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You will be updated with latest job alerts via email1. Manages the following department quality safety regulatory/compliance and evidence based practice program activities:2. Develops quality improvement program to effect change and accomplish the established goals and objectives of the Department of Nursing through performance of needs assessments to identify practice/ systems issues and create/enhance processes and systems for meeting program goals and objectives.3. Assumes role of project manager for specific projects that include overall accountability for operational outcomes supervision of project team including feedback on work performance and accountability to project sponsor.4. Works with nursing leadership and care improvement teams to monitor performs data collection and compilation; ensures entry of accurate and reliable clinical/compliance data into webbased or Access databases for all eligible patient cases.5. Analyzes interprets and presents quality/safety program results to various audiences including the Chiefs of Service VP of Patient Care Services Executive Nursing Directors Directors and Educators as well as frontline Nursing and Medical staff.6. Identifies required staff for program implementation and has authority to hire train supervise and evaluate program staff associated with various safety and quality initiatives.7. Collaborates with Nursing Director to prioritize improvement initiatives and ensure compliance with existing quality and safety initiatives.8. Resource to Nursing Directors to review monthly balanced scorecard data and identify areas for improvement and consultant to the development of action plans.9. Creates and manages program budgets monitors use of resources supplies equipment and integrates cost containment factors into program planning and implementation.10. Responsible to communicate and ensure compliance with evolving mandates for external quality reporting and regulatory requirements e.g. JCAHO NPSGs ORYX Leapfrog CMS/Medicare etc. in collaboration with Center for Clinical Excellence.11. Leads and/or participates in department and/or hospital committees and task forces as the nursing department representative.12. Establishes effective interdisciplinary relationships with members of clinical departments the Center for Nursing Excellence Center for Clinical Excellence Medical Records Compliance/Risk Management Laboratory Information Systems etc. whose support is necessary for the successful management of compliance quality improvement and patient safety initiatives.13. Keeps current with knowledge of legislative social and regulatory changes that impact the health care delivery system and implements recommendations to enhance practice patterns that are impacted by such change.14. Collaborates with colleagues in the Center for Nursing Excellence Nursing Directors and Executive Directors to identify and address educational needs related to safety quality and compliance.15. Assumes a leadership role in ensuring that nursing practice is evidencebased.16. Leads the development and review of patient care policies and nursing standards.17. Facilitates and/or participates in nursing research and/or grant writing as appropriate to program and departmental need.18. Presentation of Posters19. Ongoing review of projects and /or programs to ensure sustainability.20. Performs other related duties and responsibilities as required
Required Experience:
Director
Full-Time