Shady Grove Medical Center seeks to hire an experienced Quality Advisor RN for our Quality Services Dept who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Quality Advisor RN 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
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees