AK - RN Quality and Accreditation Management - Juneau

Mobile Health Team Inc. a staffing agency has openings for a Registered NurseQuality and Accreditation Management. We are looking for someone with a passion for people.

Location: Juneau AK 99801

Assignment Start Date: 1/16/2025

Assignment Shift: Days Full Time

Facility Salary: $87000.00 to $114000.00

Provides and applies clinical knowledge and expertise; advanced critical thinking knowledge of quality and accreditation. management tools techniques and processes of a variety of federally or statemandated and/or consortiumwide driven processes. This position coordinates regulatory surveys; continuous accreditation readiness activities; facilitates significant clinical events investigations and reporting; participates in medical staff peer review and medical staff performance data support for hospitals and/or ambulatory settings; conducts medical record review data analysis trending and solutions facilitates education and training around quality accreditation and safety; chairs committees and teams as applicable and serves as the expert for quality improvement and accreditation. This position works closely with Administration Providers Leaders and Staff to ensure awareness of quality and patient safety and to facilitate improvement efforts in all areas.

ACCOUNTABILITIES

May include any and/or all of the below:

• Assists with the development implementation and maintenance of a strong Consortiumwide Quality Management (QM) Plan ensuring that all sites have quality programs that support the overall QM Plan while being integrated into the needs of the various sites.
• Facilitates and promotes quality improvement measures and initiatives. Ensures compliance is monitored and reported in an appropriate and timely manner.
• Offers feedback suggestions and problemsolving to ensure that the QM Plan and programs guide improvement efforts. Uses skills in data analysis chart reviews and other QM tools/methodologies to carry out an effective QM Plan.
• Develops maintains and utilizes sound working knowledge of accreditation and regulatory standards (TJC / CMS /OSHA / DNV etc.) and serves as the primary resource for the interpretation and application of standards.
• Remains actively involved in continuing education/training/conferences to keep abreast of standard changes.
• Facilitates/coaches/guides leadership and staff to better understand regulatory standards and how to meet these in the most proficient manner for the organization and resources allotted.
• Assures appropriate action plans are developed implemented and monitored based on data and leading practices as needed to meet regulations.
• Works closely and collaboratively with the QM Manager and frontline leaders on quality assessment and risk management issues.
• Investigates all concerns trends or risk factors that present risks or safety concerns to patients and the organization.
• Works with Medical Staff leadership and applicable committees on procedural issues related to Medical Staff peer review. This includes assistance with the development and maintenance of subcommitteespecific Clinical Indicators for review.
• Identifies and prepares peer review cases for the Medical Director. This entails detailed chart reviews and a strong clinical background. Assigns and tracks cases designated for review to appropriate staff members.
• Works closely and collaboratively with the Medical Director CMO and Corporate Counsel as needed on quality of care and risk management issues stemming from peer review activities.
• Communicates professionally and effectively with all levels of the organization; serves as a resource mentor and role model for others as QM is continuously integrated into everyday processes within the organization.
• Other duties as assigned including crosscoverage of other QM Team member roles.

EXPERIENCE/EDUCATION/QUALIFICATION

Experience:

• 3 years experience monitoring quality and regulatory requirements planning and coordinating process changes.
• Demonstrated experience that shows leadership skills in facilitating and leading crossfunctional teams and in working collaboratively with groups or teams.

Education:

• High school diploma or equivalent required

Licenses Certifications and/or Registration:

• Current full unrestricted active Registered Nursing license in Alaska. Direct Hire must have applied for an Alaska nursing license before the start date. Agency staff must have an active Alaska license.
• Certified Professional in Healthcare Quality (CPHQ) or similar certification obtained within 3 years required
• Basic Life Support (BLS) American Heart Association us required
• Certified Professional in Healthcare Quality National Association for Healthcare Quality Registered Nurse License State of Alaska Alaska State Board of Nursing.

EMR System: Cerner experience preferred

Vaccination Requirement: Must have COVID and Flu Vaccinations before start

Knowledge Skills & Abilities:

• Knowledge of accreditation requirements for a healthcare system to include acute care ambulatory and or behavioral health.
• Strong working knowledge of patient care principles and practices
• Understanding of quality improvement concepts and practices
• Medical peer review principles
• Concepts around medical practice and standards of care
• Solid understanding of risk management
• General knowledge of organizational functions and operations.
• Knowledge of group processes and ability to lead processes.
• Experience with Data Analytics in the collection analysis and presentation of data
• Excellent verbal and written communication skills
• Skill with medical chart reviews and extraction of data
• Oral and written communication skills.
• Ability to focus and prioritize to attain goals.
• Effectively solicit ideas and information from individuals and groups.
• Ability to define problems collect data establish facts and draw valid conclusions

Mobile Health Team Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally. Our mission is clear to bridge the staffing gap in the healthcare industry by creating and maintaining longterm working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our clients needs.