Quality Excellence Leader - RN

Employment Type:

Full time

Shift:

Day Shift

Description:

Quality Excellence Leader – Pulmonary

MINIMUM QUALIFICATIONS

• Baccalaureate of Science in Nursing (BSN) degree from an accredited school of nursing.  Valid RN licensure authorized in the applicable state(s) of practice / employment. Certification & educational degree according to clinical nursing practice specialty area. Valid driver’s license where required by assignment. Master of Science in Nursing (MSN) degree from an accredited school of nursing preferred.
• Minimum three (3) years’ experience in associated nursing specialty. Three to five years of quality improvement background with preference given to the clinical area serving.

PURPOSE

The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in accordance with level of experience & education, state board of nursing & established policies & procedures. The RN integrates the art, science, leadership & knowledge of the nursing clinical practice through relationship-centered, compassionate, ethical & respectful direct / indirect healthcare services.

• Coordinate and ensure development and implementation of annual quality improvement plan, evaluation of the annual plan and needed revisions in policy and procedures and practice related to the plan.
• Develop strategies with teams to ensure patients receive safe and equitable care.
• Coordinate the preparation of committee agendas and minutes; develop and maintain queue and tracking mechanism to ensure follow up and closure of issues.
• Collaborate with colleagues in identifying quality of care issues, assist in conducting audits and gap analysis resulting in detailed work plans to achieve compliance through team meetings and workgroups. Coordinate with appropriate management and staff to ensure timetables are attainable and met. 
• Coordinate with appropriate departments to assure that all incentive programs are meeting data submission and quality indictor requirements to assure 100% reimbursement of the incentives.
• Educate or collaborate to ensure colleagues and stakeholders are updated on best practices in caring for key populations
• Respond to requests for data from internal and external sources following developed protocols for release of information.
• Maintains a working knowledge of applicable federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
• Assists with analysis, reviews trends/research and develops new and more efficient approaches to care of the patient population and to maximize impact on operational efficiency, incentive reimbursement, and population health.
• Implements quality improvement activities through the development, oversight and coordination of detailed work plans and gap analysis of various internal constituents and external agencies; coordinates and ensures development and implementation of annual service line quality improvement plan, evaluation of the annual plan and needed revisions in policy and procedures and practice related to the plan.
• Develops a quality infrastructure that is efficient, seamless, and responsive to the quality and safety needs of the service line (s) assigned. 
• Coordinate completion of requirements for any new accreditation applications.
• Partners with and influences clinical and medical care and outcomes. 

ESSENTIAL FUNCTIONS

• Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
• Professional Nursing Practice: Acts independently & appropriately within license, scope of knowledge & experience in practice area; Continues to evolve with best evidence discoveries; Provides leadership & retains accountability for delegation, choices, decisions & outcomes; Collaborates with key stakeholders & contributes to quality & improvement practices & outcomes; Exhibits willingness to take on new & additional responsibilities; Embraces new ideas & cultural differences while managing competing priorities.
• Professional Nursing Process (ANA): Knows, understands, incorporates & demonstrates (document, teach, coordinate, advocate) standard elements of professional practice: Assess, Diagnose, Outcomes Identification / Solutions, Plan, Implement, Evaluate.
• Professional Development: Participates in own professional development by maintaining required competencies, licenses & certifications, identifying learning needs & seeking appropriate assistance or educational offerings; Supports the learning & development of others (e.g., staff, formal learners, patients, families, community).
• Compassion, Communication & Stewardship: Incorporates caring process (Caritas), advocacy & appropriate resource utilization as an essential component of nursing practice through concrete acts, interpersonal relationships & effective & respectful written, verbal & nonverbal communications.
• Environment of Care: Practices in an environmentally safe, professional manner; monitors & initiates corrections or evidence-based practices, including those for equipment & material resources; Promotes optimum physical & psychological behaviors; Influences effective, judicious & financially responsible use of resources.
• Maintains a Working Knowledge of applicable federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.