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. Qualifications
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR), IHI Open School Basic Certificate in Quality and Safety within 1 year - Institute for Healthcare Improvement (IHI) or Certified Professional in Healthcare Quality (CPHQ) within 1 year - National Association for Healthcare Quality (NAHQ)
College Diploma: Nursing (BSN) Work
3-5 years as bedside RN in a hospital setting. Responsibilities Maintains up-to-date knowledge of assigned abstraction standards, Carle key result areas, and department Quality Plan metrics. Collects unit data, conducts analysis, prepares reports, and assists with the compilation, display and interpretation of data to support clinical and operational decision-making.
Reliably 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 review. Disseminates reports in a timely manner to individuals, committees, and departments as needed. Leads and conducts ISO audits and prepares reports for the evaluation of process reliability and effectiveness of improvement efforts.
Conducts mock surveys and prepares reports for the evaluation of compliance with accreditation requirements and CMS conditions of participation. Partners with leadership in the design of department and diagnosis-specific quality improvement indicators, and the selection of clinical projects and priorities on an annual basis. Ensures the timely collection and entry of Quality Plan and Quality Dashboard data.
Attends committee meetings as needed, to present data, identify opportunities for performance improvement, and develop corrective action plans. Assures Quality Plan documentation accurately reflects the unit's improvement activities and includes an evaluation of effectiveness. Establishes effective working relationships with those departments and disciplines whose support is necessary for the improvement of care delivery processes.
Provides guidance, support and just-in-time training to clinical leaders and associates regarding continuous quality improvement along with regulatory/accreditation requirements and expectations. Provides support to designated teams or workgroups, partnering with the chairs to effectively pre-plan meetings and identify methods to maximize efficiency and outcomes. Develops educational materials or presentations as needed to enhance the knowledge, skill and competency of the staff to improve care delivery processes and outcomes.
Identifies cases (per criteria) and prepares cases for review by medical staff peer reviewers and the Professional Practice Committee. Documents peer review findings, prepares physician letters, prepares annual peer review summary, and assures the maintenance of all peer review records. Participates in new physician and medical staff department chair orientation to the peer review process.
Coordinates equipment, resources, and the delivery of interpretive services within the hospital. Provides education regarding interpretive services regulatory requirements, and patient care delivery expectations. Collects and analyzes data to meet Carle system, public reporting and regulatory requirements.
Coordinates and oversees department and diagnosis-specific monitoring and improvement activities. Educates, consults and provides support to the interdisciplinary team and relevant performance improvement teams/collaboratives. Coordinates and manages the Medical Staff peer review process.
Manages and coordinates interpretive services within the hospital. 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.
Find it here. Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities.
Find it all at Carle Health. Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers.
We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care.
We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com. Compensation and Benefits 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 candidate’s 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 careers.carlehealth.org/benefits.