RN Quality Job Description
RN quality
provides necessary services in support of the Agency’s effort to be in compliance with all applicable CLIA, CMS, and accrediting body regulations.
RN Quality Duties & Responsibilities
To write an effective RN quality job description, begin by listing detailed duties, responsibilities and expectations. We have included RN quality job description templates that you can modify and use.
Sample responsibilities for this position include:
Serving as resource for staff regarding quality improvement & documentation
Assist the CMO, Medical Director and AVP of Care Management with development and implementation of quality improvement processes
Work with Managed Care Organizations on quality improvement initiatives and assure that the Network is maximizing quality
Participate in Interdisciplinary Quality Improvement Committees
Acts as a support for HCAPS Quality Improvement and Patient Safety initiatives, as directed
Evaluating and reviewing all OASIS assessments and corresponding 485's
Completing all coding of OASIS assessments
Collaborating with the Home Health Care management team to assess staff learning needs, competence, and performance to assist development of educational plans
Communicating with community health nurses for information required to comple assessments
Contributing to the development of standards of Practice for the Home Care Clinical staff
RN Quality Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for RN Quality
List any licenses or certifications required by the position: CPHQ, BLS, CPR, AHA, HCA, BCLS, NSQIP, ICD, CHPN, CPC
Education for RN Quality
Typically a job would require a certain level of education.
Employers hiring for the RN quality job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Nursing, Education, Health Care, Healthcare, Graduate, Science, Management, Communication, Health, Computer
Skills for RN Quality
Desired skills for RN quality include:
Regulatory and applicable accrediting body requirements becoming a Compliance resource for the team
State and Federal Regulations
State rules
Contracts and Federal legislation/regulations UHG guidelines
Adheres to OSHA regulations and infection control standards
Provider Rewards and MRA Coding
HEDIS/Stars/CMS/Quality
Health and ambulatory care
Quality Improvement
Trends in nursing practice
Desired experience for RN quality includes:
Developing procedures and schedules for the clinical record audit
Evaluating of risk and safety issues, satisfaction surveys, and performance improvement activity
Reviewing documentation for compliance with regulations and agency standards
Participating in clinical reviews or audits
Actively participate and drive accreditation and compliance of regulatory requirements
Manage participation in CQI projects and required regulatory meetings
RN Quality Examples
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RN Quality Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of RN quality. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for RN quality
- Provides leadership to drive work for clinical improvement and service enhancement
- In coordination with CSG, develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements
- Participates in Division Physician Leadership Council
- Facilitates effective communication with Physician Services and CSG leadership regarding key clinical performance improvement activities and initiatives
- Responsible for facilitating investigation, required reporting, and corrective action development for serious quality or risk issues within the division
- Maintains awareness of regulations, keeping abreast of pending and or implemented changes
- Participates in development of Division Quality Strategic Planning
- Provides education to employees and Medical Staff and supports ongoing education related to Quality
- Meets regularly with Practice Managers and encourages shared learning
- Participates in the orientation of new employees to HCAPS Quality Initiatives
Qualifications for RN quality
- Experience designing, developing, and implementing physician management programs
- Strong working knowledge of ongoing monitoring techniques (including criteria development and statistical analysis)
- Effective communication, negotiation and leadership skills
- Familiarity with medical procedures and terminology
- Strong planning, organizing, interpersonal and conflict resolution skills
- Detailed knowledge of Title 22, TJC and NCQA requirements for licensure and accreditation
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RN Quality Job Description
Job Description Example
Our innovative and growing company is hiring for a RN quality. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN quality
- Oversee the structure and operation of the Clinical Quality Assurance Team
- Serve as the contact person for external agencies
- Act as the liaison to other hospital departments and personnel
- Assist in managing departmental operations
- Support all Outcomes Management goals and efforts to promote efficacious care delivery and positive patient outcomes
- Exhibit creativity and initiative in pursuing hospital and departmental growth
- Contribute to the development and revision of quality projects
- Coordinate with other patient care staff to perform on-going chart audits to identify documentation areas in need of improvement
- Develop monthly documentation in-services to train staff in areas identified as needing improvement
- Conduct or coordinate the monthly documentation in-service
Qualifications for RN quality
- Active SC RN license without restricstions
- Proficient with PC applications including database, spreadsheet, and word processing
- 5 years healthcare/clinical experience
- 4 years Performance/Quality Improvment experience
