Quality Improvement Nurse

2 months ago

Flagstaff, Arizona, United States Arizona Official Website of State of Arizona Full time

Job Overview:

The Quality Improvement Nurse plays a crucial role in orchestrating a comprehensive Quality Assurance (QA) initiative that adheres to all federal and state regulatory standards. This program is interdisciplinary, multi-tiered, and encompasses the entire facility, engaging all vital departments in a systematic approach to assess, rectify, and manage processes that influence the quality of care delivered within the skilled nursing environment. The QA Nurse guarantees that the facility's operations meet or surpass established quality benchmarks by applying continuous quality enhancement principles. Additionally, the candidate will provide training for personnel at all levels to enhance regulatory adherence and operational systems, ultimately better serving our Veterans/Members.

The role involves learning, implementing, and overseeing Arizona Management System (AMS) methodologies, employing AMS concepts and tools for effective problem resolution and ongoing process enhancements. Active participation in AMS initiatives such as huddle boards, problem-solving sessions, job breakdown sheets, success tracking, and standardized workflows is expected. A cultural emphasis on Veteran/Member-centered care is integral to the performance of job responsibilities.

Job Responsibilities:

As the Quality Improvement Nurse, your responsibilities will include:

Formulating policies and procedures related to quality assurance in accordance with guidelines such as nursing home regulations, facility protocols, evidence-based practices, complaints, audits, observations, and other relevant sources Collecting and evaluating data through audits, interviews, and various activities to ensure compliance across all disciplines, departments, and services with relevant policies, procedures, standards, and regulations Analyzing the monthly CASPER (Certification and Survey Provider Enhanced Reporting) report and creating Quality Assurance Performance Improvement (QAPI) based Performance Improvement Plans (PIPs) Preparing, disseminating, and interpreting reports, statistical analyses, data summaries, and other documentation for facility staff regarding QAPI activities Assisting supervisors and managers in the development and execution of corrective action strategies Ensuring compliance with state, federal, and VA regulations, aligning them with the facility's operational practices Investigating all instances of non-compliance and collaborating with the Administrator on inquiries regarding allegations of abuse, neglect, and mistreatment of residents Coordinating facility readiness for regulatory surveys Monitoring and reporting on the facility's corrective action plans for deficiencies identified by surveying agencies, ensuring adherence to state, federal, and VA regulations Leading and coordinating internal Quality Assurance Committee and Infection Control Committee meetings Identifying educational needs and developing training programs for staff related to quality assurance and compliance education Maintaining documentation of training and compliance with regulations Participating in special projects assigned by the Administrator and assuming staff assignments as necessary Keeping an updated antibiotic listing by unit for daily review with the interdisciplinary team Confirming appropriate and effective antibiotic use based on diagnostic test results and coordinating with nursing administration and physicians as required Tracking and trending infections weekly by individual units and assessing the need for staff training, coordinating with the Director of Nursing for in-service training Conducting daily rounds for infection control surveillance to ensure compliance with individual care plans for residents with infections Compiling monthly summaries utilizing weekly tracking, trending, and facility mapping for the QAPI committee Staying informed of current developments and attending educational opportunities to enhance role effectiveness, such as those provided by CMS and CDC

Knowledge, Skills & Abilities (KSAs):

Knowledge of:

Management and administrative principles Quality assurance and utilization review principles and methodologies Patient care standards Nursing processes, practices, and techniques OBRA and other relevant nursing home regulations applicable to quality assurance activities Basic statistical and data collection techniques Training interventions to enhance staff skills and knowledge

Skills in:

Verbal and written communication Problem-solving Analytical thinking

Ability to:

Analyze and interpret information and data Collaborate with all organizational levels Develop and coordinate training initiatives Pre-Employment Requirements: A current license to practice in Arizona as a Licensed Practical Nurse or Registered Nurse is required A DPS Fingerprint Clearance Card is necessary Infection Prevention Certification is mandatory In-state travel; a valid AZ Driver's License is required

If this position involves driving or vehicle use as an essential job function for conducting State business, the following requirements apply:

All newly hired State employees must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits: The Arizona Department of Administration provides a comprehensive benefits package that includes: Sick leave Vacation with 10 paid holidays annually Paid Parental Leave - Up to 12 weeks of paid leave for a newborn or newly-placed foster/adopted child (pilot program). Health and dental insurance Retirement plan Life insurance and long-term disability insurance Referral incentives available for qualifying positions Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance

For further details about the Paid Parental Leave program, please refer to the relevant documentation.

For a complete overview of benefits offered by The State of Arizona, please visit our official site.

Retirement:

Positions in this classification are part of the Arizona State Retirement System (ASRS). Please note that enrollment eligibility will become effective after 27 weeks of employment.

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