Director (RN) Quality Management

Mimbres Memorial Hospital Deming, NM 88030, US

Director (RN) Quality Assurance

Mimbres Valley Medical Center is your community medical provider, serving southwestern New Mexico area and its residents with inpatient, outpatient, medical, surgical, diagnostic and emergency care. We are your family, friends and neighbors, and we work with and for our community to provide quality healthcare that fits your life and lifestyle.

We’re making a difference in our friends’ and families’ lives; if this is something you believe in, we would like you to join our team.

Job Summary:

Facilitates alignment between improvement initiatives and the organization’s strategic plan; directs the day-to-day execution of the strategies and tactics necessary to successfully improve the outcomes and results of the organization.
Responsible for maintaining the facilities system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures, and reporting to administrators, Medical Staff, and the Board.
Works closely with Clinical and Non-Clinical teams for improvement on key performance indicators, designs processes for new initiatives, services and other targets identified by Hospital leadership.
Serves as an internal consultant to administration, staff, and physicians in the areas of regulatory, process improvement, performance monitoring, and statistical analysis.
Focuses on better healthcare value and quality, including the improvement of clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.
Coordinate, manage and report Core Measures, ACO/MIPS/MACRA and meaningful use measures and other quality metrics as assigned.
Collects and reports HCAHPS data for the facility.
Organize all Quality Management meetings, maintain minutes and make recommendations to the committee based on best practice and current regulatory standards.
Conduct internal audits and risk analysis as determined by the Quality Committee.
Participate / Coordinate in nursing and physician peer review processes and chart reviews, as necessary.
Mange and support physician peer review processes by ensuring the collection and analysis of data for provider FPPE/OPPE, scorecards, quality metrics, etc.
Analyzes all assigned areas for opportunities of improvement and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality ie: Core Measures, Hospital Acquired Conditions, etc.
Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, efficiency, etc. using available information systems data. Where other data is necessary but not readily available, will design and implement appropriate data collection. Uses data from appropriate external sources, including comparative databases.
Manages performance improvement projects, flow and alignment to assure milestones and key performance indicators are met within defined parameters. Documents the results of projects, and submits other documentation as requested.
Participates in the Grievance Committee and works with department leaders to resolve investigations within the incident reporting system.
Evaluate and document the effectiveness of the quality management system.
Design, coordinate and maintain various aspects of the patient safety and risk management programs for all of the Hospital and its affiliated clinics.
Review, investigate and analyze incidents for risk and adverse event identification, loss prevention and claims management purposes, including both potential and actual patient injury. Recommend interventions which will enhance the safety and well-being of patients, staff and organization at large.
Mobilize departmental or administrative support to address unresolved high-risk practices.

Qualifications:

Registered Nurse preferred.
3+ years experience in a hospital facility required, Quality/Risk leadership experience, preferred.
Master’s degree in nursing, healthcare administration, or a similar field of study with a strong analytical base, preferred.
CPHQ (Certified Professional in Healthcare Quality), preferred
Travel is infrequent.
Understanding Healthcare
Strong accounting knowledge and experience.
Good communicator.
Excellent in Excel (pivot tables, V-lookup’s, etc.)
Critical thinking and problem-solving abilities.

Benefits:

Competitive salary and benefits package.
Opportunities for professional development and advancement.
Supportive work environment with a collaborative team.
Comprehensive healthcare coverage.
Retirement savings plan.
Paid time off and flexible scheduling options.
Student loan repayment program.

#ZR
#EXP

Share this job

Related Jobs

Director (RN) Clinical Services

Mimbres Memorial Hospital Deming, NM

Director (RN) Clinical Services Manages and directs operations of the Intensive Care Unit. Develops and implements policies to ensure clinical areas operates within budget and complies with established performance standards. Relies on extensive experience and judgment to plan and accomplish goals. Performs a variety of tasks. Leads and directs the work of others. A wide degree of creativity and latitude is expected. Qualifications: BSN degree 3+ years of experience in the field or in a related area. New Mexico RN licensure Familiar with a variety of the field's concepts, practices, and procedures. RN licensure in the state of employment. Current BLS and ACLS certifications CCRN preferred

