Registered Nurse Quality Management Consultant

About the role

The Quality Management Consultant is responsible for facilitating compliance with VHA Directive, local policies, national guidance, and is responsible for facilitating implementation of service and hospital-wide performance improvement activities. He/she works in concert with the planning and development of intra-cycle accreditation monitoring and associated activities developed with the Accreditation Coordinator.

Responsibilities

• Ensures staff in the services are apprised of current TJC standards; utilizes TJC perspectives to keep abreast of changes and clarifications of standards; ensures that the CQM is aware of all discrepancies or weak areas of compliance and of any implementation issues;
• Facilitates development and maintenance of policies and procedures are updated;
• Utilizes TJC Accreditation Manager Plus (AMP) and Joint Commission Resources (JCR) tools to assess readiness for survey;
• Collaborates with leadership to plan corrective actions to address weaknesses and to improve performance on surveys;
• Plans and coordinates preparation for all types of external reviews and maintenance of standards with various regulatory and accrediting bodies such as Environmental Protection Agency (EPA), Government Accountability Office (GAO), Long Term Care (LTC), Office of Inspector General (0lG), Occupational Safety and Health Administration (OSHA), TJC, etc., as needed;
• Reviews reports from external review bodies to identify important issues and maintains a compilation of recommendations and tracking to completion;
• Determines facility performance on national performance measures;
• Identifies opportunities for improvement and develops improvement plans with managers and leaders;
• Identifies trends in tort claims and peer reviews;
• Implements corrective actions for patient safety and infection control issues;
• Improves communication and interactions with others to ensure safe and effective outcomes in the current practice setting;
• Collaborates with the Patient Safety Manager regarding patient safety issues and implementation of corrective actions;
• Works with the Patient Safety Manager and Infection Control Nurses to plan corrective actions and measures sustained improvement.

Requirements

• 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.
• 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.

Skills

• Advanced use & experience with Excel and Microsoft office;
• Experience with CPRS & VISTA;
• Detail orientated with data analytics, reporting data, expert.

Benefits

• 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;
• Health/Vision/Dental/Term Life/Long-term care (many federal insurance programs can be carried into retirement).

Pay

Competitive salary, regular salary increases, potential for performance awards

Schedule

Monday - Friday 07:30am - 4:00pm. Subject to change based on the facility needs.

Telework

Ad-Hoc per agency policy

Virtual

This is not a virtual position.

Relocation/Recruitment Incentives

Not Authorized

Permanent Change of Station (PCS)

Not Authorized

U.S. Citizenship

This vacancy is open to current permanent Veterans Health Administration Employees and US Citizens.

Qualifications

• Basic Requirements:
• English Language Proficiency.
• 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.
• 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.