Quality Assurance Performance Improvement Nurse

  • Crisp Regional Health System
  • 1106 N 4th St Cordele Georgia 31015 United States
  • Posted: Feb 20, 2019
Full-time Professional

Job Description

Position Summary:
Under the leadership of the Administrator and the Director of Nursing, Quality Improvement is an active member of the department that collects data, and analyzes quality trends within the nursing home.  The Quality Assurance nurse is responsible for planning, organizing and directing the day to day operations within the facility. The Quality Assurance nurse will conduct facility level quality reviews and audits and is responsible for the development of policies and procedures, and strategic planning for assigned areas. 
Basic Qualifications:
·         Education:
Requires a Bachelor’s degree in Nursing from an accredited school of Nursing.  A Master’s degree in Health Care Administration or Quality Improvement is preferred.
·         Experience:
Requires five to seven years of work-related experience or an equivalent combination of education, training and experience.
·         Licensure, Registrations & Certifications:
Requires a current state license as a Registered Nurse and is listed in good standing with the state’s Department of Professional Credentialing.
Essential Job Responsibilities:
  • Manages the performance improvement process by conducting PI meetings, PI focus groups and ensuring action plan are developed in regards to any falls, pressure ulcers, restraints, weight loss and any other areas of focus. .
  • Converts CRHS’s vision and goals into actionable plans and directions related to the operation of the Quality Improvement.
  • Works with the clinical staff to develop, update and implement the Quality Improvement strategic and annual plans.
  • Takes a proactive approach in conducting risk assessments and any surveillance/audits.
  • Consistently rounds daily on residents to ensure and promote a standard of quality care.
  • Provides leadership in the delivery of quality services and support.
  • Perform the following monthly audits on narcotic, med-stock, carts, insulin, nail care and all other audits need to maintain high levels of quality care.
  • Observations should be made monthly in regard to CNA peri care.  Also, observation should be made on all new hires in regard to medication and G-Tube medication.
  • Works to continually improve the quality of the nursing home care and services through a rigorous quality improvement process.
  • Prepares, implements and manages all quality initiatives and related policies and procedures and ensures compliance with all federal and state laws and regulations.
  • Conducts the following audits on the wonder guard checks weekly. Also audit skin assessments to ensure no residents are missed and they are scheduled on each shift.
  • Works the med cart and/or wound cart as needed.
  • Provides staff the opportunities to participate in staff development and regularly schedules in-service programs..
  • Utilizes technology to analyze and develop statistical measures of the Quality Improvement Department’s performance metrics, reports and programs.
  • Ensures the continuous survey readiness of any and all regulatory agencies including CMS and other governmental agencies.
·         Performs other duties as assigned.
Standards of Performance:
·         Meets or exceeds goals and expectations assigned and as measured through the Leader Evaluation Tool (LET).
·         Reports regularly to the Administrator and Director of Nursing - related activities and presents monthly updates in a clear and concise manner.
·         Serves as an active participant and member of all committees, task forces and special assignments as measured by the ability to arrive to meetings prepared and on time, and provide guidance to key leaders of the organization in this capacity.
·         Develops and implements quality improvement training and in-service programs.
·         Negotiates conflict and maintains constructive working relationships with people at all levels of the organization.
·         Demonstrates positive interpersonal skills in communicating with staff, residents and visitors and others in the community so that the organization is positively perceived.
·         Demonstrates on-going performance improvements aimed at operational efficiencies, process improvements and financial outcomes.
  • Maintains up-to-date knowledge of procedures and interpretations of all human resources, federal, state and CMS laws and regulations.
  • Ensures that all safety and infection control policies and practices in the delivery of direct patient care are observed as measured by feedback and observation from nursing, medical and management staff.
  • Demonstrates reliability as measured by compliance with the CRHS Time and Attendance policy.
  • Demonstrates professional conduct and adherence to all safety, confidentiality, and HIPAA standards.
  • Promotes teamwork with the entire staff, as well as other contacts within the department, as measured by observations of manager and co-workers.