Quality Improvement Nurse

Description

CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services.

JOB SUMMARY:

The Quality Improvement Nurse, guided by the Director of Quality Assurance, Risk Management and Compliance, supports quality improvement efforts by collecting, analyzing, and presenting clinical outcomes.

Responsibilities include EHR review, internal audits, compliance activities, data entry and ensuring adherence to standards set by UDS, HEDIS, JCAHO, Rhode Island Department of Health, AE, and organizational objectives. The Quality Improvement Nurse also assists with workflow audits for NQCA certification as a PCMH and engages in professional development to provide staff training on patient safety and quality.

The Quality Improvement Nurse collaborates with staff for quality improvement initiatives, working closely with various departments to identify areas for enhancement and implement strategies that will improve clinical outcomes. These initiatives may involve developing new protocols or refining existing procedures to ensure the highest standards of patient care and safety are maintained.

WORK SCHEDULE DEMANDS:

The position is full-time.

Due to the nature of the job, this individual must be flexible with their schedule to accommodate the client population.

May be required to work at any CCAP location.

Requirements

REQUIRED QUALIFICATIONS:

• Active and unencumbered RN or LPN license in the State of Rhode Island
• Experience in healthcare monitoring field; preferred.
• At least 2 years of experience that is directly related to the duties and responsibilities specified.
• Experience with electronic medical records.
• Able to exercise initiative and display good knowledge of regulatory requirements UDS, NCQA, The Joint Commission.
• Provide/maintain all required immunizations and/or vaccinations
• Complete all required background checks

Competency Statement(s):

• Accuracy - Ability to perform work accurately and thoroughly.
• Detail Oriented - Ability to pay attention to the minute details of a project or task.
• Organized - Possessing the trait of being organized or following a systematic method of performing a task.
• Communication, Oral - Ability to communicate effectively with others using the spoken word.
• Customer Oriented - Ability to take care of the customers’ needs while following company procedures.
• Enthusiastic - Ability to bring energy to the performance of a task.
• Ethical - Ability to demonstrate and conduct to a set of values and accepted standards.
• Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
• Communication, Written - Ability to communicate in writing clearly and concisely.
• Decision Making - Ability to make critical decisions while following company procedures.
• Empathetic - Ability to appreciate and be sensitive to the feelings of others.
• Diversity Oriented - Ability to work effectively with people regardless of their age, gender, sexual orientation, race, ethnicity, religion, or job type.
• Reliability - The trait of being dependable and trustworthy.
• Experience with Microsoft Word, Excel, and PowerPoint.
• Excellent communication skills.

KEY RESPONSIBILITIES:

• Responsible for reviewing the electronic health record system (EHR).
• Develop and/or coordinate information necessary to perform crucial audits using a process-driven format with appropriate benchmarks and measurable outcomes. 
• Maintain proficient documentation of QI activities.
• Collect and analyze QI data in a timely manner and summarize for presentation purposes.
• Conduct center-specific discussions with appropriate staff regarding any identified deficiencies or areas of desired performance or site improvement initiatives. 
• Maintain all necessary reports for all clinical and operational quality reporting.
• Participate in the design and operationalization of Quality Improvement measures that will augment and support the overall systems of CCAP Family Health Services.
• Assist in reviewing gaps in care measures work to improve the quality outcomes.
• Participate in the Quality Improvement Committee meetings.
• Maintain strict confidentiality in all matters.
• Enliven and support the mission, vision, and values of CCAP.
• Performing other duties as assigned within scope of practice.
• Capable of meeting deadlines imposed by regulatory ag