Providence Health Care Center - Quality Assurance Director, RN Required

Lifespark Careers•Minneapolis, MN

23d•Onsite

About The Position

Providence Place, a Lifespark Skilled Nursing Community, is looking for dedicated and passionate Registered Nurses (RNs) to join our growing team. We have openings on our TCU and LTC units. We have inhouse dialysis services too. Providence Place is conveniently located on the bus route, located in southern Minneapolis in the Standish Ericcson neighborhood. Here we provide services for our seniors in a TCU (Transitional Care Unit) Care, Long-Term Care and Memory Care. We have been helping seniors Age Magnificently for over 25 years and are part of Senior Care Communities, a local non-profit supporting senior. Our Quality Assurance Director becomes family and impacts the lives of our residents who live in a Lifespark Senior Living Community. In this position you will lead, guide, and direct the quality assessment and assurance program and performance improvement (QAPI) activities of the healthcare facility in accordance with local, state and federal regulations, standards and established facility policies and procedures to provide appropriate care and services to residents.

Requirements

Graduate of an accredited school of Nursing
Minimum of 5 years related experience in health care education, program development, or healthcare leadership
Valid State Licensure as an RN
Must possesses basic computer skills, including email use, word processing, basic spreadsheets
Must be capable of performing occasional on-call coverage

Nice To Haves

Masters in nursing education or related field preferred.

Responsibilities

Plans, develops, organizes, implements, evaluates and directs the quality assessment and assurance (QA&A) program and quality assurance performance improvement (QAPI) activities of the facility in accordance with current state and federal laws and regulations.
Identifies, in conjunction with the Administrator, Director of Nursing Services and selected department heads, the facility’s key performance indicators.
Establishes an ongoing system to monitor these key indicators throughout the facility to promote improvements, enhance resident care systems, maintain regulatory compliance and/or promote customer satisfaction.
Similarly, evaluates key performance indicator outcomes with department heads to determine the need for action from leadership and/or management such as re-education or revisions in facility policies related to outcomes, regulatory compliance and/or customer satisfaction.
Prioritizes program activities that focus on high-risk, high-volume, or problem-prone areas as identified in the facility assessment that reflects the specific units, programs, departments and unique population the facility serves.
Provides guidance on monthly QA&A/QAPI team meetings and assists with discussing priorities and developing solutions with facility leaders such as falls, weight loss, pressure ulcers/injuries, decline in late loss ADL’s, activity participation, life safety code, cleanliness, lost laundry, etc.
Develops and maintains existing tracking systems, forms, grids, and/or charts to monitor key performance indicator outcomes in the facility. Recommendations for changes or additional tracking systems are brought forward to Regional Directors.
Maintains commitment to quality assessment and performance improvement.
Develops and consults for any/all clinical grant programs, including but not limited to MDH PIPP grants, AHA stroke grants, etc.
Develops, implements and maintains a process to ensure care and services delivered meet accepted standards of quality.
Consults on appropriate plans of action to correct identified deficiencies internally at the facility level and as identified by the licensure and certification health inspection survey process (Form 2567).
Leads, guides and directs the facility’s performance improvement project(s) efforts in accordance with local, state and federal regulations, standards and established facility policies and procedures to provide appropriate care and services to residents.
Ensures the facility’s plan of correction response to any regulatory, health inspection survey is completed, adequate, implemented and timely.
Facilitates, serves, attends or participates in various committees of the facility as necessary.
Knows and understands general nursing practices and procedures, OBRA regulations, Code of Federal Regulations, Appendix PP State Operations Manual, reimbursement processes, Life Safety Code regulations, applicable labor relations laws, and all other regulatory entities that may apply.
Understands, continues to learn, and teaches others about new CMS program initiatives affecting QA&A/QAPI such as, but not limited to Care Compare, SNF-VBP, SNF-QRP, Quality Measures, etc.
Ensures the facility management/leadership team is focused toward the shared goal of delivering compassionate quality care and services across an interdisciplinary team approach as evidenced by meeting expected outcomes.
Identifies and collaborates with members of the interdisciplinary team, physicians, consultants, and community agencies to identify opportunities for enhanced services to the residents and/or resolve issues.
Conducts rounds, observing residents and staff performance, to further identify care delivery systems in need of improvement and to identify opportunities related to regulatory compliance requirements.
Knows residents by name and sight.
Communicates rounding observations to the facility Staff Development Coordinator, Director of Nursing Services and relevant department heads to ensure ongoing educational efforts are aligned with the goals of the QA&A/QAPI program.
Promote teamwork, mutual respect, and effective communication.
Promotes positivity and active daily problem solving.
Leads, guides and directs facility readiness related to health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity or requirement as assigned by the Administrator/Director of Nursing Services.
Ensures follow up is completed with any “mock” survey issues identified in preparation for health surveys, OSHA surveys, and any other regulatory requirement.
Manages and minimizes facility risk through a team approach to achieve desired outcomes in customer service, key performance indicators and other areas as identified.
Coordinates and cooperates with the facility’s liability insurance carrier and legal representative in the unfortunate event of litigation involving the facility.
Reads and stays informed regarding regulatory requirements and any other changes influencing facility outcomes.
Maintains a reference library of written quality assessment and assurance materials, laws, etc. necessary for complying with current standards and regulations to support the provision of quality resident care.
Other duties as assigned.