Quality Improvement Specialist- RN- Dunn Behavioral Sciences

UTHealth Houston•Houston, TX

6d•Onsite

About The Position

UTHealth Houston’s Dunn Behavioral Sciences Center is seeking a Quality Improvement Specialist – RN to coordinate quality improvement, patient safety, and clinical risk management activities across its Behavioral Sciences Campus. Under the direction of the Director, the position works with clinical leaders and administration to strengthen patient safety, clinical quality, and performance improvement and to maintain readiness for CMS, State, and The Joint Commission standards. The role evaluates quality metrics, prepares performance reports and action plans, supports improvement studies, assists with regulatory and mock surveys, and provides expertise for local process improvement initiatives. It also coordinates training and develops tools that support clinical practice transformation and organizational quality goals. The schedule is Monday–Friday, 8:00 a.m.–5:00 p.m. Employees must permanently reside and work in Texas.

Requirements

Current Registered Nurse (RN) state licensure or Nurse Licensure Compact (NLC) licensure through the Texas Board of Nursing is required.
Bachelor’s degree in nursing from an accredited nursing school and one year of nursing experience; alternatively, an associate’s degree in nursing and three years of nursing experience, or a three-year nursing diploma and two years of nursing experience.
Superior written and verbal communication skills.
Expertise in Microsoft Office applications and healthcare quality data analysis.
Work may involve handling biohazardous, chemical, and radiological materials and operating associated equipment; required safety training, engineering and administrative controls, and personal protective equipment must be used.
Employees must permanently reside and work in Texas.

Nice To Haves

Master’s degree preferred.
Lean Six Sigma Black Belt (LSSBB) certification from ASQ, CSSC, IASSC, or LSSI preferred.
Certified Professional in Healthcare Quality (CPHQ) certification from NAHQ preferred.
Experience in acute care hospital behavioral health quality and/or process improvement training or education, such as Six Sigma, LEAN, or Robust Process Improvement, preferred.

Responsibilities

Prepare clinical performance improvement initiatives and outcomes reports for administration and other governing bodies.
Maintain regulatory survey readiness for CMS, State, and The Joint Commission standards.
Conduct and assist with The Joint Commission mock surveys, analyze survey outcomes, report findings, and develop action plans with clinical managers and administration.
Investigate, aggregate, and evaluate defined quality metrics for the UTHealth John S. Dunn Behavioral Sciences Center, including HCPC and DCB Buildings.
Generate program reports for analysis and obtain quality metrics from the Electronic Health Records (Epic).
Identify key performance metrics, monitor them, and report on them as necessary.
Provide technical assistance and subject matter expertise for quality assurance and improvement efforts and local process improvement initiatives.
Provide formal input toward action plans and other follow-up activities related to data collection.
Coordinate implementation of training programs and deliver training as assigned.
Develop and implement program tools supporting clinical practice transformation goals, coordinating with other entities to ensure consistency of documentation and tools.
Monitor quality improvement goals and track outcomes and measurements.
Assist in developing, retrieving data for, and analyzing medical staff quality improvement studies and medical staff indicator results.
Perform other duties as assigned.

Benefits

100% paid medical premiums for full-time employees.
Generous time off, including holidays, a preventative leave day, vacation, and sick time, totaling around 37–38 days per year.
Increasing vacation accrual with length of service.
Longevity pay through monthly payments after two years of service.
Retirement/pension plan.
Free financial and legal counseling.
Free mental health counseling services.
Gym membership discounts and access to wellness programs.
Employee discounts, including entertainment, car rentals, and cell phones.
Resources for child and elder care.