Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
40
Compensation:
Salary Range: $31.00 - $49.50
Union Position:
No
Department Details

Summary
Collaborates with leadership to organize, evaluate, assist, and coordinate planning and implementation of systematic, organization-wide approaches to improving outcomes, ensuring compliance with regulatory bodies, and/or achieving infection prevention program goals.

Job Description
Supports corporate and local strategic plans that achieve high impact and significant improvements in organizational performance by providing oversight to performance improvement, regulatory compliance components and activities, and/or infection prevention and control. Demonstrates the ability in problem solving, critical thinking, conflict management, and team building skills in order to ensure a productive work environment and achievement of goals.

Responsible for utilizing and teaching process improvements as it relates to quality performance, regulatory compliance, or infection prevention. Supports informed decision making for operational efficiencies that align with system strategies for improving patient/resident experience and outcomes and reducing patient safety and regulatory risk. Supports process change from education through sustainability. Serves as communication link and resource for performance improvement, infection prevention surveillance and reporting, healthcare regulations, and patient safety for departments and management throughout the organization. The responsibilities include data and project management, analytical reasoning, interpreting and evaluation of complex information, identifying patterns and essential issues, while measuring and evaluating the attainment of results.

Knowledge of and conformance to regulatory requirements, evidence-based practices, contractual obligations, and the organizations policies is essential, along with the ability to maintain confidentiality of sensitive information. Understands and communicates quality and safety priorities as they relate to high reliability and value based care. Analyzes data to identify areas of opportunity for improvement efforts. Ability to write and verbally communicate in a legible and understandable manner, have strong computer skills, possess the ability to make independent and timely decisions when circumstances warrant. Obtains familiarity with basic process improvement tools and healthcare and medical terminology. Demonstrate interpersonal skills, such as interacting effectively with other health care professionals, physicians, upper-level management, regulatory agency staff, and the general public.

Qualifications
Bachelor's degree required. In lieu of education, leadership may consider an Associate's degree and 5 years of applicable experience. If degree is in nursing, graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).

Minimum of two years of experience in clinical, nursing, healthcare safety, process improvement, infection prevention, accreditation or healthcare management setting required.

Certification in regulatory accreditation, patient safety, quality specialty (Lean Six Sigma or Certified Professional in Healthcare Quality) or Infection Prevention and Control (CIC®)equivalent preferred.

If a licensed registered nurse (RN), currently hold an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role's responsibilities. Other departments may or may not require certifications as directed by department leadership.