This position is incentive eligible.

Job Summary and Qualifications
• Demonstrates the ability to adapt technique/treatment to age of population served, including newborn, pediatric, adolescent, adult and geriatric patients, while providing care/service with respect to cultural differences and spiritual needs.
• Works collaboratively with all disciplines throughout the organization locally and at division level to ensure quality care to patients, the improvement of core measure compliance, and the move toward excellence in patient care
• Serve as a change agent for the organization by driving cultural transformation, adoption of successful process improvement practices and diagnosing barriers to project success
• Facilitate resolution of conflicting processes and mentor leadership teams, process owners and stakeholders in the use of process. You will design/improvement methodology and tools, including training and coaching leaders and process improvement team members
• In collaboration with senior management, drives HCAHPS and patient satisfaction scores toward positive results
• For the quality management and infection control function, provides leadership, planning, resource information, communications policy/procedure development and maintenance, regulatory compliance monitoring, budget development, and personnel supervision
• Communicates with clinical leadership and directs and/or participates in action planning as appropriate
• Formulates analysis plan for data management and analyzes incidents/occurrences and identifies patterns as evidence for decision-making as well as provides guidance for an evidence based quality management program for the facility
• Chairs the Hospital Quality and Patient Safety Committee
• Serves as member of select committees critical to effectiveness of the Quality Management/PI and Infection Control Program
• Structures and maintains a quality improvement organization which provides oversight for all regulatory and process improvement areas of the institution
• Monitor and evaluate quality and appropriateness of patient care delivery processes and practices while concurrently identifying opportunities for improvement through collaboration throughout the organization incorporating evidenced-based practices in process design
• Analyze facility specific, division, and enterprise-wide quality metrics and drives quality improvement across complex, integrated processes
• Lead collaboration of multiple disciplines to support overall goals of the organization, using systems architecture, model-driven engineering, HFMEAS, risk analysis, optimization, and verification and validation plans methods
• Drive quality assurance and process improvement, with an emphasis on transparency, root cause analysis, cross-functional feedback and data collection, and data interpretation for optimal performance with a goal of long-term sustainability
• Orchestrate and/or attend cross-functional meetings to support resource alignment, project issue resolution, and communication
• Monitors performance in areas of responsibility to ensure compliance with statutory mandates, regulatory requirements and accreditation standards of professional organizations such as TJC. (Statutory, regulatory, and industry requirements include but are not limited to the following: FDA, EMTALA, Medicare and Medicaid provision of the Social Security Act, Leapfrog, NHQ, and AHRQ)
• Disseminates information and research related changes in regulatory requirements and clinical research pertinent to quality management and performance improvement
• Coordinates with facility administration and the medical staff office to monitor compliance of medical staff members, allied health professionals, and contract services with quality management and performance improvement standards, including clinical practice guidelines determined to be appropriate by the hospital and medical staff leadership at Wesley Medical Center
• Assists appropriate medical staff and hospital committees in the review and resolution of individual and/or aggregate patient quality of care issues, including process and systems reviews such as FMECA and root cause analyses following identified sentinel events. Has the primary responsibility of ensuring that regulatory requirements related to FMECAs are met on an annual basis
• Conducts activities related to external quality inquiries and final determinations
• Monitor and evaluate quality and appropriateness of patient care delivery processes and practices while concurrently identifying opportunities for improvement through collaboration throughout the organization incorporating evidenced-based practices in process design
• Analyze facility specific, division, and enterprise-wide quality metrics and drives quality improvement across complex, integrated processes
• Lead collaboration of multiple disciplines to support overall goals of the organization, using systems architecture, model-driven engineering, HFMEAS, risk analysis, optimization, and verification and validation plans methods
• Integrate evidenced based practices for assuring patient safety throughout process design
• Drive quality assurance and process improvement, with an emphasis on transparency, root cause analysis, cross-functional feedback and data collection, and data interpretation for optimal performance
• Orchestrate and/or attend cross-functional meetings to support resource alignment, project issue resolution, and communication
• Identify process improvement opportunities and lead multiple project teams to Six Sigma and Lean initiatives from define phase through completion and control using proven organizational and change management techniques
• Include both operational and strategic perspectives in system design
• Monitors public reporting policy and processes to assure compliance with RHQDAPU requirements for market basket reimbursement
• Performs all other duties as assigned

What qualifications you will need:

Required Registration, Licensure and/or Certification

• None

Preferred Registration, Licensure and/or Certification

• Current Licensure in the State of Kansas as a Registered Nurse (RN) or Current Multi-State Licensure as a Registered Nurse

Required Education or Experience

• Bachelor's Degree in related discipline

• 5-7 year's of experience

Preferred Education or Experience

• Master's Degree in Nursing or related discipline

Required Knowledge and Skills

• None

Preferred Knowledge and Skills

• None

Benefits

Wesley Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.