Transplant Quality Coordinator; RN - Transplant Admin Exempt; Non-Union

Job Summary

The Transplant Quality Coordinator (TQC) is a Registered Nurse (RN) who serves as a clinical quality leader within the transplant program. The role is responsible for monitoring, evaluating, and improving clinical performance, regulatory compliance, and patient safety across the continuum of transplant care. The TQC applies advanced nursing knowledge and clinical judgment to quality initiatives while partnering with non‑clinical Transplant Quality Specialists (TQS) to maximize efficiency, data integrity, and regulatory alignment.

The TQC will lead quality and compliance initiatives within the designated Organ Transplant Programs, providing oversight and maintaining compliance with external agencies related to transplant regulations such as OPTN/UNOS and CMS, Joint Commission, Intermacs, and the ESRD Network.

• Use clinical nursing expertise to lead and implement quality improvement initiatives using evidence‑based methodologies (e.g., PDSA, root cause analysis, FMEA).
• Review transplant processes, patient care documentation, and clinical outcomes to ensure adherence to standards of care.
• Interpret clinical scenarios and patient risk factors that impact transplant outcomes and quality metrics.
• Identify trends from clinical quality data to drive care improvements and reduce variation in transplant practices.

• Delegate routine data monitoring, reporting, and tracking tasks to the TQS, allowing the RN to focus on complex clinical and quality issues.
• Provide clinical interpretation and context for data trends identified by the TQS, ensuring analysis is grounded in patient care reality.
• Co‑lead quality projects where the TQS supports with logistics, data gathering, and documentation, while the RN provides clinical insight and leadership.
• Mentor and educate the TQS on transplant clinical workflows to build shared understanding and collaborative problem‑solving capacity.
• Together, serve as a dyad team that integrates clinical relevance and technical accuracy in meeting quality goals and regulatory requirements.

• Apply clinical knowledge to interpret and operationalize requirements from CMS, UNOS, and The Joint Commission.
• Prepare and participate in external audits and surveys with a focus on clinical compliance, documentation, and patient outcomes.
• Develop action plans and educational interventions to address identified gaps in clinical quality and safety.

• Investigate adverse events and clinical variances using structured tools (e.g., RCA, special cause analysis).
• Lead or co‑lead morbidity and mortality conferences, patient safety huddles, and case reviews.
• Collaborate with hospital quality and safety departments to align transplant safety practices with hospital‑wide initiatives.

• Validate clinical accuracy of transplant data submitted to UNOS, internal dashboards, and external registries.
• Provide clinical oversight of data abstraction conducted by non‑clinical team members to ensure completeness and reliability.
• Collaborate with the TQS to generate reports and presentations for transplant QAPI and other governance bodies.

• Educate transplant clinical teams on best practices, new policies, and lessons learned from quality reviews.
• Promote a culture of safety, shared accountability, and continuous improvement across the multidisciplinary transplant team.
• Develop training materials in partnership with the TQS to support staff development and compliance.

Performs other duties as required.

• Bachelor’s Degree in Nursing (required).
• Master’s degree in Nursing, Public Health, Healthcare Administration, or related field (preferred).
• Three or more years of clinical nursing experience, preferably in Transplant or Quality (required).
• Understanding of healthcare quality principles and experience applying clinical judgment to data and process reviews (required).
• Familiarity with transplant data systems (UNet, OTTR, Cerner) (preferred).
• Expert clinical judgment and…