- Working knowledge of TJC, CMS Standards
- Ability to use Excel and PowerPoint at an advanced level for data analysis and presentations
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RN Quality Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of RN quality. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN quality
- Ensure the program is in 90% compliance to both the comprehensive chart audit and the annual program regulatory review
- Attend daily stand-up meeting and IDG meetings as indicated
- Participate in management meetings, discuss areas in need of improvement, and coordinate the plan of correction
- Attend A/R meetings
- Conduct a quarterly mock survey of the program and inpatient unit as required
- Coordinate general orientation for all new employees and develop an orientation calendar
- Perform employee and volunteer in-services as needed
- Manage the QAPI program
- Coordinate the initial and annual HA Competency Training and Evaluations
- Responsible for direct support and coordination of quality activities for the physicians and clinical staff in a market or specific practice as it relates to clinical quality
Qualifications for RN quality
- Preceptor/leadership skills
- Interpersonal skills with variety of personnel, patients and visitors
- Ability to perform detailed analysis of data
- Comprehensive documentation skills
- Minimum of 5 to 7 years clinical experience
- Prior experience in UR/CM preferred
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RN Quality Job Description
Job Description Example
Our innovative and growing company is looking for a RN quality. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for RN quality
- Analyzing, updating, and modifying procedures and processes to continually improve Quality Improvement operations
- Participating in various Quality Improvement committees and work groups convened to improve process and/or health outcomes
- Develop a working knowledge of the applications utilized in the physician practice(s) as they relate to the acquisition and reporting of clinical quality data
- Identifying opportunities for performance improvement initiatives for all products and integrating activities for all products to ensure efficiency and effectiveness
- Assisting in the identification of QI project topics and coordinating / collaborating with staff on project management and achievement of goals
- Assisting with the development of methods and criteria for assessing, measuring and evaluating quality of care, care management services, regulatory compliance and performance of subcontractors to meet program objectives and contractual compliance
- Ensuring compliance with regulatory requirements for all products
- Lead the integration of MSO Quality Management programs, developing and implementing standard workflows across multiple delivery models, local markets, and diverse populations across the Southern CA market
- Responsible for performance in the areas of QM related issues, data management/submission, Appeals & Grievances, ICE Reporting, CAPs, Pay for Performance/CMS 5 Star, Patient Satisfaction Survey process and reporting, CAPG Standards of Excellence Survey preparation and submission
- Create a scalable organizational structure to support the medical groups through growth, including acquisitions of patient populations and provider groups
Qualifications for RN quality
- Active RN license for TN
- Experience with peer review
- Current FL RN required, BSN preferred
- Three years clinical medical-surgical nursing or critical care clinical experience
- Minimum of three years hospice or related health care field experience
- Must have effective speaking and training skills
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RN Quality Job Description
Job Description Example
Our growing company is looking to fill the role of RN quality. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN quality
- Direct the oversight of reporting, compliance, efficiency and accuracy of the QM process as delegated by each PSA with the health plans, including quality metrics management and reporting, event reporting, appeals and grievances, and patient safety in the ambulatory setting, in accordance with our Program Plan, policies and procedures
- Assist in developing and implementing a robust set of actionable quality reports and tools such as the MDX Registry and documentation of workflows to improve quality metrics and patient outcome
- Instrumental in developing and implementing tools to improve accountability and patient safety, such as High Reliability Organization (HRO)
- Responsible for compliance with health plans/NCQA/DMHC health care quality mandates and for the preparation and submission of audits and required health plan reports
- Effectively drives consistent high quality care delivery in a rapid growth environment and across multiple ambulatory care delivery systems (employed, contracted and IPA) and various risk levels
- Lead integration across the MSO in delivering QM functions cross multiple medical groups
- Drive rapid process improvement to increase organizational efficiency
- Effectively uses data to evaluate opportunities, support interventions and measure results
- Instrumental in the evaluation, selection process and implementation of technology solutions to support QM functions
- Lead organizational and cultural transformation, and inspires others to create highly effective teams
Qualifications for RN quality
- Active RN license in designated state with no restrictions
- Core Measures abstraction experience preferred
- Previous acute care clinical experience required
- Minimum or 2 years of performance improvement or acute care experience
- Certification in Health Care Quality highly desired
- Periop experience strongly preferred