Rn Jobs

About The Position

Requirements

• Bachelor of Science in Nursing (BSN) required.
• Active Registered Nurse (RN) license required.
• 3–5+ years of experience in healthcare quality improvement, clinical education, or leadership roles.
• Experience working with Joint Commission and CMS regulatory standards.
• Strong knowledge of clinical quality metrics, infection prevention, and patient safety programs.
• Experience with EHR systems and quality reporting tools.
• Strong data analysis and performance improvement skills.
• Excellent clinical education, leadership, and communication abilities.
• Ability to lead multidisciplinary teams in a high-acuity hospital environment.
• Ability to project a professional image.
• Knowledge of regulatory standards and compliance requirements.
• Strong organizational, prioritizing and analytical skills.
• Ability to make independent decisions when circumstances warrant.
• Working knowledge of computer and software applications used in job functions.
• Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

Nice To Haves

• Master’s degree in Nursing, Healthcare Administration, or related field preferred.
• Experience in Critical Care, LTAC, Acute Care Hospital, or ICU environments strongly preferred.

Responsibilities

• Lead and oversee the hospital’s Quality Improvement (QI) and Performance Improvement (PI) programs focused on improving clinical outcomes for critically ill patients.
• Monitor and analyze key clinical quality indicators including infection rates, ventilator-associated events, readmissions, patient safety events, and mortality trends.
• Implement evidence-based performance improvement methodologies such as Plan-Do-Study-Act (PDSA) cycles.
• Develop and present quality performance reports and dashboards to executive leadership and medical staff.
• Identify opportunities to improve patient outcomes, care coordination, and clinical processes.
• Ensure organizational compliance with CMS, Joint Commission, and state regulatory standards.
• Lead hospital survey readiness efforts, audits, and accreditation activities.
• Develop and maintain policies, procedures, and clinical protocols aligned with regulatory requirements and evidence-based practices.
• Oversee risk management, incident reporting, patient safety initiatives, and grievance processes.
• Design and implement clinical education and competency programs for nursing and interdisciplinary staff.
• Provide education on critical care practices, ventilator management, infection prevention, wound care, and clinical documentation standards.
• Lead new hire clinical orientation programs, annual competencies, and continuing education initiatives.
• Train staff on quality improvement methodologies, patient safety protocols, and regulatory compliance requirements.
• Collaborate with nursing leadership to address performance gaps and strengthen staff competency.
• Track and analyze hospital quality metrics and performance indicators including infection control, patient safety events, and clinical outcomes.
• Work with department leaders to implement targeted improvement initiatives.
• Support the development of evidence-based clinical protocols and best practices for critically ill patient populations.
• Serve as a clinical leader and subject matter expert in quality improvement and staff education.
• Partner with Chief Nursing Officer, medical staff, infection prevention, and department leaders to drive quality initiatives.
• Foster a culture of patient safety, clinical excellence, and continuous improvement across the hospital.
• Mentor and support clinical staff in maintaining high standards of care for medically complex patients.