Registered Nurse - Quality Management & Accreditation - LTC QAPI HOT JOB

SouthEast Alaska Regional Health Consortium (SEARHC)•Wrangell, AK

1d•$39 - $55

About The Position

Primary responsibilities are as the Long-Term Care (LTC) QAPI Coordinator / RN. The primary purpose of this position is to facilitate, conduct, coordinate, and evaluate consistent quality clinical care delivery through adopted clinical standards, policies, practices, protocols, and processes. Ensure compliance with CMS and other regulatory bodies, as applicable. This position coordinates regulatory surveys; continuous accreditation readiness activities. As a member of the LTC facility interdisciplinary team, this position also coordinates, assigns, performs and evaluates general practices within the facility as it relates to safety, regulatory compliance, corporate standards, and more using the QAPI program as one method of monitoring. Infection Control facilitation, as it relates to adopted and expected performance is aligned with this position. This position works closely with Administration, Providers, Leaders and Staff to ensure awareness of quality and patient safety, and to facilitate improvement efforts in all areas. SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more. $25K Sign On and $10K Relocation for Qualified Hire!

Requirements

Current full, unrestricted, active Registered Nursing license in Alaska. Direct Hire must have applied for an Alaska nursing license before the start date. Agency staff must have an active Alaska license.
Certified Professional in Healthcare Quality (CPHQ), or QAPI Certified Professional (QCP), or other LTC Quality Certification, obtained within 3 years - required.
2 years’ experience monitoring quality and regulatory requirements, planning, and coordinating process changes.
Demonstrated experience that shows leadership skills in facilitating and leading cross-functional teams and in working collaboratively with groups or teams.
Knowledge of accreditation requirements for a healthcare system to include long-term care, acute care, ambulatory and/or behavioral health.
Strong working knowledge of patient care principles and practices
Understanding of quality improvement concepts and practices
Concepts around medical practice and standards of care
General knowledge of organizational functions and operations.
Knowledge of group processes and ability to lead processes.
Experience with Data Analytics in the collection, analysis, and presentation of data
Excellent verbal and written communication skills
Skill with medical chart reviews and extraction of data
Oral and written communication skills.
Ability to focus and prioritize to attain goals.
Effectively solicit ideas and information from individuals and groups.
Ability to define problems, collect data, establish facts, and draw valid conclusions
Computer Skills: Proficient in Microsoft Office Products including Word, Excel, and PowerPoint
Travel Required: Minimum of 30% travel is expected.
Employees are responsible for complying with safe work rules; reporting all accidents and injuries immediately; cooperating in all accident and injury investigations; reporting defective equipment and unsafe conditions.
Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, Registered Nurse License - State of Alaska - Alaska State Board of Nursing

Nice To Haves

experience working in Long Term Care

Responsibilities

Collaboration with the Long-Term Care Administrator on overall QAPI objectives for the organization.
Plan, organize, and direct quality assurance program and activities.
Lead projects and provide education and coaching and coordinate with directors/managers to ensure QAPI efforts are integrated into all operations and departments, including staff responsibilities.
Provide ongoing assessment of performance, analyzes clinical outcome data, and identifies performance improvement opportunities or trends.
Plan, develop, organize, implement, coordinate, and direct the quality assurance and assessment program designed to enhance the quality of resident care, in accordance with current rules, regulations, and guidelines that govern nursing care facilities.
Establish and maintain tracking systems for recommendations of groups involved in quality assurance.
Develop and implement appropriate plans of action to correct identified deficiencies.
Assist in developing follow-up procedures for monitoring identified problem areas.
In collaboration with the Risk Manager, perform RCA as necessary and keep all records of FRIs (facility reported incidents) and Datix events, and assist in investigations of incident reports, complaints, resident care issues and others as requested.
Make written and oral reports and recommendations to the Administrator, as necessary or required, concerning the operation of the quality assessment and assurance program.
Design a process for and conduct an evaluation of QAPI efforts (at least annually).
Facilitate a discussion within the quality committee for this annual review.
Develop and maintain formal QAPI plan.
Organize and facilitate the quality committee meetings by guiding discussion around performance measures and prioritizing and developing quality efforts and maintaining meeting minutes.
Participate in Facility's surveys.
Review and write/revise policies and procedures, survey reports, facility wide assessment, etc.
Communicates professionally and effectively with all levels of the organization; serves as a resource, mentor, and role model for others as QM is continuously integrated into everyday processes within the organization.
Support the QMA Department with quality management responsibilities, to include, but not limited to; chart audits, rounding, accreditation readiness and support, participate and facilitate quality committees, as applicable.
Other duties as assigned, including cross coverage of other QM Team member roles.