Clinical Quality Nurse

Job Posting Title:

Clinical Quality Nurse

----

Hiring Department:

Dell Medical School

----

Position Open To:

All Applicants

----

Weekly Scheduled Hours:

40

----

FLSA Status:

Non-Exempt

----

Earliest Start Date:

Immediately

----

Position Duration:

Expected to Continue

----

Location:

AUSTIN, TX

----

Job Details:

Purpose

The Clinical Quality Nurse plays a vital role in enhancing clinical outcomes, safety initiatives, and operational efficiency through data-driven continuous quality improvement (CQI) initiatives. This position leads multidisciplinary teams in analyzing performance metrics, uncovering opportunities for improvement, and ensuring continuous readiness for regulatory surveys. Reporting to the Associate Director of Clinical Quality, the Clinical Quality Nurse serves as a trusted consultant, skillful educator, and effective facilitator while fostering an environment of ongoing enhancement and excellence. By aligning improvement strategies with both organizational goals and regulatory mandates, the Clinical Quality Nurse delivers tangible advancements in patient safety, care delivery, and compliance.

Responsibilities

Leads Multidisciplinary Quality Improvement Initiatives

• Facilitates team collaboration to support business outcomes and clinical excellence.
• Develops and implements CQI plans using methodologies such as PDSA and Lean.
• Champions change and helps others adapt to new tasks and processes.
• Encourages team members to follow procedures and policies while fostering innovation.

Conducts Data Analysis and Performance Reporting

• Extracts and analyzes clinical and operational data to identify trends and improvement opportunities.
• Conducts statistical analysis to determine reliability and confidence intervals.
• Creates charts, graphs, and narrative summaries using multiple data systems.
• Presents quality metrics to teams and leadership to demonstrate impact.

Supports Regulatory Compliance and Survey Readiness

• Ensures continuous readiness for CMS, TJC, NCQA, and other regulatory bodies.
• Participates in survey preparation, mock audits, and documentation reviews.
• Develops and monitors corrective action plans to address compliance gaps.
• Serves as a subject matter expert on internal policies and external regulations.

Facilitates Risk Management and Patient Safety Activities

• Conducts root cause analyses, failure mode and effect analyses, and other assessments.
• Reviews event reports and escalates high-risk issues for resolution.
• Assists with developing targeted improvement strategies based on findings from audits, claim denials, and satisfaction surveys.
• Promotes a safety culture and supports incident prevention strategies.

Educates and Consults with Clinical Staff

• Delivers educational programs on regulatory requirements, internal concerns, and system usage.
• Coaches staff on documentation standards, safety protocols, and quality practices.
• Participates in committees and projects to influence policy and procedure development.
• Builds collaborative partnerships to improve compliance and health outcomes.

Develops and Maintains Quality Reporting Tools

• Designs dashboards and reports to track KPIs and benchmark performance.
• Integrates quality metrics into operational workflows and decision-making.
• Documents and analyzes trends, errors, and reporting findings.
• Supports business-specific projects with creative, data-informed solutions.

Required Qualifications

• Current RN license in the State of Texas
• Basic Life Support (BLS) certification
• Bachelor’s degree in Nursing (BSN).
• 3 years of experience in a clinical setting with at least 2 years in clinical quality
• Relevant education or experience may be substituted as appropriate.

Preferred Qualifications

• Master’s degree in Nursing, Healthcare Administration, or Public Health.
• 2 years of experience in acute care, ambulatory care, or multi-site healthcare systems.
• Certified Professional in Healthcare Quality (CPHQ)
• Clinical Nurse Leader (CNL) certification
• Certification in Risk Management or Patient Safety (e.g., CPPS)

Salary Range

$82,000 + depending on qualifications

Working Conditions

• Standard office equipment
• Repetitive use of a keyboard
• May be exposed to such occupational hazards as communicable diseases, blood borne pathogens,