Quality and Patient Safety Advisor - Behavioral Health (Local/Hybrid)

Vanderbilt University Medical Center•Nashville, TN

3d•Hybrid

About The Position

Serves as a quality improvement advisor for Behavioral Health, providing project management facilitation, education, and data analysis to improve systems and processes under occasional guidance. Facilitates the development, implementation, and evaluation of organizational strategies intended to improve clinical quality and care, patient safety, and financial outcomes. The role supports Vanderbilt Health’s Department of Quality, Safety, and Risk Prevention, which equips and empowers staff to provide safe, timely, effective, efficient, and patient-centered care. The position works across Behavioral Health areas and collaborates with quality and safety colleagues on reports, education, rounds, surveys, meetings, and improvement initiatives.

Requirements

Nursing experience as an RN or LPN is required.
Bachelor’s degree.
Three years of relevant work experience.
Ability to interpret and apply regulatory rules and requirements.
Judgment and decision-making skills in fast-paced or changing environments.
Front-of-room facilitation skills.
Knowledge of healthcare organizational dynamics, quality, value, and patient-centered care.
Ability to prioritize work and focus teams on critical-path activities.
Ability to transform and interpret data findings using appropriate visualization methods.
Relationship-building and communication skills.
Experience with quality and performance improvement methodologies, including PDSA cycles, EA, FMEA, and CTQ.
Ability to identify and evaluate patient harm risks, near misses, and adverse events.
Strategic planning, data analysis, project management, time management, and change management skills.

Nice To Haves

Vanderbilt Psychiatric Hospital inpatient nursing experience.
Behavioral Health experience.

Responsibilities

Conduct timely chart and case reviews, validate and maintain quality data, and ensure timely follow-through on reported safety events.
Lead routine quality and safety rounds, support organizational awareness campaigns, and maintain frontline visibility across Behavioral Health areas.
Deliver quality and safety education and support QIA nurse development, new-hire training, and ongoing departmental learning initiatives.
Prepare and present recurring reports, including unit-level quality updates.
Collaborate with quality and safety colleagues to plan meeting agendas and take minutes.
Conduct quarterly pressure-injury surveys.
Provide consistent Behavioral Health representation and support for key initiatives.
Facilitate quality improvement work, including opportunity analysis, key driver diagrams, performance measure requirements, and PDSA improvement cycles.
Analyze and visualize data, identify improvement opportunities, and translate findings into improvement plans.
Support processes for identifying and reporting patient safety risks, near misses, and adverse events, and communicate findings and mitigation strategies.