Quality Advisor RN, Day Shift, Behavioral Health

Adventist HealthCare • Rockville, MD

30d

About The Position

Shady Grove Medical Center seeks to hire an experienced Quality Advisor RN for our Behavioral Health Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Quality Advisor, you will: • Provide one-on-one customer service and area-specific coaching to assigned departments regarding Tracer findings, compliance with regulatory requirements (e.g. TJC, CMS, Maryland Office of Healthcare Quality (OHCQ), Maryland Healthcare Commission (MHCC)) and education/ awareness of Sentinel Events/ alerts from TJC and CMS • Facilitate focused quality and performance improvement efforts in accordance with AHC’s documented Performance Improvement System (DMAIC) for assigned departments, units and committees. Effectively lead projects and project teams to ensure timely, fiscally sound, quality improvement projects. • Partner with assigned areas to support continuous accreditation readiness (e.g. Mock surveys, Inter-Cycle Monitoring, Survey, etc.) Conduct Tracers and mini Tracers to ensure compliance with Entity and AHC policy, TJC standards, and CMS/ DHMH regulations • Monitor and assist in the preparation of status reports for assigned monthly project review (measure monitoring) • Support assigned committees • Support Peer Review efforts for nursing and LIPs by providing quality data and educating the nurse leadership and department chairs on quality data, accreditation and regulatory standards. • Supports activities/tasks resulting from patient safety incidents/ findings • Participate in RCA’s in assigned areas • Interacts with people effectively. Able and willing to share and receive information. • Co-operates within the group and across groups. • Supports group decisions and puts group goals ahead of own goals • Expresses ideas effectively. • Organizes and delivers information appropriately. • Listens actively. • Adapts to changing work environments, work priorities and organizational needs. • Able to effectively deal with change and diverse people • Takes action to influence events. • Generates ideas for improvement, takes advantage of opportunities, suggests innovations. • Does more than required. • Analyzes problem by gathering and organizing all relevant information. • Identifies cause and effect relationships. • Comes up with appropriate solutions. • Sets and maintains high performance standards. • Pays close attention to detail, accuracy and completeness. • Shows concern for all aspects of the job and follows up on work outputs. • Plans and organizes tasks and work responsibilities to achieve objectives. • Sets priorities. Schedules activities. • Allocates and uses resources properly. • Displays energy and enthusiasm in approaching the job. • Commits to putting in additional effort. • Maintains high level of productivity and self-direction.

Requirements

• RN required, Master’s Degree preferred
• Project management experience in the health care industry
• Strong knowledge of clinical operations
• Behavioral health experience, strongly preferred
• Experience interacting with cross functional teams
• Proficient in Microsoft Office Suite
• RN license required
• Six Sigma Green Belt or higher-must be obtained if hired within 1 yr of hire
• Excellent communication, relationship building and interpersonal skills
• Excellent organizational and priority setting skills

Nice To Haves

• CPHQ preferred

Responsibilities

• Provide one-on-one customer service and area-specific coaching to assigned departments regarding Tracer findings, compliance with regulatory requirements (e.g. TJC, CMS, Maryland Office of Healthcare Quality (OHCQ), Maryland Healthcare Commission (MHCC)) and education/ awareness of Sentinel Events/ alerts from TJC and CMS
• Facilitate focused quality and performance improvement efforts in accordance with AHC’s documented Performance Improvement System (DMAIC) for assigned departments, units and committees. Effectively lead projects and project teams to ensure timely, fiscally sound, quality improvement projects.
• Partner with assigned areas to support continuous accreditation readiness (e.g. Mock surveys, Inter-Cycle Monitoring, Survey, etc.) Conduct Tracers and mini Tracers to ensure compliance with Entity and AHC policy, TJC standards, and CMS/ DHMH regulations
• Monitor and assist in the preparation of status reports for assigned monthly project review (measure monitoring)
• Support assigned committees
• Support Peer Review efforts for nursing and LIPs by providing quality data and educating the nurse leadership and department chairs on quality data, accreditation and regulatory standards.
• Supports activities/tasks resulting from patient safety incidents/ findings
• Participate in RCA’s in assigned areas
• Interacts with people effectively. Able and willing to share and receive information.
• Co-operates within the group and across groups.
• Supports group decisions and puts group goals ahead of own goals
• Expresses ideas effectively.
• Organizes and delivers information appropriately.
• Listens actively.
• Adapts to changing work environments, work priorities and organizational needs.
• Able to effectively deal with change and diverse people
• Takes action to influence events.
• Generates ideas for improvement, takes advantage of opportunities, suggests innovations.
• Does more than required.
• Analyzes problem by gathering and organizing all relevant information.
• Identifies cause and effect relationships.
• Comes up with appropriate solutions.
• Sets and maintains high performance standards.
• Pays close attention to detail, accuracy and completeness.
• Shows concern for all aspects of the job and follows up on work outputs.
• Plans and organizes tasks and work responsibilities to achieve objectives.
• Sets priorities. Schedules activities.
• Allocates and uses resources properly.
• Displays energy and enthusiasm in approaching the job.
• Commits to putting in additional effort.
• Maintains high level of productivity and self-direction.

Benefits

• Work life balance through nonrotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
• Paid Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level