RN Quality Assessment & Assurance Coordinator

Job Description

Job Description

About Company:

The story of Roman Eagle Memorial Home, previously known as Hilltop, is heartwarming – in part, because it is a success story not only in medical progress, but more important, because it is a story of vision, dedication, and service to our community.

Roman Eagle Memorial Home is a not-for-profit organization with a rich tradition. Our long history of service to the Danville-Pittsylvania County area dates back to 1918.  On January 2, 1918, the State Corporation Commission chartered the Anti-Tuberculosis League of Danville, which served as the founding organization.

Danville was the first city in Virginia to declare war on tuberculosis and establish its own sanatorium, named Hilltop.  The Danville Kiwanis Club supported Hilltop Sanatorium from its organization in the 1920’s.   With advances in medical technology, there was no longer the need to care for tuberculin patients.  Through the efforts of the Chamber of Commerce, led by President J. Blair Kerns, the Anti-Tuberculosis Sanatorium was converted into a nursing facility, Hilltop Nursing Home in 1956.

The existing facility was inadequate to meet the growing need of the senior citizen population and new construction was needed.  Mrs. H. Smith Richardson, a native Danvillian, assisted in providing funds for this new construction from the Richardson Foundation.  It was at this time that the Roman Eagle Lodge, No. 122, Ancient Free and Accepted Masons, accepted sponsorship of the nursing facility.  Their duty was to nominate the forty-five members of the Board of Directors and from this Board the Officers and Executive Committee, who were empowered to oversee the facility.  

In 1961, the original charter was amended to change the name from the Anti-Tuberculosis League of Danville to Roman Eagle Memorial Home, Inc., previously known as Hilltop Nursing Home.  Roman Eagle Memorial Home’s original facility was constructed in 1962 in front of the original structures, which were later demolished, and the cornerstone laid on July 28, 1962.

Since its inception, Roman Eagle has undergone four expansions to its present capacity of 312-beds.

Position Summary

The Quality Assessment & Assurance (QAA) Coordinator is responsible for coordinating and supporting the facility's quality improvement, infection prevention, regulatory compliance, and resident safety initiatives. This position works collaboratively with nursing leadership, pharmacy services, interdisciplinary team members, and external partners to monitor quality measures, ensure regulatory compliance, and promote positive resident outcomes.

The ideal candidate is a highly organized and detail-oriented Registered Nurse with long-term care experience, strong clinical knowledge, and prior administrative and supervisory experience.

Essential Duties and Responsibilities

Quality Assurance & Performance Improvement (QAPI)

• Coordinate and support the facility's Quality Assurance and Performance Improvement (QAPI) program.
• Facilitate completion of the annual facility assessment in accordance with regulatory requirements.
• Collect, analyze, and report quality metrics and performance improvement data.
• Assist with development, implementation, and monitoring of quality improvement initiatives.

Infection Prevention & Clinical Compliance

• Coordinate the facility's Antibiotic Stewardship Program in collaboration with Pharmacy Services and medical providers.
• Monitor and oversee implementation of Enhanced Barrier Precautions for appropriate residents.
• Assist with infection surveillance activities and related quality improvement efforts.
• Maintain required records and reports related to infection prevention and quality initiatives.

Resident Safety & Risk Management

• Conduct daily reviews and follow-up of resident incidents and accidents.
• Track trends, identify opportunities for improvement, and communicate findings to leadership.
• Participating in root cause analyses and development of corrective action plans.

Employee Safety

• Coordinate and facilitate quarterly employee safety meetings.
• Assist in promoting a culture of workplace safety and regulatory compliance.
• Track and maintain documentation of safety activities and initiatives.

Medical Records & Reimbursement Support

• Review and provide medical records to insurance providers and other authorized entities as needed.
• Assist in validating documentation supporting PDPM classifications and reimbursement.
• Maintain accurate and confidential resident records in accordance with applicable regulations.

Leadership & Collaboration

• Collaborate closely with the Director of Nursing and Nursing Services leadership to support quality and regulatory initiatives.
• Participate in surveys, audits, and regulatory inspections.
• Serve as a resource for nursing staff regarding quality assurance and compliance activities.
• Perform other related duties as assigned.

Qualifications

Required

• Current Virginia Registered Nurse (RN) license in good standing and without restrictions.
• Minimum of three (3) years of nursing experience in a long-term care or skilled nursing facility.
• Prior nursing supervisory experience.
• Prior administrative experience in a healthcare setting.
• Must possess an Infection Preventionist (IP) certification or obtain certification within a designated timeframe after hire.
• Strong understanding of long-term care regulations, quality assurance, and resident care standards.
• Excellent organizational, analytical, and recordkeeping skills.
• Strong written and verbal communication skills.
• Ability to maintain confidentiality and handle sensitive information appropriately.

Preferred

• Bachelor of Science in Nursing (BSN).
• Experience with QAPI programs, infection prevention, antibiotic stewardship, and PDPM documentation.
• Experience participating in state and federal surveys.

Knowledge, Skills & Abilities

• Exceptional attention to detail and accuracy.
• Ability to analyze data and identify trends.
• Strong problem-solving and critical-thinking abilities.
• Proficiency with electronic health records and Microsoft Office applications.
• Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment.
• Ability to work collaboratively with interdisciplinary teams.

Job Type: Full-Time

Benefits:  

• Medical Insurance Plans with Prescription Coverage
• Dental
• Vision
• Voluntary Life Options
• Whole Life
• Short-Term-Disability
• Accident Policy
• Critical Illness Policy
• Hospital Indemnity Policy
• Cancer Policy
• Paid Time Off
• 401k