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Nursing Quality Assurance Specialist

2 months ago

Dallas, Texas, United States Texas Department of Aging & Disability Services Full time
Job Overview:

Quality Monitoring Nurse II

This role necessitates a valid Texas Registered Nurse license (in good standing).

The position is mobile and may be filled statewide.

The Texas Department of Aging & Disability Services (DADS) Medicaid CHIP Services (MCS) division is seeking a highly skilled individual to take on the role of Quality Monitoring Nurse II within the Quality Monitoring Program (QMP). The QMP aims to address conditions in Texas Nursing Facilities (NFs) that may pose risks to the health, safety, and welfare of residents.

MCS is committed to delivering quality, cost-effective services to Texans.

The ideal candidate excels in a collaborative environment focused on achieving objectives, maintaining high professional standards, personal accountability, a desire for continuous learning, critical thinking for effective execution, and integrity to uphold ethical practices.


The Nurse Quality Monitor II reports directly to the Quality Monitoring Nurse Manager. This position plays a vital role in MCS's mission by conducting monitoring visits in Texas nursing facilities.

The Nurse Quality Monitor applies nursing expertise to evaluate conditions that may jeopardize the health, safety, and welfare of facility residents and assists providers in enhancing their systems.

This role requires the application of comprehensive nursing knowledge as well as adherence to the Texas Nursing Practice Act.

The Quality Monitor Nurse (QMN) II operates under limited supervision, with significant latitude for initiative and independent judgment.

The Quality Monitor Nurse leverages nursing expertise to evaluate conditions that may jeopardize facility residents' health, safety, and welfare and aids providers in system improvements.

Key Responsibilities:

  • Maintains regular attendance in accordance with agency leave policies and performs additional duties as assigned.
  • Collaborates across MCS to identify innovative and effective solutions. Cultivates cooperative relationships with colleagues and facility staff. Undertakes other tasks as directed by Nurse Manager III or Nurse Program Manager V.
  • Must be willing to travel with overnight stays up to 80% of the time.
  • Conducts various types of visits, including quality monitoring visits, rapid response team visits, and in-service visits as assigned. Evaluates facility systems through observations, interviews, and record reviews, identifying strengths and areas for improvement. May serve as a team coordinator on Rapid Response Team visits. Makes recommendations for improvement based on evaluations. Instructs and supports nursing facilities in achieving best practices. Reviews facility policies/procedures and performance reports to ensure alignment with evidence-based best practices. (60%)
  • Documents comprehensive and accurate reports of monitoring visits. Communicates findings, recommendations, and technical assistance to facility administrators and staff. Utilizes appropriate educational tools and materials for dissemination and training. (30%)
  • Provides in-service education and training to facility professional staff on evidence-based best practices. (5%)
  • Engages with various audiences (internally or externally) to provide clinical information, address inquiries, resolve issues, and maintain current knowledge by attending meetings, seminars, or training, and by reviewing program policies and procedures. (5%)
Required Knowledge, Skills, and Abilities:

  • Understanding of nursing principles and professional standards of patient care.
  • Familiarity with local, state, and federal laws and regulations relevant to long-term care, as well as knowledge of long-term care facility operations.
  • Proficiency in modern office management practices and technology tools such as Microsoft Office, SharePoint, and Teams.
  • Ability to research, create, analyze, monitor, and evaluate complex clinical issues.
  • Strong communication and public speaking skills.
  • Capability to manage multiple and competing priorities effectively.
  • Skill in promoting data-driven decision-making by identifying trends, evaluating alternatives, and implementing solutions.
  • Ability to work with diverse groups, resolve conflicts, build consensus, and solve problems.
  • Competence in gathering, evaluating, and analyzing facts through observation, interviews, and record reviews.
  • Ability to interpret policies, procedures, and regulations related to long-term care facilities.
  • Effective organizational and presentation skills, both orally and in writing.
  • Ability to collaborate across HHS/MCS/QMP to achieve objectives.
  • Capacity to balance team and individual responsibilities.
  • Judgment to work independently with moderate direction.
  • Physical ability to lift up to twenty-five pounds.