Registered Nurse - Deputy Chief of Quality Management

Veterans Health Administration•Philadelphia, PA

6d•Onsite

About The Position

The Registered Nurse - Deputy Chief of Quality Management (QM) provides senior nursing leadership and accountability for population groups or integrated programs that cross service and discipline lines and influence the organization’s healthcare mission. The Deputy Chief functions as an advisor, administrator, educator, consultant, and mentor, and supervises QM staff. This role assesses, plans, implements, coordinates, monitors, and evaluates the quality and safety of care across the organization. The position leads regulatory compliance and accreditation readiness for internal and external oversight bodies, supports performance improvement and committees, and ensures that services have systems and processes to provide safe, high-quality care consistent with external benchmarks. It leads initiatives by identifying quality metrics, trending data, maintaining the quality metric dashboard, and providing expertise in data analysis and display. The Deputy Chief advises leadership and staff on standards, patient safety, infection control, risk management, and process redesign to improve outcomes. The role develops and implements policies and procedures, collaborates with service departments, monitors corrective actions from survey findings, and assists services identified as performance outliers. It oversees programs including Joint Patient Safety Reporting (JPSR), Tort Claims, and Peer Review, and completes clinical quality reviews and data analyses to identify improvement opportunities. The Deputy Chief provides clinical and administrative recommendations related to SAIL outcomes and EPRP metrics and drives improvement initiatives within the medical center. The role also collaborates with the Survey Coordinator on accreditation readiness, standards compliance, staff education, and customer satisfaction. It leads QM staff through performance evaluations and provides guidance and support for changes and change-management projects. QM work includes Accreditation, System Redesign, Infection Prevention, Patient Safety, Risk Management, High Reliability Organization work, and evidence-based practices. Work schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. Compressed or flexible scheduling, telework, and virtual work are not available.

Requirements

Proficiency in basic written and spoken English.
Graduation from an appropriately accredited school of professional nursing, or qualifying education and licensure under the stated VA provisions.
Current, full, active, and unrestricted registered professional nurse licensure in a U.S. state, territory, commonwealth, or the District of Columbia, subject to the stated Graduate Nurse Technician exception.
For Nurse IV: Meet the scope, education, and dimension criteria, including the required years of professional nursing experience and specialized experience equivalent to Nurse III.
Qualifying Nurse IV education and experience: MSN plus 4 years of professional nursing experience, including 1 year of specialized experience equivalent to Nurse III; or a master's degree in a related field with a BSN plus the same experience; or a doctoral degree in nursing plus 3 years of professional nursing experience, including 1 year of specialized experience equivalent to Nurse III; or a doctoral degree in a related field with a BSN plus the same experience.
Meet Nurse IV dimensions in leadership, business acumen, inspiring an industry-leading lifestyle, communication and relationship management, and professional and social responsibility.
U.S. citizenship, unless appointment of a non-citizen is permitted under VA policy when qualified citizens cannot be recruited.
Selected applicants in testing-designated positions must undergo urinalysis for illegal drug use; refusing testing results in denial of VA employment.
Register for Selective Service if applicable to male applicants born after December 31, 1959.
Complete a background/security investigation, online onboarding, and required pre-employment identification and documentation requirements.
Pass a pre-employment physical examination and participate in the seasonal influenza vaccination program.
May be required to serve a probationary period.

Nice To Haves

Certified Professional in Healthcare Quality (CPHQ) certification.
Quality Management or leadership experience.

Responsibilities

Supervise QM staff and assess, plan, implement, coordinate, monitor, and evaluate the quality and safety of organizational care.
Lead regulatory compliance and accreditation readiness for internal and external oversight bodies, including TJC, CARF, VHA, OSHA, OMI, and OIG requirements.
Support performance improvement work and committees, and ensure services maintain processes for safe, high-quality care aligned with external benchmarks.
Identify quality metrics, trend data, maintain the quality metric dashboard, and provide expertise in data analysis and display.
Advise leadership and staff on standards interpretation and implementation, patient safety, infection control, risk management, and process and structural redesign.
Develop and implement policies and procedures and collaborate with service departments to support organizational strategic plans.
Monitor corrective actions resulting from survey findings and assist services that are performance outliers.
Oversee Joint Patient Safety Reporting, Tort Claims, and Peer Review programs.
Complete clinical quality reviews and clinical data analyses, identify improvement opportunities, and provide recommendations on SAIL outcomes and EPRP metrics.
Drive improvement initiatives within the medical center and collaborate with the Survey Coordinator on accreditation readiness, standards compliance, staff education, and customer satisfaction.
Lead QM staff through performance evaluations and provide guidance and support for changes and change-management projects.
Support QM work in Accreditation, System Redesign, Infection Prevention, Patient Safety, Risk Management, High Reliability Organization initiatives, and evidence-based practices.
Participate in unit- or program-level quality improvement initiatives and customer service programs, collaborating with interdisciplinary team members to influence care outcomes.