ESSENTIAL DUTIES AND RESPONSIBILITIES
Quality and Performance Improvement
• Monitor, analyze, and report daily clinical performance data, trends, and outcomes.
• Performs daily rounding on the units to identify performance gaps and recommend evidence-based interventions as appropriate.
• Assist with developing, implementing, and evaluating quality improvement initiatives to enhance patient care and safety.
• Assist with ongoing quality improvement initiatives to improve resident care outcomes, reduce hospitalizations, and support five-star quality measures.
• Conduct data analysis on incidents, falls, infections, pressure injuries, medication errors, and other quality indicators.
• Facilitate root cause analysis and develop corrective action plans.
• Maintain accurate documentation of QI activities, results, and action plans.
• Utilize Electronic Health Records (EHR), other systems, and quality databases, to track and trend performance outcomes.
• Assist with the facilities Quality Assurance and Performance Improvement (QAPI) program, document meeting minutes of QAPI projects, and present findings to the Quality Assurance (QA) committee.
Compliance/Risk and Safety
• Conduct regular audits to ensure compliance with organizational policies and external regulatory standards, for example Centers for Medicare and Medicaid Services (CMS), The Joint Commission.
• Review medical records for accuracy, completeness, and adherence to protocols.
• Ensure compliance with CMS regulations, state survey requirements, infection control standards, and facility policies.
• Participate in surveys, prepare required documentation, and support corrective action plans.
• Conduct audits such as medication pass, infection control rounds, and chart reviews.
• Collaborate with Interdisciplinary Teams (IDT) to improve workflow efficiency and patient care processes.
• Participate in committee meetings, Risk Management and Quality Assurance (RMQA), and other meetings as required.
• Support staff by delivering expertise in QI processes and patient safety initiatives.
• Provides training, coaching, and real-time feedback to clinical staff regarding documentation standards, care protocols, and compliance expectations.
• Contributes to fostering a culture of quality, safety, and accountability throughout the care continuum.
Clinical Support
• Assists with policy and procedure updates to ensure evidence-based and regulatory-aligned practices are maintained.
• Weekend and off-hour rounding to ensure full compliance with clinical operations on a 24/7 basis.
• May be required to assume clinical staff coverage on the unit during periods of staffing challenges.
• Performs all other duties as assigned.
SUPERVISORY RESPONSIBILITIES
This role may provide supervision to team members on a situational basis.
This position requires a background screening through the Care Provider Background Screening Clearinghouse. For information on the requirements, please visit the Clearinghouse Education and Awareness website at
...SOKOL GxP Services is seeking a Deviation Investigator to support Quality Control operations in a GMP-regulated environment. This role focuses on deviation management, root cause investigations, and CAPA execution within a GMP-regulated environment. This is a hands...
...for maintaining the cleanliness of the guest rooms assigned. Previous cleaning experience as well as the ability to communicate to guests preferred. We Offer Excellent Benefits: ~ Free room nights, Discounted, and Friends & Family Room Rates ~ Medical,...
...high-quality steels that are all around us, from bridges and buildings to cars and appliances.Basic Job Functions:The UX/UI Designer - Full Stack Intern will support the design and implementation of digital experiences from concept through delivery for POCs. While the...
...We are actively hiring Entry-Level Marketing Assistants to support marketing, advertising, and brand promotion campaigns for nationally recognized retail clients . This is a perfect opportunity to start your marketing career with no prior experience required ....
...hiring for a Registered Nurse for Short Stay ICU Generous Sign-On Bonus for Qualified... ...trained to care for interventional radiology, neuro, and vascular procedures and OR patients.... ...a day in the life of a Registered Nurse (RN) with Sentara Healthcare. Facility...