient Safety; and Executive Medical Director of Quality, this position coordinates time-sensitive deliverables, maintains evidence of compliance, and tracks required activities and corrective actions across departments and campuses.
The SQOC maintains systems for monitoring deadlines, documenting committee oversight, organizing survey evidence, and escalating outstanding actions to accountable leaders. This work supports timely fulfillment of applicable regulatory, accreditation, and organizational requirements while preserving clinical and technical leaders’ capacity for assessment, investigation, and improvement. The position also provides administrative and logistical support and does not directly supervise caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Maintains a centralized compliance calendar tracking applicable regulatory and accreditation deliverables, committee reporting cycles, program evaluations, policy reviews, and corrective-action deadlines, in collaboration with responsible program leaders.
Coordinates survey and inspection preparation, logistics, and follow-up, including document requests, evidence organization, meeting schedules, and tracking of outstanding deliverables.
Maintains corrective-action tracking systems identifying findings, accountable owners, completion dates, monitoring requirements, and supporting evidence; follows up on outstanding items and escalates overdue or incomplete actions.
Coordinates documentation for committees supporting required quality, safety, and compliance programs, including agendas, minutes, attendance, reports, decisions, and action-item follow-through.
Organizes and maintains retrievable evidence of compliance, including approved plans, program evaluations, audit summaries, education records, and corrective-action documentation, consistent with organizational document-control and retention requirements.
Tracks completion of scheduled audits and sustainment monitoring, compiles results supplied by program owners, and prepares status reports highlighting gaps requiring leadership attention.
Coordinates preparation and routing of regulatory and accreditation submissions for review and approval by designated leaders and subject-matter experts.
Supports preparation of leadership and governing body reports documenting program performance, identified risks, corrective actions, and follow-up.
Identifies breakdowns in administrative processes that may…