Director of Nursing

Full-time

21 hours ago

Director of Nursing

Plaza Health Elizabeth, NJ

PLAZA HEALTHCARE & REHABILITATION CENTER JOB DESCRIPTION – DIRECTOR OF NURSING (DON) Position: Director of Nursing (DON) Department: Nursing Reports To: Administrator Supervises: Assistant Director of Nursing (ADON), Nursing Supervisors, Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), and other nursing personnel. POSITION SUMMARY The Director of Nursing is responsible for the overall direction, supervision, and management of the Nursing Department. The DON ensures that residents receive high-quality nursing care in accordance with federal and state regulations, facility policies, and established standards of clinical practice. The DON is responsible for maintaining adequate nursing coverage, overseeing clinical operations, developing nursing staff, ensuring regulatory compliance, and promoting resident safety, satisfaction, and quality of care. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Nursing Department Management Oversee the daily operations of the entire Nursing Department. Provide leadership, direction, and supervision to all nursing personnel. Ensure nursing staff follow facility policies, procedures, and clinical standards. Establish clear expectations and hold nursing personnel accountable for their responsibilities. Conduct regular nursing department meetings and communicate important updates to staff. Work collaboratively with the Administrator and other department heads. 2. Clinical Oversight and Resident Care Ensure residents receive appropriate, timely, and individualized nursing care. Monitor residents' clinical conditions and ensure appropriate interventions are implemented. Oversee assessments, care plans, medication administration, treatments, and documentation. Ensure timely notification of physicians and responsible parties regarding significant changes in condition. Monitor infection prevention and control practices. Oversee clinical incidents, falls, medication errors, pressure injuries, and other adverse events. Ensure appropriate follow-up and corrective actions are implemented when necessary. 3. Staffing and Personnel Management Oversee nursing schedules and ensure adequate staffing levels at all times. Work with the staffing coordinator to address staffing shortages and coverage needs. Participate in interviewing, hiring, training, evaluating, and disciplining nursing personnel. Ensure nursing staff maintain required licenses, certifications, and competencies. Address attendance, performance, and employee conduct issues. Ensure appropriate orientation and ongoing education for nursing staff. 4. Regulatory Compliance and Survey Readiness Ensure compliance with all applicable CMS, New Jersey Department of Health, and other regulatory requirements. Maintain ongoing survey readiness throughout the year. Oversee the development and implementation of Plans of Correction related to nursing deficiencies. Ensure nursing documentation meets regulatory and facility standards. Participate in annual surveys, complaint investigations, and other regulatory visits. Monitor and address nursing-related deficiencies and ensure corrective actions are sustained. 5. Quality Assurance and Performance Improvement (QAPI) Participate in and oversee nursing-related QAPI initiatives. Review clinical indicators, incidents, trends, and quality measures. Identify opportunities for improvement and implement corrective action plans. Monitor the effectiveness of interventions and ensure continued compliance. Work with the interdisciplinary team to improve resident outcomes. 6. Communication and Interdisciplinary Coordination Maintain open communication with the Administrator, Medical Director, attending physicians, and other department heads. Coordinate nursing services with Rehabilitation, Dietary, Social Services, Admissions, and other departments. Address resident and family concerns related to nursing care. Participate in resident care conferences and other facility meetings as needed. 7. Infection Control and Employee Education Ensure proper infection prevention and control practices are followed. Oversee isolation precautions, surveillance, and infection reporting. Ensure staff receive required in-services and ongoing clinical education. Monitor compliance with hand hygiene, PPE use, and other infection control protocols. 8. Additional Responsibilities Ensure nursing policies and procedures are maintained and updated as necessary. Oversee proper utilization and maintenance of nursing equipment and supplies. Ensure emergency preparedness procedures are followed within the Nursing Department. Assist with developing and implementing facility-wide operational initiatives. Perform other duties and responsibilities as assigned by the Administrator. QUALIFICATIONS AND REQUIREMENTS Current, active New Jersey Registered Nurse (RN) license in good standing. Previous nursing leadership experience in a skilled nursing or long-term care facility. Previous DON or ADON experience preferred. Thorough knowledge of CMS regulations, New Jersey Department of Health requirements, and long-term care clinical standards. Strong leadership, communication, organizational, and problem-solving skills. Ability to manage multiple priorities and work effectively in a fast-paced environment. Knowledge of electronic medical records and nursing documentation systems. GENERAL DISCLAIMER This job description is intended to describe the general nature and level of work performed by the Director of Nursing. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. The employee may be required to perform additional duties and responsibilities as assigned by the Administrator or facility ownership.

