Quality & Patient Safety Nurse - PI & Regulatory Expert

Cape Fear Valley Health; Dunn (NC); On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

Relocation assistance available

Job summary

Cape Fear Valley Health System is seeking a Quality & Patient Safety expert for Betsy Johnson Hospital in Dunn, NC. The role advances quality and performance improvement by coordinating data analysis for clinical/work processes and ensuring regulatory readiness, including Joint Commission and CMS inspections.

Responsibilities include educating on patient floors, coordinating PI/PS/regulatory meetings, and guiding teams to improve care, metrics, and transitions of care across settings.

Qualifications

• Bachelor of Science in Nursing required.
• Current NC RN license or Compact state license.
• Nurse Practitioner (NP) preferred.
• 2 years experience in Quality/Patient Safety or Regulatory, Quality Process, or Data Analysis.
• Proficiency in English (reading, writing and speaking).
• Knowledge of PI methodologies and CMS/Joint Commission standards.
• Strong data analysis and reporting skills.

Responsibilities

• Educate on patient floors to drive quality of care and CMS/Leapfrog metrics.
• Collaborate with Team Leaders and Members for process/data education.
• Provide monthly reports to Quality Council, MEC, and Board on PI/PS/regulatory.
• Coordinate hospital-wide PI/PS/regulatory meetings.
• Identify and mitigate patient safety risks; coach staff and physicians.
• Use project management tools to interpret data.
• Apply lean tools to reduce waste in cost, inventory, labor, distance.
• Coordinate RCAs and FMEA as assigned.
• Demonstrate knowledge of Joint Commission and CMS standards.
• Assist with tri-annual Joint Commission survey and CMS/DHSR surveys.
• Assist with transitions of care across acute to follow-up care.
• Participate in and support DSC process and performance measure compliance.
• Evaluate interdisciplinary care processes for consistency.
• Other duties as assigned.

Skills

PI methodologies

Joint Commission standards

CMS standards

Quality planning

Statistics knowledge

Audit process

Team collaboration

Data collection & analysis

DOE (design of experiments)

Education

Bachelor of Science in Nursing

Nurse Practitioner (NP) preferred

Job description

Cape Fear Valley Health System is seeking a Quality & Patient Safety expert for Betsy Johnson Hospital in Dunn, NC. The role advances quality and performance improvement by coordinating data analysis for clinical/work processes and ensuring regulatory readiness, including Joint Commission and CMS inspections.

Responsibilities include educating on patient floors, coordinating PI/PS/regulatory meetings, and guiding teams to improve care, metrics, and transitions of care across settings.