Quality Nurse Specialist

WVU Medicine Berkeley and Jefferson Medical Centers; Ranson (WV); On-site; USD 85,000 - 120,000; Full time

Job summary

WVU Medicine Berkeley and Jefferson Medical Centers are seeking a Quality Improvement Leader to assist in enhancing clinical effectiveness and readiness for Joint Commission surveys. The role oversees performance improvement, regulatory compliance, and promotes interdisciplinary teamwork for patient-centered care.

The position focuses on data collection, analysis, and reporting to drive quality across ambulatory and inpatient settings, with collaboration across departments and education of

Qualifications

• BSN with 3 years of clinical management experience.
• ASN with 5 years of clinical management experience.
• Advanced degree (MSN, MPH, MPA) preferred.

Responsibilities

• Assists in development and implementation of quality activities and monitors quality indicators.
• Develops mechanisms for data collection, analysis, and reporting of quality indicators.
• Monitors criteria and reports data for procedures and services.
• Develops performance improvement initiatives across the institution.
• Collaborates with Decision Support and interdisciplinary teams to optimize resource use.

Skills

Interpersonal communication

Written communication

Negotiation

Analysis and research

Computer literacy

Resource utilization

Flexibility

Education

BSN

ASN

MSN/MPH/MPA (preferred)

Job description

Primary responsibility is to assist in the improvement of clinical effectiveness and continual readiness for Joint Commission surveys. Oversees performance improvement activities, regulatory compliance, and other initiatives that lead to effective clinical resource utilization and improvements in quality. Promotes interdisciplinary collaboration and teamwork to promote excellence in patient centered care. Promotes patient education of common disease states and management.

MINIMUM QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• Bachelor of Science in Nursing (BSN)ANDThree (3) years of clinical experience in a healthcare setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of services

OR Associate’s Degree in Nursing (ASN) AND Five (5) years of clinical experience in a healthcare setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of services.

PREFERRED QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• Advanced degree (MSN, MPH, MPA)

CORE DUTIES AND RESPONSIBILITIES

• Assists in the development and implementation of quality activities and monitors quality indicators for assessment of quality across the continuum of care (ambulatory and inpatient).
• Develops and implements mechanisms for ongoing data collection, analysis, and reporting of quality indicators. Initiates mechanisms to ensure timely and accurate reporting of data.
• Monitors appropriate criteria and reports the data for specific procedures and services.
• Develops performance improvement initiatives throughout the institution and supports the impetus for sustained performance improvement.
• Works collaboratively with the Decision Support personnel and staff for variance tracking.
• Works in collaboration with the interdisciplinary health care team to support resource utilization and quality improvement. Utilizes information systems to collect and analyze data.
• Collects, analyzes, and presents data via internal software systems, external comparative databases and through manual review. Collects data through survey audits of departments, chart review, and staff interviews.
• Prepares the institution (ambulatory and inpatient) to successfully meet Joint Commission standards and Centers for Medicare and Medicaid Service (CMS) conditions of participation.
• Analyzes data for trends and for medical staff and institutional compliance with Joint Commission standards and CMS conditions of participation.
• Develops and submits reports for appropriate individuals and committees within the organization. Interacts with faculty and staff to present quality initiative updates, reports, and education.
• Assists in the development of appropriate policies, processes, and activities to support continuous readiness for Joint Commission and Centers for Medicare and Medicaid Services. Ensures timely and accurate monitoring of patients’ care of compliance with Joint Commission Core Measures and Centers for Medicare and Medicaid Services Scope of Work initiatives.
• Assists in the implementation of evidence-based indicators associated with Joint Commission Core Measures and Centers for Medicare Services Scope of Work initiatives and monitors these indicators for compliance.
• Develops and implements mechanisms for ongoing monitoring and analysis of evidence-based indicators.
• Monitors appropriateness criteria and alerts services of patient-centered opportunities.
• Documents evidence of compliance or exclusion criteria for the evidence-based indicators in the medical record. Develops performance improvement initiatives throughout the institution related to evidence-based indicators and supports the impetus for sustained performance improvement.
• Analyzes data for trends and for medical staff and institutional compliance with Joint Commission Core Measures and Centers for Medicare and Medicaid Services Scope of Work initiatives.
• Interacts with faculty and staff to attain high levels of compliance with Joint Commission Core measures and CMS Scope of Work initiatives.
• Assists in the development of appropriate policies, processes, and activities to support compliance with Joint Commission Core Measures and Centers for Medicare and Medicaid Services Scope of Work initiatives.
• In conjunction with Insurance Services, participates in payor-based quality improvement initiatives (QualityBLUE, Ambulatory QualityBLUE). Presents findings, initiatives, and recommendations to payors.
• In conjunction with CMS, QualityBLUE, Get-with-the-Guidelines and other best practices and initiatives, provide and participate in patient education and disease management.
• Interact and educate patients on disease states, medical management and possible adverse events (Congestive Heart Failure, Anticoagulation, etc.)
• Collaborates with physicians, nursing staff, and other health care providers to ensure comprehensive, coordinated patient and family education. Promotes excellence in practice related to disease state management education by role-modeling advances skills and providing instruction and expertise in dealing with complex problems.

PHYSICAL REQUIREMENTS

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.

WORKING ENVIRONMENT

• Office and hospital setting

SKILLS AND ABILITIES

• Demonstrates computer literacy.
• Demonstrates assertiveness and effective interpersonal communication.
• Utilizes community and system resources.
• Must be flexible.
• Excellent written and verbal communication skills.
• Must be able to negotiate.
• Must be competent in analysis and research methods.

Additional Job Description

Scheduled Weekly Hours

40

Shift

Day (United States of America)

Exempt/Non-Exempt

United States of America (Exempt)

Company

JMC Jefferson Medical Center

Cost Center

405 JMC Quality Management

Address

300 S Preston St
Ranson
West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.