Quality & Safety Program Manager / Advanced Practice Nurse

University of Colorado•Aurora, CO

9d•$103,750 - $115,278•Hybrid

About The Position

The University of Colorado College of Nursing is seeking a full-time, doctoral-prepared Advanced Practice Nurse (APN) for a faculty administrative appointment in the Clinical Practice Faculty Series, at the Assistant Professor of Clinical Practice rank. The position is within the Office of Clinical and Community Affairs (CCA) and is 1.0 FTE: 0.80 FTE (32 hours per week) as Quality and Safety Program Manager and 0.20 FTE (8 hours per week) in clinical practice within an interprofessional, team-based care model. The role contributes to the College of Nursing’s clinical, educational, and service missions. The Quality and Safety Program Manager coordinates CCA quality assurance and improvement activities. This includes managing provider peer review, collecting and analyzing quality and performance data, coordinating reviews of clinical events and mortality reports, developing improvement plans and projects, establishing metrics and dashboards, and leading patient safety and clinical risk management initiatives. The role partners with College of Nursing teams, University offices, community partners, and clinical leadership, and supports staff education, student learning, policy development, and quality committees. The clinical practice portion includes outpatient primary care and patient management. The APN conducts assessments and examinations, evaluates and diagnoses conditions, develops evidence-based care plans, provides treatment and follow-up, coordinates care across teams, and delivers health education and preventive care. The role maintains procedural competency and accurate EHR documentation, follows safety and regulatory standards, participates in peer review and chart audits, and provides rotating after-hours triage. The position is hybrid, with at least three days per week on-site and additional on-site work as organizational needs require. Standard clinic hours are Monday through Friday, 8:00 a.m. to 5:00 p.m., with rotating on-call coverage; work on weekends, nights, and holidays may be required based on practice and service-line needs.

Requirements

Earned research or professional doctorate in nursing from an accredited institution of higher education.
Current RN, RxN, and APN licenses in good standing in any state; Colorado licenses must be obtained by the date of hire.
Five years of advanced practice experience.
Two years of experience in a nursing or healthcare leadership role.
Record of demonstrated effectiveness in clinical practice, collegial collaboration, and commitment to a program of scholarship sufficient to qualify for Assistant Professor rank in the IRC: Clinical Practice faculty track.
Willingness and ability to obtain Colorado RN, APN, and RxN licenses by the date of hire.
Willingness and ability to obtain a current DEA license within 90 days of hire.
Willingness and ability to obtain a valid NPI number and Colorado Medicaid Provider number by the date of hire.
Willingness and ability to complete CAQH and all credentialing requirements by the date of hire.
Willingness and ability to obtain current BLS/CPR certification by the date of hire.
Willingness and ability to participate actively in health plan contracts and remain credentialed with health plans, keeping credentialing materials current.
Willingness and ability to work in a normal patient care environment with some exposure to biological hazards and infectious diseases.
Willingness and ability to work standard clinic hours, Monday through Friday, 8:00 a.m. to 5:00 p.m., with rotating on-call coverage, and to work weekends, nights, and holidays as needed.
Demonstrated sound clinical judgment and ability to independently assess, diagnose, and manage acute and chronic conditions within scope of practice.
Ability to drive process improvements and regulatory compliance.
Proven ability to launch and manage complex projects and systems of care.
Expertise in quality improvement methods.
Knowledge of program planning concepts and practices, particularly systems of integrated care that support patient needs.
Knowledge of the cultural, social, and economic backgrounds of diverse populations served and how cultural values and beliefs affect health status.
Ability to use computers and clinic software to ensure completeness and accuracy.
Medical literacy, including familiarity with common medical terms, first-line psychiatric medications, medical culture, and interdisciplinary treatment teams.
Ability to collect and analyze data for reporting.
Ability to prioritize effectively and respond to changes in patient condition with appropriate urgency and coordination.
Proficiency in EHR systems and accurate, timely, complete documentation.
Strong interpersonal and communication skills for collaborative work with patients, families, interdisciplinary teams, and academic partners.
Ability to function effectively in an integrated, team-based care model.
Professionalism, adaptability, and accountability in a dynamic clinical environment.
Effective clinical teaching skills and commitment to mentoring students.
Attention to detail and adherence to regulatory, credentialing, and compliance requirements.
Engagement in quality improvement, patient access initiatives, and clinic growth efforts.
Willingness and ability to participate in rotating on-call triage schedules.

Nice To Haves

Two years of experience working with EPIC.
Two years of experience coordinating and implementing quality improvement and risk mitigation programs in a healthcare setting.
Experience using the Data Quality module in REDCap, EPIC dashboards, or similar tools.
Experience precepting graduate nursing students.
Prior experience working in an academic or teaching environment.
Experience working with population-based outcomes.

Responsibilities

Coordinate the peer review process for CCA clinical practice providers, including quarterly or annual reviews; gather and share best practices and identify improvement opportunities.
Collect, analyze, and disseminate quality and key performance indicator data, including midwifery birth outcomes and eCQMs.
Collaborate on case reviews, clinical event reporting, and mortality reports to identify actual or potential quality-of-care incidents; create and follow through on action plans.
Develop quality improvement projects, identify gaps, and oversee focused PDSA cycles for continuous improvement.
Serve as a liaison between CCA and College of Nursing teams, University offices, and community partner quality teams.
Build dashboards, establish quality metrics, and monitor them regularly.
Lead patient safety and clinical risk management initiatives across clinical settings in collaboration with clinical leadership teams.
Support a culture of safety, compliance, and continuous learning through staff engagement, empowerment, and education.
Support BSN and DNP students and coordinate student DNP project placements.
Support development of policies and procedures focused on quality of care and safety.
Participate in College, campus, and community partner quality committees.
Develop quality improvement and quality assurance programs for practice and service lines in collaboration with clinical practice leadership.
Perform outpatient primary care procedures within scope of practice.
Conduct comprehensive patient assessments, including physical examinations, evaluation, diagnosis, treatment, follow-up, and consultation.
Obtain patient histories and develop individualized, evidence-based plans of care.
Coordinate patient care across the interprofessional team and consulting healthcare teams.
Provide health education, counseling, and preventive care to patients, families, and groups.
Maintain procedural competency and follow evidence-based practice standards, documentation requirements, and informed consent processes.
Complete accurate and timely clinical documentation in the Electronic Health Record (EHR).
Adhere to safety, infection control, environmental, and regulatory standards.
Participate in clinical peer review and routine chart audits as required.
Participate in rotating after-hours triage call as applicable.
Work weekends, nights, and holidays based on the needs of the practice and service line.