Quality Nurse/Medical Records Nurse

The Quality Nurse / Health Information Management (HIM) Director is responsible for overseeing and improving clinical quality, patient safety, and health information management functions within the facility. This role integrates Quality Assurance and Performance Improvement (QAPI) activities with medical record integrity and regulatory compliance.

Qualifications

• Education: Graduate of an accredited School of Nursing; BSN preferred.
• Licensure: Current nursing license.
• Experience: Minimum 2 years clinical nursing experience; prior experience in Quality Improvement, Risk Management, or Infection Control preferred.
• Certifications: CPHQ (Certified Professional in Healthcare Quality) preferred.

Skills

• Strong analytical and critical thinking abilities.
• Excellent communication and presentation skills.
• Proficient in EMR systems and data reporting tools.
• Able to educate and mentor clinical staff on quality practices.
• Knowledge of CMS, Joint Commission, and state regulatory standards.
• Proficient in Microsoft Word, Excel, Outlook, and Adobe Acrobat.

Key Performance Indicators (KPIs)

• Timeliness and accuracy of QAPI reports.
• Reduction in adverse events and hospital-acquired conditions.
• Staff education completion rates on quality initiatives.
• Compliance scores on internal and external audits/surveys.