Quality Nurse Specialist CCC

Quality Nurse Specialist CCC

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. The primary responsibility is to assist in the improvement of clinical effectiveness and continual readiness for Joint Commission surveys. You will oversee performance improvement activities, regulatory compliance, and other initiatives that lead to effective clinical resource utilization and improvements in quality.

You will promote interdisciplinary collaboration and teamwork to promote excellence in patient‑centered care and promote patient education of common disease states and management.

• Bachelor of Science in Nursing (BSN) AND Three (3) years of clinical experience in a healthcare setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of services.
• Associate’s Degree in Nursing (ASN) AND Five (5) years of clinical experience in a healthcare setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of services.
• Current Registered Nurse license issued by the state in which services will be provided or current multi‑state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).

• Advanced degree (MSN, MPH, MPA).

• Assists in the development and implementation of quality activities and monitors quality indicators for assessment of quality across the continuum of care (ambulatory and inpatient).
• Develops and implements mechanisms for ongoing data collection, analysis, and reporting of quality indicators.
• Initiates mechanisms to ensure timely and accurate reporting of data.
• Monitors appropriate criteria and reports the data for specific procedures and services.
• Develops performance improvement initiatives throughout the institution and supports the impetus for sustained performance improvement.
• Works collaboratively with Decision Support personnel and staff for variance tracking.
• Works in collaboration with the interdisciplinary health care team to support resource utilization and quality improvement; utilizes information systems to collect and analyze data.
• Collects, analyzes, and presents data via internal software systems, external comparative databases and through manual review; compiles data through survey audits of departments, chart review, and staff interviews.
• Prepares the institution (ambulatory and inpatient) to successfully meet Joint Commission standards and CMS conditions of participation.
• Analyzes data for trends and for medical staff and institutional compliance with Joint Commission standards and CMS conditions of participation.
• Develops and submits reports for appropriate individuals and committees within the organization; interacts with faculty and staff to present quality initiative updates, reports, and education.
• Assists in the development of appropriate policies, processes, and activities to support continuous readiness for Joint Commission and CMS.
• Ensures timely and accurate monitoring of patients’ care for compliance with Joint Commission Core Measures and CMS Scope of Work initiatives.
• Assists in the implementation of evidence‑based indicators associated with Joint Commission Core Measures and CMS Scope of Work initiatives and monitors these indicators for compliance.
• Develops and implements mechanisms for ongoing monitoring and analysis of evidence‑based indicators.
• Monitors appropriateness criteria and alerts services of patient‑centered opportunities.
• Documents evidence of compliance or exclusion criteria for the evidence‑based indicators in the medical record.
• Develops performance improvement initiatives throughout the institution related to evidence‑based indicators.
• Interacts with faculty and staff to attain high levels of compliance with Joint Commission Core measures and CMS Scope of Work initiatives.
• Participates in payor‑based quality improvement initiatives…