Clinical Quality & Performance Improvement RN - On Site
About The Position
This On-Site, Full-Time, Day Shift position requires an RN License. The purpose of this role is to implement and maintain a compliant and comprehensive, organization-wide, Quality and Performance Improvement Process to address performance opportunities impacting the quality of care delivery and meet regulatory requirements for Saint Francis Hospital (SFH) and Mt. Sinai Rehabilitation Hospital (MSRH). The role involves partnering to perform Root Cause Analysis (RCA) for safety events utilizing the High Reliability Organization (HRO) and Healthcare Performance Improvement (HPI) process and procedure. It also includes monitoring and accessing PSI 90 cases for improvement action, participating in Adverse Events investigation, and planning actions to improve performance and eliminate preventable patient harm. The RN will assist the Director of Quality, Patient Safety, Regulatory Affairs and Patient Relations, the Regulatory and Patient Safety Specialist, and the Clinical Quality and Patient Relations Coordinator in executing action plans for continuous improvement. Additionally, the RN will act as a resource for staff by providing education and assistance regarding performance improvement in quality of care delivery, regulatory requirements, patient safety, and other associated activities.
Requirements
- Connecticut RN license required
- Bachelor's degree in related field required
- At least five (5) years hospital clinical experience
- At least two (2) years’ experience in a quality/regulatory and/or patient safety/ performance related role
- Knowledge of regulatory requirements, surrounding patient adverse events, patient quality of care and safety initiatives, and quality indicators
Nice To Haves
- Master’s Degree in Nursing, Healthcare, or related field preferred
- Certified Professional in Healthcare Quality (CPHQ) preferred
Responsibilities
- Facilitate hospital-wide ongoing efforts to address opportunities for improvement directed at continuously building high reliability and safe processes
- Oversee performance improvement activities to ensure mechanisms are in place to prevent avoidable harm and to meet regulatory compliance with the CMS Conditions of Participation, Quality Assurance and Performance Improvement (QAPI) program, The Joint Commission and the Connecticut Department of Public Health
- Manage the review and compilation of performance improvement activities surrounding safety events, precursor safety events and near misses
- Perform RCA and Failure Modes Effects Analysis (FMEA) activities as required
- Support the coordination of investigations into occurrences, tracking and completing action plans to address known concerns
- Maintain a log of performance activities and outcomes to meet QAPI directives
- NDNQI collaboration with Nursing Education
- Provide assistance to the organizational high reliability and safety program to sustain safety training and safety habits throughout the organization
Benefits
- Excellent benefits - starting day 1!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
