Quality Assurance Nurse; QA

Position Details

Position Title: Quality Assurance (QA) Nurse

Department: Nursing

Reports To: Director of Nursing (DON)

FLSA Status: Hourly (Non-Exempt)

Schedule: Monday–Friday with on-call rotation

• Monday through Friday schedule.
• Participates in weekday, weekend, and holiday on-call rotation.
• Provides remote or on-site support as needed for clinical and operational needs.

Responsibilities include the following areas:

• Quality Measures (QMs) & Clinical Outcomes
  • Monitor and trend CMS Quality Measures.
  • Identify residents at risk for QM triggers.
  • Ensure interventions are implemented and effective.
  • Collaborate with IDT to close gaps and improve outcomes.
  • Prepare data for QAPI and leadership review.
• Point of Care (POC) Documentation Oversight
  • Perform daily audits of CNA POC charting in PCC.
  • Ensure documentation is complete, timely, and reflective of care provided.
  • Validate alignment with care plans and resident condition.
  • Provide real-time feedback and escalates concerns as needed.
• Falls & High-Risk Resident Management
  • Review all falls for root cause and intervention accuracy.
  • Ensure timely implementation and follow-up of interventions.
  • Audit 72‑hour documentation and IDT review.
  • Maintain oversight of high‑risk residents.
• Skin Integrity & Wound Program Support
  • Audit skin documentation and weekly wound assessments.
  • Ensure treatments and physician orders are followed.
  • Validate completion of skin checks and admission assessments.
  • Monitor pressure injury prevention practices.
• Hospital Transfer Review (RTH)
  • Review all hospital transfers for appropriateness and trends.
  • Identify opportunities for early intervention.
  • Ensure documentation supports clinical decision‑making.
• Infection Control & Clinical Audits
  • Conduct audits for hand hygiene, PPE use, and isolation compliance.
  • Support infection control processes and initiatives.
  • Ensure adherence to facility policy and regulatory standards.
• Skilled Program Oversight (Including NIV)
  • Monitor and support specialty clinical programs.
  • Non‑Invasive Ventilation (NIV)
    • Identify eligible residents and verify orders.
    • Ensure compliance with required usage parameters.
    • Audit documentation, assessments, and care plan integration.
    • Support staff competency and adherence to protocol.
• Admissions & Clinical Readiness
  • Review new admissions for order accuracy and completeness.
  • Ensure early alignment of documentation and care plans.
  • Identify and address clinical risks.
• Regulatory Compliance & Survey Readiness
  • Ensure compliance with CMS and state regulations.
  • Participate in audits, mock surveys, and plan of correction follow‑up.
  • Maintain readiness across clinical systems.
• Interdisciplinary Team (IDT) Collaboration
  • Collaborate with IDT to address clinical findings.
  • Communicate trends, risks, and required follow‑up.
  • Support coordination of care across disciplines.
• Clinical Support
  • Provide guidance and support to nursing staff.
  • Assist with floor coverage as needed for safe operations.

• Improvement in Quality Measures
• Reduction in falls and repeat falls
• Reduction in pressure injuries
• POC documentation compliance
• Reduction in avoidable hospital transfers
• Audit completion and follow‑through
• NIV program compliance

• Active RN license in Ohio.
• Preferred experience in SNF/LTC.
• Knowledge of CMS regulations and PCC systems.
• Preferred experience with quality improvement, audits, or infection control.

• Strong clinical judgment and critical thinking.
• Detail‑oriented with strong auditing ability.
• Ability to analyze trends and drive outcomes.
• Effective communication and leadership skills.
• Ability to maintain accountability while supporting team performance.

This role supports consistent clinical systems and follow‑through during the week to improve outcomes in the following areas:

• Falls
• Wounds
• Quality Measures
• POC documentation
• Hospital transfers

It ensures the facility is operationally prepared for weekends and maintains continuity across all shifts.

• Performs other duties as assigned by the Director of Nursing or designee.
• This job description is intended to describe the general nature and level of work performed and is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required of the position.
• Responsibilities may be modified at any time based on operational, clinical, or regulatory needs.
• The employee is expected to perform all duties in compliance with applicable federal, state, and local regulations, as well as facility policies and standards.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.