RN - Registered Nurse Quality Management Analyst
Presbyterian Healthcare ServicesAbout the role
Overview
Summary:Responsible for Quality Assurance, Quality Improvement and collaborative Educational activities to support compliance with Federal and State regulations, Joint Commission Accreditation and PHH policies and procedures for PHH
Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: Yes Work Schedule: Varied Days and Hours
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Qualifications
Other information:Education: Associates Degree required*Associates degree in Nursing, BSN preferred*New Mexico Nursing License required, RN-NM *One to three years experience in areas relating to the Quality Process* OASIS certification within 18 months of hireUPDATED: 5/3/21
Education:Essential:* Associate Degree
Education specialization:Essential:* Nursing
Credentials:Essential:* Registered Nurse-NM
Responsibilities
Responsibilities:*In conjunction with Director of PHH Quality and Medical Records, analyze, plan, develop, coordinate, implement and evaluates compliance with accreditation, regulatory and licensing requirements, policies, procedures and protocols, and recommends educational opportunities.*In conjunctions with Directors, Managers, and Supervisors, analyze, monitor, coordinate, or conduct audits and/or surveillance to assess sustained compliance with regulations, policies, procedures, and protocols to determine if documentation and practice meets current clinical standards of care. Document findings appropriately.*Research and stay up-to-date with current industry standards and regulations, and serve as a subject matter expert and staff resource for PHH. Collaborate with Operations to help ensure accurate and consistent service provision, charting and data entry to result in timely processing of claims that meet regulatory and licensing requirements, policies and procedures and protocol requirements. *Assist in evaluating, writing, and revising clinical and non-clinical policies/procedures for PHH.*Collaborate with Education Department, Directors, Managers and Supervisors to recommend and or conduct clinical education, competency and training elements for orientation and ongoing clinical staff.*Guide and assist Directors, Managers, Supervisors and Staff with utilization of Quality Assessment and Performance Improvement (QAPI) tools and processes. Develops materials and/or tools to assist staff with utilizing QAPI processes such as: audit tools, staff and/or patient educational newsletters or handouts, or training materials.*Participates on committees, councils, PHS initiatives, or projects. Perform root cause analysis and/or risk assessments of adverse clinical events and or compliant investigations, and serve as the PHH liaison for environment of care, emergency preparedness, and infection control oversight..*Track, trend and analyze data, and submit reports with recommendations to Directors, Managers, and Supervisors to help PHH achieve and maintain compliance with accreditation, regulatory and licensing requirements, policies, procedures and protocols, through incorporation of Outcome-based and Quality Improvement (OBQI) practices. Upon request, participates in reviews of the patients medical record and/or case conferences conducted by clinical teams, to present findings, and if necessary, offer recommendations for improvement. Coordinate mandatory regulatory reporting preparation, transmission and follow-up. Research and collaborate with staff to correct incomplete or incorrect data to finalize all required processing. Collaborate with Operations to help ensure accurate and timely processing of claims to meet regulatory requirements.*Provide coverage for Quality Management activities during absence of the Director of PHH Quality and Medical Records.
Benefits
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
https://www.phs.org/careers/why-work-with-us/benefitsWhy work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than
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