Clinical Quality RN Dialysis

Baylor Scott & White Health•Temple, TX

About The Position

Baylor Scott & White Health is seeking an experienced RN Clinical Quality Nurse to support quality, compliance, and performance improvement initiatives across outpatient and home dialysis programs in Temple and Killeen. The role partners with clinical leaders to improve patient outcomes, ensure regulatory compliance, and lead quality improvement projects. The Clinical Quality Registered Nurse manages efforts to prioritize patient safety and healthcare quality. The position contributes to quality assurance, management, and enhancement projects by collecting data, conducting research, creating presentations, taking corrective actions, supporting peer reviews, and ensuring compliance with regulatory standards. The role helps establish measurable patient safety and quality standards, evaluates processes, identifies inconsistencies, and supports remedial action. It also works with medical and clinical leaders, Risk Management, and other teams on quality reporting, peer review, annual program assessments, and confidential handling of research data.

Requirements

Current RN license.
Associate's degree or equivalent.
At least two years of relevant work experience.
Experience in Clinical Quality, Performance Improvement (PI), or Quality Improvement (QI).
Practical knowledge and experience in project management, particularly applying quality tools and methods.
Strong data analysis, project management, and critical thinking skills.
Proficiency with Excel, PowerPoint, and presentations.
Knowledge of key quality and regulatory organizations such as the Joint Commission and Institute for Healthcare Improvement.
Ability to maintain strict confidentiality of information obtained while performing job duties.
Effective communication skills and ability to share activities and learning within the facility and organization.

Nice To Haves

Dialysis, nephrology, or CMS quality reporting experience.
Current certification as a Professional in Healthcare Quality.

Responsibilities

Lead Quality Assessment and Performance Improvement (QAPI) initiatives.
Manage regulatory reporting and compliance, including NHSN, EQRS, and CMS quality measures.
Analyze clinical data and identify opportunities for improvement.
Conduct root cause analyses and lead quality improvement projects.
Collaborate with interdisciplinary teams to improve outcomes and operational efficiency.
Develop and present quality reports to leadership teams.
Help staff and management establish dependable, quantifiable standards for patient safety and quality.
Recognize and meet regulatory standards related to patient safety and quality assurance.
Help medical staff with quality assurance tasks, address management issues found in peer review, and improve quality where possible.
Identify consistent and inconsistent processes and take remedial actions based on findings.
Use tools such as flow charts, failure analysis, run charts, and statistical control to evaluate processes.
Partner with medical and clinical leaders to create and present reports on quality and patient safety.
Contribute to annual program assessments by providing reports on patient safety and quality management.
Participate in the Peer Review Program, assisting with data collection, research, and aggregation during appointment and reappointment cycles as needed.
Work with Risk Management to ensure research data meets legal privacy protections for confidentiality.