Quality Assurance Nurse​/Infection Preventionist

Quality Assurance Performance Improvement Nurse / Infection Preventionist:

The primary purpose of your job position is to plan, organize, develop, coordinate and direct our facility’s Quality Assessment and Assurance Program in accordance with current applicable federal, state, and local standards, guidelines and regulations, and as may be directed by the administrator, to assure that the highest degree of quality resident care and safety can be maintained at all times.

The person in this position is required to have completed Infection Preventionist Training

• Plan, organize and direct quality assurance programs and activities
• Plan, develop, organize, implement, coordinate, and direct the quality assurance and assessment program designed to enhance the quality of resident care, in accordance with current rules, regulations, and guidelines that govern nursing care facilities.
• Evaluate programs and effect changes as necessary to improve programs and assure compliance with regulatory requirements.
• Communicate revised plans and changes to facility management to maintain awareness
• Coordinate concurrent review studies performed within the quality assurance program, prepare resulting reports as required.
• Establish and maintain tracking systems for recommendations of groups involved in quality assurance.
• Develop and implement appropriate plans of action to correct identified deficiencies.
• Assist in the development of job descriptions for staff members.
• Perform administrative requirements such as completing necessary forms, reports, etc., and submitting to the administrator as required.
• Represent the facility at and participate in meetings as directed.
• Maintain an adequate liaison with families and residents.
• Schedule committee meetings and notify members of such meetings.
• Assist in developing follow-up procedures for monitoring identified problem areas.
• Maintain a reference library of written quality assessment and assurance material, laws, etc., necessary for complying with current standards and regulations and that will provide assistance in maintaining quality resident care.
• Make written and oral reports/recommendations to the administrator as necessary/required, concerning the operation of the quality assessment and assurance program.
• Assume the authority, responsibility and accountability of directing the quality assessment and assurance department.
• Assist in developing yearly evaluation schedules for departmental studies.
• Assist in identifying and classifying procedures in which potential exposure to blood/body fluids may occur. Update as necessary.
• Maintain committee minutes of meetings.
• Agree not to disclose assigned user  and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
• Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
• Report any known or suspected unauthorized attempt to access facility’s information system.
• Review the facility’s quality indicator reports, quality measures and survey reports to assist in identifying potential problem areas. Make reports to committee as necessary.
• Assist in developing plans of action and correction of identified problem areas.
• Participate in facility surveys as necessary or as may be directed.
• Work with the facility’s risk manager in reviewing policies and procedures, survey reports, etc., to ensure protocols are in place to aid in loss prevention.
• Others as deemed necessary and appropriate, or as may be directed by the administrator.
• Serve as chairperson of the Quality Assessment and Assurance Committee.
• Meet with the Quality Assessment and Assurance Committee monthly to review all assessment tools designed, all data collections reports and all activities regarding quality assurance as carried out by departments, services, or committees that have a direct impact on resident care and safety.
• Attend various committees of the facility (i.e. Pharmacy Committee, Safety Committee, Resident Care Policy Committee, etc.) as deemed appropriate, and as appointed by the administrator.
• Assist other committees and departments in the development of monitoring tools, criteria and standards, assessment methodologies, and the evaluation and selection of priority concerns impacting on resident care and safety.
• Serve as liaison among committees and/or departments to focus on quality assurance in the ongoing operation of the facility.
• Implement recommendations from the Quality Assessment and Assurance Committee as they relate to the quality assurance program.

• Registered Nurse or Licensed Practical Nurse with an unencumbered current state license.

• Sufficient previous experience in clinical health care including direct experience in quality assurance.