Quality Nurse

NOTE: this position is currently filled. However, it is the policy of Freedom Behavioral to continue to take applications so that we can ensure there is no disruption in patient care if a vacancy occurs.

The Quality Nurse is responsible for monitoring, evaluating, and improving the quality of patient care and services across the facility. This position coordinates quality assurance and performance improvement (QAPI) initiatives, conducts clinical audits, and ensures compliance with regulatory requirements including CMS Conditions of Participation, The Joint Commission and state health department standards. The Quality Nurse collaborates with nursing and clinical staff to foster a culture of continuous improvement, patient safety, and high-quality care delivery. The Quality Nurse reports to the hospital administrator and works closely with the corporate compliance nurse.

Qualifications:

• Education: Graduate of an accredited School of Nursing; BSN preferred.


• Licensure: Current nursing license.


• Experience: Minimum 2 years clinical nursing experience; prior experience in Quality Improvement, Risk Management, or Infection Control preferred.


• Certifications: CPHQ (Certified Professional in Healthcare Quality) preferred or willingness to obtain within 1 year.


• Skills:
  
  
  
  • Strong analytical and critical thinking abilities.
  
  
  • Excellent communication and presentation skills.
  
  
  • Proficient in EMR systems and data reporting tools.
  
  
  • Ability to educate and mentor clinical staff on quality practices.
  
  
  • Knowledge of CMS, Joint Commission, and state regulatory standards.
  
  
  
  


• Key Performance Indicators (KPIs):
  
  
  
  • Timeliness and accuracy of QAPI reports.
  
  
  • Reduction in adverse events and hospital-acquired conditions.
  
  
  • Staff education completion rates on quality initiatives.
  
  
  • Compliance scores on internal and external audits/surveys.
  
  
  
  

Beacham Memorial/Freedom Behavioral provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.