Nurse Manager, Quality & Clinical Compliance / Grant Coordinator

Randolph Hospital District D B A Memorial Hospital•Chester, IL

2d•Onsite

About The Position

Memorial Hospital is seeking an experienced Registered Nurse to lead hospital-wide quality improvement, patient safety, clinical compliance, accreditation readiness, clinical informatics activities, disease prevention efforts, and healthcare grant administration. The position works with physicians, nursing staff, department leaders, and community partners to improve patient outcomes, meet regulatory standards, support strategic initiatives, and secure and manage grant-funded programs. The role reports to the Chief Nursing Officer. It is an exempt, 40-hour-per-week position, Monday through Friday on the day shift, and is 100% on-site.

Requirements

Current Illinois Registered Nurse (RN) license in good standing.
Associate Degree in Nursing (ADN).
BLS and ACLS certifications.
At least three years of clinical nursing experience.
Strong knowledge of Joint Commission, CMS, IDPH, and state regulatory standards.
Proficiency with clinical data analysis and performance improvement methodologies.
Vaccinations required in accordance with IDPH, CDC, and CMS guidelines.

Nice To Haves

Bachelor's Degree in Nursing (BSN).
Two years of leadership, quality improvement, compliance, or management experience.
Certification in Nursing Informatics, Healthcare Quality (CPHQ), or a related specialty.
Experience with healthcare grant writing, grant administration, and program reporting.
Experience with hospital accreditation and survey readiness activities.

Responsibilities

Lead hospital-wide quality improvement initiatives to enhance patient safety, clinical outcomes, and operational effectiveness.
Monitor quality indicators and performance metrics, identify improvement opportunities, and develop corrective action plans.
Facilitate evidence-based, data-driven performance improvement projects.
Prepare and present quality reports to leadership, committees, and regulatory agencies.
Coordinate organizational readiness for Joint Commission, CMS, IDPH, and other regulatory surveys.
Ensure compliance with federal, state, and accreditation standards.
Monitor regulatory changes and implement policies, procedures, and education as needed.
Conduct audits, investigations, and compliance reviews to identify and mitigate risks.
Assist departments with action plans related to survey findings, quality indicators, and compliance concerns.
Support optimization and effective use of electronic health record systems.
Analyze clinical and operational data to support patient care and organizational goals.
Collaborate with clinical teams to improve documentation practices and workflow efficiency.
Participate in implementation, training, testing, and evaluation of healthcare technology initiatives.
Research, identify, and coordinate grant opportunities that support hospital strategic initiatives.
Collaborate with leadership teams to develop grant proposals and supporting documentation.
Monitor grant compliance requirements, project implementation, timelines, and reporting obligations.
Track grant-funded program outcomes and submit required reports on time.
Coordinate with internal and external stakeholders regarding grant activities and funding opportunities.
Support infection prevention, disease prevention, and population health initiatives.
Participate in community health programs and educational outreach.
Promote evidence-based practices that improve patient and community health outcomes.