Clinical Quality & Performance Improvement RN

Nashville General Hospital; Nashville (TN); On-site; USD 85,000 - 100,000; Full time

Job summary

Nashville General Hospital is seeking a Clinical Quality and Performance Improvement (PI) Specialist RN to lead CMS and state quality reporting initiatives, drive sepsis care improvements, and coordinate Leapfrog activities. The role requires expertise in data abstraction, informatics, and clinical nursing to support hospital quality goals.

Responsibilities include chart reviews, data analysis, education on documentation practices, and collaboration with leaders and staff to implement

Qualifications

• Graduate of an accredited registered nursing program; BSN preferred.
• Three years of data abstraction, informatics, or electronic medical record analysis experience.
• Five years of clinical nursing experience.
• Proficiency with Microsoft Excel, PowerPoint, and Word.
• Current Tennessee RN license; CPHQ or CPPS certification within 18 months of hire.

Responsibilities

• Manage CMS and state quality reporting programs and lead clinical quality improvement initiatives.
• Serve as a resource on CMS/state quality measures and regulatory requirements for staff, leaders, and providers.
• Perform sepsis data abstraction and promote evidence-based sepsis care.
• Coordinate and submit the Leapfrog Hospital Survey.
• Analyze safety data to identify trends, gaps, and opportunities for improvement.
• Provide staff education on documentation practices related to quality measures.

Skills

Data abstraction

Informatics

EMR analysis

Education

BSN preferred

Tools

Microsoft Excel

PowerPoint

Word

Job description

Nashville General Hospital is seeking a Clinical Quality and Performance Improvement (PI) Specialist RN to lead CMS and state quality reporting initiatives, drive sepsis care improvements, and coordinate Leapfrog activities. The role requires expertise in data abstraction, informatics, and clinical nursing to support hospital quality goals.

Responsibilities include chart reviews, data analysis, education on documentation practices, and collaboration with leaders and staff to implement