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**Must have current RN License Quality Experience TJC and CMS Experience*** **Onsite ONLY** Position Highlights: Position: Quality RN Job Type: FullTime Location: Community Hospital/OnSite Responsibilities: Monitors and collaborates to ensure technical and quality compliance with governmental/regulatory rules and regulations. Coordinates management action plans for accreditation ongoing / continual readiness for accreditation surveys (a) The Joint Commission (b) Healthcare Facilities Accreditation Program (c) CMS Conditions of Participation and others as needed to obtain or maintain hospital accreditation or certifications. Essential to this responsibility is the collection abstraction analysis and reporting of clinical data. Develops systems and procedures to carry out QM/PI functions in alignment with accreditation/regulatory agencies and professional quality organizations such as the Agency for Healthcare Research and Quality (AHRQ). Timely collection data abstraction and maintenance of information from different sources internal and external improvement initiatives including ORYX/Joint Commission Core Measures HEN PI Data Dashboards TJC Measures of Success and HFAP Evidence of Success data 95 accuracy). Provides abstraction support and education for data collection for provider reports such as OPPE/FPPE using internal and external benchmarking systems. Ensures the integration of Quality Management improvement activities and ongoing evaluation including monitoring of appropriate corrective actions (management action plans) and improvements to ensure resolution. Drafts responses to quality measure queries from regulatory agencies such as Hospital Quality Incentive Program (HQIPs) and Hospital Transformation Program (HTP) from Colorado Medicaid. Collaborates with the multidisciplinary health care team for development and implementation of the Quality Management Program. Participates in and provides support to the multidisciplinary departments for the Quality Oversight Patient Safety and Process Improvement Committees. Assesses datadriven quality topics for review across the hospital including (a) high riskhigh volume (b) low risklow volume or problemprone activities facilitating the performance improvement framework for all projects. Collaborates with teams to identify outcomes and plans for improvement following PDSA cycle. Provides education and consultation to the multidisciplinary Department/Service Lines to accomplish the goals and techniques of Performance Improvement (Rapid Improvement Events/PI Teams). Supports and Coordinates data collection for the Bariatrics Program Center of Excellence. Requirements: Bachelors Degree in Nursing and/or eight 8 years of healthcare organization experience. Proficient in Meditech and Meditech Reports Microsoft Office. Current working knowledge of Rules/Regulations CMS (CoPs) ORYX Core Measures and accreditation bodies (TJC & HFAP) preferred. Case Management experience including utilization review and discharge planning preferred.
Shift: FullTime
Specialty Type: Nursing
Sub Specialties: Registered Nurse
General Certifications: N/APlease CLICK HERE to view details.
Full Time