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 agencies
• Other duties as assigned.

PHYSICAL EFFORT/ENVIRONMENT:

The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee must frequently use of phone, writing, typing, doing vital signs and verbal communication. The tasks of this position are normally performed in an office setting, and occasionally on-site in a primary care office setting. Mobility is required to attend meetings and give presentations. The ability to travel to various locations in the state, typically via car is required. Regular lifting of up to 25 pounds is expected. Must be able to maintain a good attendance record. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, marital status, familial status, military status, or any other characteristic protected by federal, state, or local law. 

Our Benefits

Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, life insurance, long term disability, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, Employee Assistance Program, generous vacation, sick and personal days, and up to 13 available paid holidays for full-time employees and some benefits are included for part-time employees.