Quality Improvement Nurse

Qualifications/Requirements

• Clear active Florida license as an LPN or RN
• Skills in providing health screenings, preventive care, and chronic disease management
• Ability to work effectively with a diverse multidisciplinary team of health care professionals and support staff
• Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work
• Excellent internal and external customer service skills
• Knowledge of adult learning methodologies and ability to engage patients in improving their health through education and support
• Computer skills including Microsoft Office applications
• Must demonstrate personal and professional commitment to the mission of the Heart of Florida Health Center and its Mission Statement and values
• Preferred: Primary care experience and certification or specialized training in diabetes education

Essential Functions

• Identify patients due or overdue for preventive services and chronic disease management using quality reports, patient registries, and the electronic health record
• Conduct patient outreach, education, and follow-up to improve preventive care, chronic disease management, and care gap closure, including providing scheduled Quality nurse visits focused on preventive services, chronic disease support, and patient education
• Support organizational quality initiatives to improve UDS, HEDIS, CMS Star Ratings, PCMH, and other value-based performance measures
• Review medical records and collaborate with providers to improve clinical documentation, quality outcomes, and regulatory compliance
• Participate in quality improvement projects, including data collection, workflow improvement, implementation of interventions, and monitoring outcomes
• Participate as a member of the Chronic Care Management (CCM) team by supporting patient identification, enrollment, care coordination, and program activities
• Serve as the designated Coordinator and facility contact for the Diabetes Self-Management Education and Support (DSMES) Program, coordinating referrals, monitoring participation and outcomes, maintaining required documentation, and supporting accreditation activities
• Support Transitional Care Management (TCM), and other population health initiatives as assigned
• Collaborate with providers, care teams, and organizational departments to improve patient outcomes and quality performance
• Absorb and assist with quality reporting, data validation, audits, and regulatory or accreditation activities
• Maintain accurate documentation and comply with organizational policies, HRSA requirements, NCQA PCMH standards, HIPAA, and other applicable regulations
• Participate in committees, meetings, outreach activities, and continuing education as assigned