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Quality Nurse Director

Company Name:
LPC Healthcare Recruiting Solutions, Inc.
Nurse Director of Quality Outcomes and Accreditation
We are seeking a Nurse Director of Quality Outcomes and Accreditation for our community hospital.
Job Summary
Provides management of and leadership for Quality/Performance Improvement, Patient Satisfaction and Infection Control. Assures compliance with hospital strategies, goals and objectives consistent with the Systems Strategic Plan and in accordance with the Mission and Philosophy of Saint Anthony Hospital.
Leads development and implementation of hospital wide Performance Improvement activities. Annually reviews and revises, where necessary, the facility Performance Improvement Plan. Assists Directors and Managers in all Ancillary, Nursing and Medical Staff departments in identifying and implementing Performance Improvement Objectives.
Provides leadership and supervision for the management of Quality Assurance/Performance Improvement, Infection Control, Patient Satisfaction and External Regulatory Agency compliance activities. Assures effective manpower utilization, development and performance. Develops budget for area and ensures operations are within budget. Participates in decisions to employ, develop, evaluate, transfer and when necessary terminate subordinates.
Oversees data collection required for Joint Commission Core Measures. Assures timely submission of data through selected vendor. Coordinates System preparation for Joint Commission survey, in conjunction with Ascension Health System Survey process.
Facilitates the Systems compliance with External Agency requirements by coordinating site visits, routing updated requirements to appropriate individuals, coordinating responses to identified deficiencies, and communicating open issues to appropriate Administrative staff. Assures education of all entities and staff within the hospital on the principles, tools and concepts to support Performance Improvement and External Regulatory Agency compliance.
Monitors, trends and analyzes all Performance Improvement data, including Medical Staff Peer review. Assures reporting of all significant trends/issues to the appropriate committees and senior leadership. Assist in developing corrective action plans and appropriate follow up.
Actively participates in Risk Management and Patient Safety activities related to all events that are designated as "near miss" or "sentinel". Provides leadership for the development of the Root Cause Analysis and Corrective Action Plan for all such events.
Requirements:
Must be a BSN Illinois Licensed Nurse
Must have Hospital Quality experience
Must have 3 years management/leadership experience
Must have 5 years experience in the quality field
Bachelor's Degree required Masters preferred

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