Director of Quality and Infection Prevention; QAPI​/MDS), RN

Director of Quality and Infection Prevention (QAPI/MDS), RN

Candidate to apply for the Director of Quality and Infection Prevention (QAPI/MDS), RN role at Eventide Senior Living Communities.

Tabitha at Prairie Commons in Grand Island, NE is seeking a full-time Quality and Infection Prevention Director/MDS RN. The QIP Director will oversee all quality and infection prevention programs to ensure consistency within established policies and regulatory direction and to improve the quality of care provided to residents in accordance with Eventide’s Mission and Vision. Responsibilities include maintaining communication with facility leadership, the Medical Director, and the Corporate Office to implement current quality programs, documenting activities related to the Quality Program, managing infection prevention at the facility (including employee health and risk‑management activities), assisting with MDS coordination by organizing and completing documentation requirements in the nursing department in accordance with federal, state, and facility standards, guidelines, and regulations, and routinely contacting staff, families, other department directors/coordinators, and physicians as needed.

• Implements quality activities and programs to enhance resident services. Utilizes ongoing evaluation to measure success and influence quality improvement.
• Collects and analyses data.
• Develops reports and recommendations for process improvement to enhance resident care and services utilizing appropriate methodologies such as Root Cause Analysis, Rapid Cycle, and Lean, and understands when each is appropriate to the situation.
• Reviews/changes the facility QAPI Improvement and management plan to meet existing standards, the Board‑approved quality plan, and sends it to the corporate office for final approval.
• Manages the infection control function for the entire facility.
• Provides formal and informal Infection Prevention education to support the delivery of excellent care to residents and staff.
• Performs infection surveillance and collects data on residents with infections to ensure that infections are monitored for organism, transmission, and antibiotic appropriateness.
• Appropriately identifies trends in outbreaks and reports them to the state after discussion with the Medical Director and campus Executive Director.
• Coordinates and administers the immunization program for all new and existing employees in line with state and federal regulation, including influenza and Hepatitis B; performs and enforces TB testing according to regulation and annual TB screening of employees.
• Performs audits on a regular basis to ensure compliance with federal and state regulation regarding infection prevention (e.g., handwashing, isolation, cultures, and antibiotic usage).
• Actively participates and prepares reports for the state as requested by maintaining a current and active infection prevention program utilizing appropriate software.
• Monitors employee illness for trends in relationship to resident illness and implements action that diminishes the impact and safeguards both groups.
• Plans, implements, and evaluates educational needs of all employees.
• Prepares, conducts, and coordinates training programs for all employees and management.
• Serves as the Minimum Data Set (MDS) Coordinator for the campus, functioning to coordinate and complete the entire MDS process, working with other departments as needed.
• Assesses residents’ health status needs through physical assessments, observation, and interview, and documents findings accordingly.
• Provides and monitors accurate documentation in the resident record according to established nursing policies, procedures, and standards, acting as a resource for accurate and complete documentation to include Medicare and case‑mix classifications.
• Completes, monitors, and evaluates residents’ plans of care, making appropriate changes whenever necessary, ensuring that plans of care are complete and comprehensive.
• Schedules mandatory in‑services.
• Assists Human Resources with new orientation and implementation.
• Maintains a positive working relationship with all staff.
• Displays a friendly,…