RN Quality Nurse Specialist

Serves as a clinical quality and regulatory resource and internal consultant to locations in the site Quality Management System. Implements clinical quality tracking and reporting tools to enable the analysis of data relating to key indicators of clinical outcomes. Partners with designated areas in data collection analysis and reporting of quality and performance improvement data. Participates in process improvement teams and in the development strategies to improve clinical processes patient health outcomes regulatory compliance and the cost-effectiveness of care.

Maintains up-to-date knowledge of assigned abstraction standards Carle key result areas and department Quality Plan unit data conducts analysis prepares reports and assists with the compilation display and interpretation of data to support clinical and operational and accurately applies guidelines and definitions (e.g. core measure GWTG STS Cardiac Registry and NSQIP) to the collection of quality data as evidenced through inter-rater reports in a timely manner to individuals committees and departments as and conducts ISO audits and prepares reports for the evaluation of process reliability and effectiveness of improvement mock surveys and prepares reports for the evaluation of compliance with accreditation requirements and CMS conditions of with leadership in the design of department and diagnosis-specific quality improvement indicators and the selection of clinical projects and priorities on an annual the timely collection and entry of Quality Plan and Quality Dashboard committee meetings as needed to present data identify opportunities for performance improvement and develop corrective action Quality Plan documentation accurately reflects the units improvement activities and includes an evaluation of effective working relationships with those departments and disciplines whose support is necessary for the improvement of care delivery guidance support and just-in-time training to clinical leaders and associates regarding continuous quality improvement along with regulatory/accreditation requirements and support to designated teams or workgroups partnering with the chairs to effectively pre-plan meetings and identify methods to maximize efficiency and educational materials or presentations as needed to enhance the knowledge skill and competency of the staff to improve care delivery processes and cases (per criteria) and prepares cases for review by medical staff peer reviewers and the Professional Practice peer review findings prepares physician letters prepares annual peer review summary and assures the maintenance of all peer review in new physician and medical staff department chair orientation to the peer review equipment resources and the delivery of interpretive services within the education regarding interpretive services regulatory requirements and patient care delivery and analyzes data to meet Carle system public reporting and regulatory and oversees department and diagnosis-specific monitoring and improvement consults and provides support to the interdisciplinary team and relevant performance improvement teams/ and manages the Medical Staff peer review and coordinates interpretive services within the QNS abstracts clinical quality data leads ISO audits conducts mock surveys and communicates opportunities for improvement patterns and trends to hospital clinics and medical staff leadership. This includes detailed information that needs to be collected recorded accurately and submitted in a timely manner.

The compensation range for this position is $33.87per hour - $58.26per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including but not limited to the candidates experience qualifications location training licenses shifts worked and compensation model.



Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit