Quality Nurse Specialist

WVUH West Virginia University Hospitals Glen Dale, WV 26038, US

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

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:

1. Bachelor of Science in Nursing (BSN) AND Three (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. 

2. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Advanced degree (MSN, MPH, MPA)

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. 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).

2. Develops and implements mechanisms for ongoing data collection, analysis, and reporting of quality indicators. Initiates mechanisms to ensure timely and accurate reporting of data.

3. Monitors appropriate criteria and reports the data for specific procedures and services.

4. Develops performance improvement initiatives throughout the institution and supports the impetus for sustained performance improvement.

5. Works collaboratively with the Decision Support personnel and staff for variance tracking.

6. Works in collaboration with the interdisciplinary health care team to support resource utilization and quality improvement. Utilizes information systems to collect and analyze data.

7. 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.

8. Prepares the institution (ambulatory and inpatient) to successfully meet Joint Commission standards and Centers for Medicare and Medicaid Service (CMS) conditions of participation.

9. Analyzes data for trends and for medical staff and institutional compliance with Joint Commission standards and CMS conditions of participation.

10. 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.

11. 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.

12. 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.

13. Develops and implements mechanisms for ongoing monitoring and analysis of evidence-based indicators.

14. Monitors appropriateness criteria and alerts services of patient-centered opportunities.

15. 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.

16. 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.

17. Interacts with faculty and staff to attain high levels of compliance with Joint Commission Core measures and CMS Scope of Work initiatives.

18. 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.

19. In conjunction with Insurance Services, participates in payor-based quality improvement initiatives (QualityBLUE, Ambulatory QualityBLUE). Presents findings, initiatives, and recommendations to payors.

20. In conjunction with CMS, QualityBLUE, Get-with-the-Guidelines and other best practices and initiatives, provide and participate in patient education and disease management.

21. Interact and educate patients on disease states, medical management and possible adverse events (Congestive Heart Failure, Anticoagulation, etc.)

22. 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: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office and hospital setting

SKILLS AND ABILITIES:

1. Demonstrates computer literacy.

2. Demonstrates assertiveness and effective interpersonal communication.

3. Utilizes community and system resources.

4. Must be flexible.

5. Excellent written and verbal communication skills.

6. Must be able to negotiate.

7. Must be competent in analysis and research methods.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

RMH Reynolds Memorial Hospital

Cost Center:

405 RMH Quality Management

Address:

800 Wheeling Avenue

Glen Dale

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.

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The incumbent must demonstrate the knowledge and skills at the advanced beginner level necessary to provide care that is relevant to the patient(s) under their care, as well as apply principles of growth and development over the life span. The incumbent also must possess the ability to assess and interpret patient data needed to identify each patient's requirements relative to his or her age-specific needs. This role provides professional nursing care for patients in an inpatient hospital setting. MINIMUM QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). 2. Obtain certification in Basic Life Support within 30 days of hire date. EXPERIENCE: 1. One (1) year of registered nursing experience. PREFERRED QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelors of Science in Nursing Degree (BSN). CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Modifies patient’s plan of care based on data collection and patient’s individual needs. 2. Uses Evidence-Based Practice (EBP) to provide patient care. 3. Delegates according to scope of practice. 4. Verifies the plan of care with interprofessional colleagues, patient, and caregiver(s). 5. Provides education based on learning needs and involvement of family. 6. Promotes effective communication among interprofessional team members & healthcare consumers. 7. Influences policy to promote safe patient care. 8. Utilizes appropriate resources in providing care, especially in sensitive situations. 9. Incorporates processes to enhance the organizational plan of growth and influence. 10. Participates in developing strategies to promote healthy communities and practice environments. 11. Recognizes strategies to improve nursing quality. 12. Provides critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates understanding of importance of data collection and utilization. 14. Disseminates educational findings, experiences, and ideas with peers. 15. Engages in activities related to nurse sensitive indicators to enhance quality of care. 16. Participates in continuing professional development. 17. Identifies ethical situations and seeks assistance of appropriate colleagues. 18. Identifies ways to maintain and improve ethical environment of the work setting conducive to safe, quality health care. 19. Adheres to the moral and legal rights of patients. 20. Engages in opportunities for work/life balance. For facilities with specialty accreditation requirements: 1. Completion of annual required education related to specialty accreditation as defined by accreditation standards. Training may be completed through CBLs, trainings, In-services, and competency validation. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient’s profile and appropriate algorithms. 2. Heavy/Hard work : Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs. 3. Visual acuity must be within normal range. 4. Hearing within normal range is required (i.e. to assess breath sounds, bowel sounds, apical pulse, monitors, etc.) WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Working protracted or irregular hours. 2. Working around biohazards. 3. Working around infectious diseases. 4. Working with or near the deceased. 5. Working with hands in water. 6. Working with electrical hazards associated with patient care equipment. SKILLS AND ABILITIES: 1. Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict. 2. Uses competent clinical practice and critical thinking skills to efficiently deliver patient care with all health care providers while maximizing efficient use of resources. 3. Ability to be flexible in response to changes in work volume, staff and scheduling changes. 4. Ability to work successfully under highly stressful conditions and capable of adapting to varying workloads and work assignments on a constant basis. The CAPE program is a system-wide clinical advancement program (clinical ladder) to enhance professional development, provide a reward system for quality clinical performance, promote quality nursing, and improve job satisfaction for inpatient direct care nurses. To apply for the next level, the CAPE nurse must meet the requirements of their current level. They must also meet the required years of nursing experience, degree, and certification to apply for the next level. In addition, nurses who are approved for levels 3, 4, 5, or 6 must complete and submit five competencies on an annual basis to maintain their current level. Level 1 No experience required All graduate nurses with less than 12 months of experience enter at Level one with a diploma, ADN, BSN, or higher Level 2 Meets requirements for previous level One year of experience. Level 3 Meets requirements for previous levels Two years of experience, plus one specialty certification Certification is Preferred but not required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Level 4 Available to those with a BSN or higher or nurses with ADN/diploma with 5 years of experience one specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and/or shared governance at the unit level Level 5 Available to those with an MSN or higher with 4 years of experience, or nurses with a BSN with 4 years of experience and a health-related Master’s Degree, or nurses with a BSN and 5 years of experience One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the organization level Level 6 Available to those with an MSN or higher degree with 7 or more years of experience. Consideration is given to other health-related advanced degrees that would assist with direct patient care at the bedside One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the system level Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WH Wheeling Hospital Inc. Cost Center: 405 WH CCC Quality Management Address: 236 Hullihen Place Wheeling 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.