16 days old

Quality Specialist RN - Omaha, 20 hr/wk, day shift, various days

Madonna Rehabilitation Hospital
Omaha, NE 68102
  • Job Code

Job Title: Quality Specialist Registered Nurse II Job Code: 800085
Immediate Supervisor: Quality and Risk Manager Status: Non-exempt

This position is integrated within the quality management systems. Responsible for providing leadership, support, implementation and evaluation of the:

  • Employee Health and Safety Program which focuses on supporting the general health and capacity of employees so that they can be successful in their employment
  • Employee Infection Prevention Program which promotes the prevention, control, investigation and reporting of infection and communicable diseases, and
  • Quality Improvement Program and improvements in hospital patient care based on data collection, analysis, and evidence based standards of care.
  • Compliance with CMS LTCH and IRF Quality Reporting Programs including data elements, definitions, submission and time frames as required by CMS.
  • Patient and employee safety teams and quality improvement committees through role modeling and fostering interdisciplinary planning and collaboration that focus on individuals and populations served.
Responsible for quality service delivery and internal/external customer relations for the department and hospital as a whole, including upholding the mission and values of the department and facility.


Employee Health and Safety

  1. Collaborates with the Employee Health and Safety RN Specialist to support the development and continuous improvement of nursing, patient care and employee care systems with prioritization of activities within plans related to those areas.
  2. Serves as a resource in quality improvement and employee health and safety for the patients and employees.
  3. Ensures new hire employee health screening and assessment are complete, timely, and accurate to determine that potential employees possess the capacities required to perform essential job functions.
  4. Participate in employee immunization and infection prevention programs to prevent illness and minimize the loss of productive work.
  1. Advocates organizational processes that allow for creativity in the development of alternative plans for achieving desired, client-centered, cost-effective outcomes.
  2. Collaborates with interdisciplinary team members to assist in the evaluation, initiation, revision and sustainability of new programs and care delivery models based on changing program needs in the context of quality improvement, infection prevention, and employee health and safety.
  3. Assists in the coordination, collection, and reporting of quality improvement, infection prevention, and employee health and safety data from a variety of sources which may include the patient clinical record, laboratory reports, staff, and/or external sources.
  4. Provides leadership for the analysis of data and plans for improvement.
  5. Participates in successful survey and accreditation activities.
  6. Participates in appropriate hospital based student and volunteer experiences and activities.
  7. Presents appropriate educational topics in a variety of settings to internal and external audiences in the areas of infection prevention, quality improvement, and employee health and safety.
Quality Reporting
  1. Accurate and timely completion of CAREs tool for all LTCH admissions and discharges.
  2. Accurate and timely completion of quality reporting section of the IRF-PAI for all IRF discharges.
  3. Accurate and timely submission of data related to quality indicators required by CMS through LTRAX, Erehab, and NHSN
  4. Audits data for accuracy thirty days prior to public reporting.
  5. Remains proficient related to quality reporting and improvement.
Infection Prevention
  1. Collaborates with the Infection Prevention Coordinator to support the development and continuous improvement of nursing, patient care and employee care systems with prioritization of activities within plans related to those areas.
  1. Provide leadership and participate on teams and/or committees as appropriate.
  2. Presents and promotes the use of organizational data, clinical best practice, and evidence based research.
  3. Collaborates with clinicians in the development, implementation, and evaluation of programs and services.
  4. Provides consultation to other departments in the areas of quality improvement, infection prevention, and employee health and safety.
  5. Leads and assists in the evaluation of factors related to safety, outcomes, effectiveness, cost, and social impact.
  6. Provides facilitation and project leadership to assigned initiatives.
  7. Perform other functions as assigned.
  8. Maintains privacy, confidentiality, and security of patient, client, staff, and organizational data.
  9. Assists in planning, leading, analyzing, reporting and promoting the Culture of Safety Survey. Engage the facility in identifying opportunities for improvement and providing evidence based practices and standards as appropriate.
  10. Follows policies and procedures to ensure provision of first aid treatment or referral to medical provider when treatment is beyond established policies and procedures.
  11. Evaluates factors related to infection prevention and infection practice improvement, patient and employee safety, and outcomes.
  12. Follows instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department and/or system.
  1. Administers injections, Tuberculin PPD (Mantoux) tests, and performs other nursing tasks within scope of practice.
  2. Maintain and ensure a safe environment for the hospitals. Handle and operate all necessary equipment and perform required duties according to established safety standards to maintain compliance with regulations and prevent injury.
  3. Assist with ensuring cleanliness of equipment and environment.
  4. Operates personal computer and other necessary office equipment and programs necessary to complete tasks efficiently.

May be exposed to biohazardous material when handling used sharps.
Light work, lifting 25 pounds occasionally or lifting and carrying 20 pounds occasionally. Rarely lifting 40 pounds. Frequent sitting and occasional walking. Occasional stooping, bending and twisting. Requires sufficient sight to see and read reports and computer screen. Constant near visual acuity. Requires sufficient hearing and speaking to communicate by phone and in person. Frequent grasping with both hands requiring normal grip strength based on national averages. Frequent reaching with both arms at low and waist levels. Indoor work, not exposed to outdoor elements.

QUALIFICATIONS (Education/training and/or Experience)
Must possess current Nebraska R.N. licensure, BSN preferred. One year experince in rehabilitation nursing, infection prevention, employee health and safety, and /or quality improvement required. CPR for Health Care Provider/CPR for Professional Rescuer required. Critical thinking is essential to work in challenging situations with positive outcomes. The ability to develop positive working relationships will be essential to success. Must be self-motivated, autonomous, and have the ability to function in a fast paced environment with frequent interruptions. Ability to prioritize appropriately based on organizational principles.Must possess progressive organizational and leadership skills, creativity and initiative in order to analyze and plan for future programs. Proven strength in Microsoft Office computer applications required.

Background checks are conducted. When specific authorization forms are requested so that full background and history can be obtained, employees/applicants must sign the form(s) requested.

Posted: 2020-11-08 Expires: 2020-12-07
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Quality Specialist RN - Omaha, 20 hr/wk, day shift, various days

Madonna Rehabilitation Hospital
Omaha, NE 68102

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