Registered Nurse - Quality Management Consultant

Veterans Health Administration, Department of Veterans Affairs; Kings (NY); On-site; USD 90,000 - 120,000; Full time

Job summary

VA NY Harbor Healthcare System seeks a Quality Management Consultant Registered Nurse to lead efforts to improve patient care quality across Brooklyn, Queens, and NY NY Medical Centers. The role involves data collection, monitoring compliance, reporting trends, and guiding staff in designing and operating the quality management program.

Qualified candidates will have BSN and active RN licensure, with Master’s in Nursing preferred.

Qualifications

• Must be a graduate of a professional nursing program approved by accrediting bodies such as ACEN/CCNE.
• Must hold an active US state RN license.
• Foreign nursing education requires degree equivalency validation.

Responsibilities

• Run a comprehensive clinical review program covering risk management, patient safety, utilization review, accreditation readiness and EPRP.
• Lead data collection, monitor staff compliance, and report trends to improve quality of care.
• Collaborate with Patient Safety, Risk Management, Utilization Review, and other teams to sustain a culture of safety.
• Provide staff support for designing, implementing, and evaluating quality management programs.

Skills

English proficiency

Nursing knowledge

Education

BSN

RN license

Master's in Nursing (preferred)

Job description

Summary

The VA NY Harbor Healthcare System is seeking a Quality Management Consultant Registered Nurse to lead efforts to improve patient care quality across the Brooklyn - Queens - and New York - New York Medical Centers. This person will track results across the Medical Centers and all off-site locations by collecting data - monitoring compliance - reporting trends - and helping staff design and run the quality management program. This position requires flexibility in schedule and assignments locations.

Qualifications

Basic Requirements:

• English Language Proficiency: In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Education: Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Licensure and Certification: Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13094247
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Preferred Experience: Prior experience supporting hospital Quality Assurance functions - including serving as the point of contact for accrediting and regulatory bodies such as the Joint Commission and the Occupational Safety and Health Administration (OSHA) during site visits - surveys - and inspections
• Working knowledge of Joint Commission continuous readiness programs and processes - including Joint Commission standards - survey preparation - and accreditation readiness program management - as well as experience maintaining ongoing compliance documentation between survey cycles
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019 - Employee Occupational Health Service.

Duties

• The Registered Nurse Quality Management (QM) Consultant will run a full clinical review program that covers risk management - patient safety - utilization review - accreditation readiness - and the External Peer Review Program (EPRP)
• The role calls for strong leadership - planning - and communication skills - and supports the facility's efforts to build a culture of safety
• The QM Consultant will also work closely with other key team members - including the Patient Safety Manager - Risk Manager - Utilization Review Specialists - EPRP Liaisons - Patient Advocate - Infection Control Practitioner - Credentialing Specialists - Regional Counsel - and the Quality/Performance Manager
• Functions or Scope of Assigned Duties: Demonstrate experience and creative approaches to improving quality-of-care outcomes
• Assume responsibility for documented outcomes at the program or service level that are broad - complex - and impactful
• Oversee quality management program area activities for the Medical Center and all off-site locations
• Collect data - monitor staff compliance with policies - directives - and standards - and provide reports detailing trends
• Provide direct staff support for planning - designing - integrating - implementing - modifying - and administering a comprehensive quality management program
• Participate in facility councils - committees - and workgroups
• Execute leadership - detailed planning - professional communication - and innovative improvement of safety and healthcare program development
• Organize priorities and model High Reliability Organization (HRO) practices to sustain a culture of safety
• Apply specialized principles and practices to ensure a systems approach to healthcare delivery within the Veterans Health Administration (VHA)
• Support facility leadership with planning - organization - development - direction - and evaluation of the quality program
• Direct a comprehensive - integrated clinical review program with mechanisms for assessing performance and ensuring safe - professional care of patients
• Initiate appropriate responses to clinical review findings
• Support the risk management and patient safety programs - utilization review program - accreditation readiness program - and coordination of the external peer review (EPRP) program
• Provide oversight for EPRP reviews - accreditation readiness activities - occurrence screens - and peer reviews
• Support patient incident reporting and review appropriateness and timeliness of clinical services provided to patients
• Contribute to the design and management of the facility's Quality Improvement Program and perform duties specific to the Quality/Performance Management section
• Collaborate as a member of the Integrated Utilization Review/Patient Safety/Risk Management Team with internal partners such as Patient Safety Manager - Risk Manager - Utilization Review Specialists - EPRP Liaisons - Patient Advocate - Infection Control Practitioner - Credentialing Specialists - Regional Counsel Office - and the Quality/Performance Manager
• Additional duties as assigned
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full-time - 8:00am - 4:30pm Telework: Ad-hoc as determined by the agency policy
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized.