Quality Assurance Nurse

RN Salary Range: $50.06 - $68.99 LVN Salary Range: $42.54- $58.64 Pay rates are determined based on experience and internal equity.

This position reports to the Senior Director of Quality/Risk and Infection Control. The Quality Assurance (QA) nurse supports the Quality Assurance Performance Improvement Department in the planning and implementation of systemic programs for clinical quality and outcomes improvement efforts. The position serves as primary quality and regulatory support to clinical service lines and Medical Staff quality committees (e.g.

Medicine, Surgery, Emergency Medicine, etc.) in the monitoring and evaluation of processes for clinical performance improvement and peer review. The QA nurse supports concurrent oversight and review of clinical quality measures and evidence-based standards of care for the patients served by LVMC. The QA nurse serves as an internal resource for regulatory compliance, quality measures, patient safety outcomes and patient experience.

District Responsibility: Demonstrate performance consistent with the mission, vision, and values of the organization. Demonstrate Respect, Professionalism and Courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”. Constantly use C-I-CARE principles when communicating with others.

Possess an understanding of performance improvement, risk management, infection prevention and control Strive for professional development of our employees. Position Duties/Responsibilities: Supports and /or facilitates clinical performance improvement teams/taskforce as indicated. Serves as a consultative resource for clinical and departmental leadership and staff responsible for quality and performance improvement activities.

Promotes quality/safety Just culture throughout the organization. Supports and assists quality department management in the implementation and monitoring of the Hospitals’ clinical quality improvement efforts. This includes oversight of core measures abstraction and medical record review.

Supports and maintains records, minutes, and data from quality assurance committees, ad hoc PI teams, and other strategic quality initiatives in accordance with LVMC confidentiality, and Federal and State regulatory guidelines. Maintains and updates regulatory compliance activities to ensure full alignment with updated State, Federal and CIHQ accreditation standards, while supporting action plans aimed at improving LVMC's CMS Star rating and Leapfrog Safety Grade.

Participates in regulatory activities and surveys, using working knowledge of CMS/CIHQ, and Title 22 standards. Supports efforts to validate organizational performance across the five BETA HEART domains to ensure integration with patient safety frameworks. Collaborates with Department Directors in developing and setting improvement goals/priorities and in leading improvement efforts related to Quality/Peer Review.

Collaborate with external patient safety and regulatory organization representatives as needed. Timely reporting of patient safety data to various regulatory organizations.

Collaborates with Clinical Leadership, department heads and medical staff to establish and improve QA programs. Coordinates and supports specialized organizational certification programs, including BETA healthcare Group initiatives and CIHQ disease-specific or Center of Excellence certifications. M ay represent the Department at Medical Staff committees, if required.

Performs focused reviews requested by the Medical staff, or department directors, which frequently involve sensitive, confidential, or medical legal issues. Supports ongoing Quality Improvement activities across the medical center to assure timeliness, accuracy and compliance with licensing, regulation and CIHQ accreditation requirements. Collaborates and supports Infection Control in tracking surveillance data, rounding and implementing corrective action plans to minimize healthcare associated infections (HAI).

Use, promote and educate end users on the incident reporting system RLDatix. Support the Grievance and Complaints process by investigating, tracking, identifying trends and concerns in accordance with CMS and CIHQ standards. Monitors compliance with Quality Improvement requirements.

Assist in the preparation of the Quality reports for the Medical Staff committees as assigned. Participate in the development of presentations on the Quality Improvement standards and the Quality Improvement Plan to insure compliance with CIHQ, CMS, Title 22 and other regulatory agency standards. Conduct presentations as assigned.

Position

Licensed in the state of California, RN preferred, LVN considered. Bachelor's Degree and/or Certification in related specialty preferred.

Three (3) years current clinical experience in an acute healthcare organization; previous quality improvement and risk reduction experience preferred. Skills/Ability Excellent verbal and writing skills required. Proficiency in Microsoft WORD, EXCEL, PowerPoint and internet.

Ability to organize multiple assignments, and follow through with high degree of accuracy. Able to review medical records with an understanding of medical and patient care standards/regulations/guidelines. Excellent interpersonal skills and ability to work in a team environment.

Ability to maintain strict patient confidentiality and adhere to all HIPAA compliance guidelines and regulations. LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.

Day Shift · M-F