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Quality Assessment and Assurance Nurse Manager

1 month ago

Valley City, United States SMP Health-St. Raphael Full time

Required Qualifications · An unencumbered nursing license in the state, LPN/LVN or RN. · Must have, as a minimum, one (1) year of experience with demonstrated success in a nursing position in the facility or in another related health care facility. · Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines pertaining to long-term care. · Knowledgeable of skilled nursing home regulations, procedures, laws, regulations and guidelines pertaining to long-term care. Major Duties and Responsibilities Plans, develops, organizes, implements, evaluates and directs the quality assessment and assurance (QA&A) program and quality assurance performance improvement (QAPI) activities of the facility in accordance with current state and federal laws and regulations. Identifies, in conjunction with the Administrator, Director of Nursing Services and selected department heads, the facility’s key performance indicators. Establishes an ongoing system to monitor these key indicators throughout the facility to promote improvements, enhance resident care delivery systems, maintain regulatory compliance and/or promote customer satisfaction. Evaluates key performance indicator outcomes with department heads to determine the need for action from leadership and/or management such as re-education or revisions in facility policies related to outcomes, regulatory compliance and/or customer satisfaction. Develops and implements the facility’s QA&A/QAPI activities according to the facility’s QAPI Policy and Procedure including feedback, data collection systems, and monitoring methods. Coordinates the process by which the QA&A/QAPI committee will conduct activities necessary to identify and correct quality deficiencies. Key components of this process include: Establishing goals and thresholds for performance improvements. Identifying and prioritizing quality deficiencies. Systematically analyzing underlying causes of systemic quality deficiencies. Developing and implementing corrective action or performance improvement activities. Monitoring and evaluating the effectiveness of corrective action/performance improvement activities and revising as needed. Prioritizes program activities that focus on high-risk, high-volume, or problem-prone areas as identified in the facility assessment. Leads and coordinates monthly QA&A/QAPI team meetings to discuss priorities and develop solutions with facility leaders. Develops and maintains existing tracking systems, forms, grids, and/or charts to monitor key performance indicator outcomes in the facility. Coordinates quality assessment and assurance monitoring and tracking activities with the facility management/leadership daily, weekly, monthly and as needed. Coordinates data collection from all departments to develop and monitor performance indicators. Communicates the facility’s QAPI plan and/or changes in the plan to members of the facility’s governing body/leadership team. Maintains a commitment to quality assessment and performance improvement. Develops, implements and maintains a process to ensure care and services delivered meet accepted standards of quality. Maintains documentation of the facility’s QA&A/QAPI program activities. Collects data for the QA&A/QAPI program from multiple sources, including input from staff, residents, families, and others as appropriate. Maintains sample data collection forms with the written QA&A/QAPI plan. Leads, guides and directs the facility’s performance improvement project(s) efforts in accordance with local, state and federal regulations. Conducts at least one distinct performance improvement project (PIP) annually that focuses on high risk or problem prone areas. Develops and maintains positive relationships with residents and employees through deliberate positive interactions. Facilitates, serves, attends or participates in various committees of the facility as necessary. Knows and understands general nursing practices and procedures, regulatory requirements, and other regulatory entities. Ensures the facility management/leadership team is focused toward the shared goal of delivering compassionate quality care. Identifies and collaborates with members of the interdisciplinary team, physicians, consultants, and community agencies to identify opportunities for enhanced services. Conducts rounds, observing residents and staff performance, to identify care delivery systems in need of improvement. Practices management by walking around and communicates observations to relevant department heads. Promotes teamwork, mutual respect, and effective communication. Leads facility readiness related to health inspection surveys and ensures follow up is completed with any identified issues. Manages and minimizes facility risk through a team approach. Reads and stays informed regarding regulatory requirements. Maintains a reference library of written quality assessment and assurance materials. Engages as a change agent for the facility when necessary. Serves as chairperson of the facility’s QA&A/QAPI committee(s). Prepares and plans the QA&A/QAPI department’s budget and submits to the Administrator for review. Promotes safe work practices, safety rules, and accident prevention procedures. Additional Tasks Respects the mission and values of SMP Health and follows those values. Adheres to all facility policies and procedures. Treats all residents and staff with dignity and respect. Reports any allegations of abuse, neglect, or mistreatment of residents. Complies with standards of business conduct and regulations. Follows appropriate safety and hygiene measures. Reports noncompliance with policies or breaches in confidentiality. Follows facility procedures for occupational exposures. Reports work-related injuries and illnesses immediately to HR. Maintains confidentiality of protected health information. Completes all assigned training. Participates in all life safety and emergency drills and trainings. Personal Skills and Traits Desired/Physical Requirements/Working Conditions Reads, writes, speaks, and understands the English language. Contributes to and exemplifies teamwork. Makes independent decisions when necessary. Deals tactfully with personnel, residents, and the public. Possesses leadership and supervisory skills. Successfully follows oral and written instructions. Has patience and tact to deal with difficult situations. Communicates effectively with medical and nursing staff. Willing to move intermittently throughout the workday. Willing to cope with the mental and emotional stress of the position. Meets general health requirements according to facility policy. Willing to assist in evacuation of residents during emergencies. Willing to perform common physical movements as needed. Accepts call-backs during emergency conditions. Subject to injury from falls, burns, and exposure to air contaminants. Works in office and throughout the facility. Willing to work beyond normal hours as necessary. Job Type: Full-time Pay: From $34.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift No weekends Ability to Relocate: Valley City, ND 58072: Relocate before starting work (Required) Work Location: In person #J-18808-Ljbffr