Director of Nursing

Full-time

23 hours ago

Director of Nursing

Skilled nursing facility Bridgeport, CT

$150,000 - $180,000 / year

Director of Nursing (DON) We are seeking an experienced and skilled Director of Nursing (DON) to join our team. As a DON, you will be responsible for overseeing the nursing operations of our facility, including resident care, regulatory compliance, staffing, and clinical services. This is an exciting opportunity to grow your career in a dynamic and patient-centered environment. About the Role: We are part of a network of high-profile facilities designed for advanced rehabilitation and nursing. Our team is deeply ingrained in our local communities, bringing all-inclusive healthcare closer to home. As a DON, you will be part of a team that prioritizes patient-centered care and commits to excellence in every aspect of our services. Responsibilities: Provide guidance on best clinical practices to the clinical leadership team Collaborate with regional and local clinical staff to establish quarterly and annual performance improvement goals and write quarterly QAPI plans Support and facilitate company values, practice standards, and ethics policies and procedures Conduct routine mock surveys and survey preparation to ensure compliance Act as mentor and coach for ADON and Unit Managers to ensure success at the facility Manage costs, ensure compliance with policies/procedures, and uphold State/Federal regulations and current standards of practice Requirements: Current Connecticut RN license required Minimum of five (5) years of experience in long-term care nursing management role Knowledge and understanding of regulatory processes Ability to educate and train staff on State and Federal regulations Complete knowledge and understanding of the functions of a long-term care facility Excellent Communication Skills required Evidence of advanced leadership skills and supervision Microsoft Office proficiency We Offer: Premium compensation package based on experience: $150,000 - $180,000 ANNUALLY Comprehensive benefits package (details to be provided) Professional growth and stability in a dynamic organization We are an Equal Opportunity Employer – M/F/D/V If you are a motivated and experienced nursing professional looking for a new challenge, we encourage you to apply for this exciting opportunity. HBHC1

Director of Nursing

Full-time

1 day ago

Adon Assistant Director of Nursing

Windsor Rehabilitation and Healthcare (2) Windsor, NC

$80,000 - $90,000 / year

Adon Assistant Director of Nursing Job Summary At Windsor Rehabilitation and Healthcare Center, we are seeking a highly skilled and dedicated Adon Assistant Director of Nursing to join our team. As a key member of our nursing department, you will play a critical role in providing superior customer service and nursing services to our residents. If you are passionate about delivering high-quality care and have a strong leadership background, we encourage you to apply for this exciting opportunity. Job Responsibilities Assist the Director of Nursing (D.O.N) in the planning, development, and operation of the Nursing Department, ensuring residents receive quality care 24 hours a day. Ensure the Nursing Department is in compliance with federal, state, and local regulations. Develop, implement, and update department policy and procedures as needed or directed. Assist with staffing to ensure resident needs and regulatory requirements are met at all times. Participate in federal, state, and local agency annual surveys. Review deficiencies noted by government agencies during inspections and assist with implementing changes needed to correct deficiencies found. Complete annual performance reviews of all subordinate staff and provide guidance and education to staff regarding their performance. Supervisory Responsibility This position directly supervises all Nursing staff, including but not limited to R.N's, L.P.N's, and C.N.A's. Required Education and Experience Associates Degree in Science, Nursing, or related field Graduate from an accredited nursing program Current State License as Registered Nurse C.P.R. Certified 2 years R.N. experience Preferred Education and Experience 5 years R.N. experience Previous experience managing a Nursing department Benefits Very high salary for the right candidate AMAZING comprehensive benefits package PTO New added bonuses and perks Employee discounts and coupons How to Apply If you are a dedicated and passionate healthcare professional looking for a new challenge, please apply to this exciting opportunity. Join our team at Windsor Rehabilitation and Healthcare Center and make a difference in the lives of our residents. Note: Salary: $80,000 - $90,000 ANNUALLY (negotiable based on experience) #Yad123

Director of Nursing

Full-time

1 day ago

Director of Nursing

Outfield Healthcare Partners Longview, TX

Job Type: Full-time Benefits: 401 (k) Dental Insurance Health Insurance Life Insurance Vision Insurance Your Job Summary The Director of Nursing (DON) will be responsible for the administration and management of Nursing Services to residents in accordance with orders of the physicians and total needs of the residents. Responsible for 24-hour supervision of Nursing Services and directs the Nursing Department to maintain quality standards of care in accordance with current Federal, State and The Company standards, guidelines and regulations. In absence of the Administrator, assumes the responsibility for center operations. The position conducts the nursing process – assessment, planning, implementation and evaluation – under the scope of the State’s Nurse Practice Act of Registered Nurse licensure. Your Responsibilities Assumes ultimate responsibility for coordinating plans for the total care of each resident which comply with physician’s orders, governmental regulations and facility resident care policies. Communicates and interprets policies and procedures to nursing staff, and monitors staff practices and implementation. Participates in all admissions decisions, and may visit prospective residents before admissions. Participates in daily and weekly management team meetings to discuss resident status, census changes, personnel, or resident complaints or concerns. Other duties, responsibilities and activities may change or assigned at any time with or without notice. Your Qualifications Currently licensed as RN in the state practiced. Associate or Bachelor Degree from an accredited nursing school required. Five years in long-term or acute health care preferred; At least 2 years nursing supervisory experience required. Outfield Healthcare Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.