Quality Nurse Specialist III - Regulatory Compliance

Vidant Medical Center

Job Description

About Vidant Medical Center
Vidant Medical Center is a fully accredited, 900+ bed regional referral facility encompassing a Level-1 Trauma Center and extensive inpatient and outpatient services including intensive and intermediate care, pediatrics, bariatrics, obstetrics, and gynecology, surgery, pain management and psychiatry.

Program Management
Utilizes principles of program management to effectively meet or exceed customer expectations. Integrates information from various national organizations setting quality and patient safety policy in order to assist system wide staff in understanding complexities. Sets goals and objectives in alignment with the system's mission, vision, values and strategic plan. Participates in the development and implementation of long and short range strategies to ensure achievement of desired outcomes. Actively participates in local, state, and national professional organizations that impact quality improvement.
Process Improvement
Identifies quality data needs based on national trends and system needs and coordinates development of reports with information systems/clinical information management. Maintains knowledge base about fundamentals of performance improvement (PI). Utilizes PI techniques to analyze data, identify system trends, and track progress. Leads development of processes for triage, tracking and follow up of events. Participates on committees and task forces to facilitate quality improvement at all levels of the organization. Develops methods to share information and report data that are accurate, timely and understandable.
Plans, develops and coordinates quality educational programs based on identified system needs, regional priorities and national trends. Plans, develops and coordinates training for facilitators, departments, entities, team leaders and other work groups to ensure effective methods for PI are utilized. Plans, develops, and evaluates quality orientation and competency programs to ensure all staff achieve basic quality and patient safety competence. Serves as quality program trainer for both the system and outside the organization as needed. Maintains own knowledge base regarding clinical quality, public reporting, patient safety, and regulatory/accreditation requirements.
Creates a climate to maintain and facilitate open communication for the promotion of effective working relationships, the dissemination of quality information and shared responsibility for leadership for the quality improvement program. Initiates and maintains routine contact with all areas of responsibility and makes recommendations for quality program improvement based on program assessment. Initiates meetings and collaborative partnerships staff. Serves as point of contact with quality partners. Assists the medical leadership in development of consistent approaches to peer review and quality improvement.
Department Support
Communicates effectively to ensure the administrator/director is informed about important issues. Coordinates departmental functions with other health system entities, departments, services, or community representatives on quality issues or projects. Establishes timelines and deadlines with regards to the daily operations. Organizes and prioritizes work to meet deadlines and complete tasks. Promotes customer service and public relations to increase staff awareness of services provided by the Quality department. Works with departments/services to become compliant as issues arise. Assists as requested in supporting site visits from regulatory/certifying bodies.
Professional Development
Maintains own knowledge base to perform position responsibilities. Within 3 years of initial employment in the department has obtained and/or maintains appropriate quality certification.

Minimum Requirements
Master's Degree in Nursing, Allied Health, or Other Related Degrees (such as MHA, MBA with Healthcare Concentration).
Current NC RN licensure required.
2- 3 years experience in leadership, quality rep or management role required.
5 years clinical experience.
Approved Quality certification within 2 years of hire.
Previous experience working in performance improvement, health care quality, lean experience, and experience working with teams that drive improvement for healthcare organizations.
Preferred Requirements
Regulatory exposure/understanding.
Other Information
Monday through Friday, 8 a.m. - 5 p.m.

General Statement
It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
Vidant Health is an Equal Opportunity Employer. EOE/AA Applications for Vidant Health and its subsidiary corporate entities are accepted and employees are chosen for employment without regard to race, color, gender, religion, age, national origin, marital status, citizenship, veteran status, or disability.

Contact Information
For additional information, please contact:
Bonnie Ridgway, Recruiter
Email: bridgwa@vidanthealth.com

Employment Type


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