Responsibilities

Effective Date: 10/25

I. JOB SUMMARY:
• Leads, plans, coordinates, implements, and evaluates performance improvement and risk management activities for the Queen's North Hawaii Community Hospital (QNHCH) in accordance with department's goals and objectives and mission of QNHCH and The Queen's Health Systems (QHS).
• Oversees and supports medical staff, departments, and services in meeting requirements of licensing, accreditation, and credentialing agencies.
• Investigates, documents and analyzes incidents occurring throughout QNHCH, which may result in general and/or professional liability claims.
• Leads the implementation, and facilitation of key clinical performance improvement efforts.

II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
• Seeing. Hearing. Speaking. Finger dexterity.

B. MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: Lift waist to shoulder between 0-5 lbs. Carry between 0-5 lbs.
• Frequent: N/A
• Constant: N/A

C. NON-MANUAL MATERIAL HANDLING:
• Infrequent: Kneel. Squat. Gripping.
• Occasional: N/A
• Frequent: Stand. Sit. Walk.
• Constant: N/A

III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
• Bachelor's degree Nursing.
• Master's degree nursing preferred.

B. CERTIFICATION AND LICENSURE:
• Current Hawaii State License as a Registered Nurse.
• Certification in National Association of Healthcare Quality (NAHQ) preferred.

C. EXPERIENCE:
• Three (3) years nursing experience with at least one (1) year performance improvement experience.
• Knowledge of performance improvement, databases/information systems preferred.
• Demonstrated experience with computer word-processing, spreadsheet, and presentation applications may be required depending upon area of assignment.