RN, QA Lead - Vascular

Job Location: 220 Hutchison Rd, Rochester, New York, United States, 14620

Full-time, Regular position with scheduled weekly hours of 40.

Compensation Range: $80,620.00 - $108,846.00

Responsibilities

• Develops, implements, and oversees the assigned program(s), including development and care coordination for patients, ongoing education to the patient/family, care teams, and/or community resources.
• Conducts regular auditing to identify and resolve clinical issues affecting patient care, clinical efficiency, and effectiveness.
• Makes programmatic improvements through collaboration, project management, and performance improvement activities.
• May supervise 1-2 staff.

Staff Leadership

• Assists with QA/PI initiatives by acting as a liaison to the patient care team.
• Fosters effective communication with employees, peers, and leaders; builds and maintains relationships; develops others; and manages projects, teams, and work groups.
• Assists daily workflow of QA RNs; ensures timely and accurate data collection, submission, and reporting to requisite regulatory divisions, submission of case reviews, and reporting QA to the Department of Surgery.
• Monitors staff engagement and initiates actions to ensure high levels of engagement.
• Articulates goals and coaches staff for optimal performance toward stated goals.
• Communicates quality standards/initiatives to QA and clinical teams and other appropriate staff.
• Assists NM with processes for data validation, ensuring data integrity and maintaining confidentiality of registry data.
• Models Strong Commitment behaviors and encourages staff to follow by example.
• Provides QA/PI coverage in lieu of NM when indicated.

Program Leadership

• Ensures multidisciplinary quality care and performance improvement activities within the division are in accordance with established reporting requirements.
• Makes significant contributions to Compliance Plans and drives quality initiatives and performance improvement throughout the organization.
• Participates in root cause analysis for NYS Reportable Events and near-miss events.
• Assists with Division compliance with hospital QA policies/guidelines and other standards.
• Coordinates and leads conversations with patient relations and the office of counsel to address/resolve patient complaints/grievances.
• Participates in standardization of practice guidelines and makes recommendations for improvement.
• Provides direct educational programs for clinical staff.
• Serves as an internal quality resource for staff in all departments.
• Compiles audit summaries at regular intervals with dissemination to appropriate care team(s), including feedback regarding successful implementation and areas of opportunity.

Registry Management

• Accurately identifies surgical patients for inclusion in the database through the application of strict inclusion/exclusion criteria and protocols.
• Performs meticulous chart review and enters clinical data into the quality database to identify opportunities for improved outcomes, reduced cost, improved LOS, and best practice utilization of resources.
• Ensures complete and accurate collection of preoperative, operative, and postoperative data through the effective utilization of the EMR and other Hospital databases.
• Ensures appropriate utilization of resources necessary for accurate and timely data entry into the program’s database.
• Demonstrates applicability of the methodology and the reliability of definitions utilized by reviewers within the program through inter-rater reliability (IIR) testing.
• Serves as an educational resource on the Vascular Quality Program.
• Identifies areas for streamlining and process improvement in the data collection process.
• Prepares reports utilizing the database as requested.
• Attends Department and Division level Quality Meetings/Conferences.
• Participates in Regional Collaborative biannual meetings.
• Participates in scheduled teleconferences with other surgical clinical nurse reviewers.

Project Nurse/Lead Quality Analyst

• Utilizes data sources to analyze patient outcomes, identify patterns and trends in care delivery to create safety/quality initiatives for hospital patients.
• Develops project work-plans using Quality Improvement principles.
• Utilizes evidence-based practice to facilitate ongoing quality improvement efforts to drive better patient outcomes.
• Participates in multidisciplinary teams on quality improvement initiatives.
• Regularly reports quality improvement activities and quality outcomes to providers and clinical staff and is responsible for presentation of this work at various Division, Department, and Hospital level committees.
• Participates in root cause analyses and creates required documents as needed.
• Completes audits on patient records and clinical documentation for quality purposes.
• Assists with work related to the Quality Collaboratives the Department is involved with.
• Maintains knowledge of current trends, issues, and research in Quality Improvement.

Other Duties As Assigned

• Participates in other Quality/PI work as assigned.

Requirements

• Bachelor's degree in Nursing and 5 years of professional nursing experience with progressive clinical experience required.
• Or equivalent combination of education and experience.
• Experience working as a member of a multi-disciplinary team required.

Qualifications

• Ability to facilitate and lead a team approach to population-based care preferred.
• Excellent interpersonal and communication skills, including written communication preferred.
• Strong interpersonal, delegation, and problem-solving skills preferred.
• Strong analytical and data management skills preferred.
• Detail-oriented with strong organizational and prioritization skills and ability to work independently under general guidance preferred.
• Electronic Medical Record (EMR) skills preferred.
• Basic proficiency with Microsoft Outlook, Word, and Excel preferred.
• 3 years of clinical chart review, monitoring clinical data/performance, and performance improvement preferred.
• Quality improvement or patient safety experience preferred.
• Supervisory/management experience preferred.

Skills

RN - Registered Nurse - State Licensure and/or Compact State Licensure in New York State upon hire required.