QUALITY ASSURANCE (QA) NURSE/INFECTION CONTROL

POSITION SUMMARY

The Quality Assurance Registered Nurse is a professional and responsible for all the quality activities of the organization. The Quality Assurance Registered Nurse has accountabilities for the monitoring, implementation, and evaluation of processes and programs to meet regulatory requirements, accreditation, and standards of practice.

THIS IS AN IN OFFICE POSITION

ESSENTIAL DUTIES AND RESPONSIBILITIES

In addition to all components of the above position summary the following “Essential Duties and Responsibilities” are essential to successful performance in this position • Responsible for the implementation and monitoring of the organization’s quality improvement program. • Ensures that there are processes in place to monitor and measure all activities related to performance improvement. • Provides direction and coordination of quality improvement activities utilizing continuous quality improvement principles and methodologies.

• Coordinates activities related to clinical record review for data collection.
• Complies, trends, and reports quality data in the following areas: patient care, safety, risk

management, infection control, outcomes, and customer satisfaction. • Works collaboratively with nursing supervisors to ensure documentation is complete and consistent with care and reflects legal requirements. • As a member of the Patient Grievance Committee collaborates with management personnel in follow-up of concerns expressed by patients, families, and physicians. • Establishes a process model for improvement and provides education and training to organization personnel on the performance improvement plan, as well as team development. • Responsible for ensuring processes to monitor and evaluate safety, risk management, and infection control programs. • Coordinates, educates and implements monitoring activities for safety, risk management, and infection control. • Coordinates mandatory in-service programs on OSHA regulations for safety and infection control. • Acts as a resource to personnel in identifying safety and risk management issues for patients and personnel. • Review all incident reports for completeness, risk, standard of care determination, and appropriate follow-up. Maintains a log for trending and makes recommendations related to trends identified.

• Maintains current knowledge related to home care safety and infection control standards.
• Collaborates with nursing supervisors to provide a process to promote and ensure

employee orientation, competency, and in-service education programs. • Assists in the identification of skills for annual competence and provides in-service training support. • Maintains aggregate records of employee orientation and annual competency requirements as part of the PI plan.

• Monitor organization compliance with regulatory and accreditation requirements.
• Maintains current knowledge related to Medicare Conditions of Participation and the

Accreditation Commission for Health Care (ACHC) standards to ensure that the organization is compliant with state, federal, and accreditation guidelines. • Responsible for ensuring policies and procedures reflect all related local, state, federal, and ACHC standards and makes recommendations for policy changes to the governing board. • Acts as a resource to clinical supervisors regarding standards, policies, and regulations and provides in-service training to leadership and personnel as needed in these areas.

• Acts as a clinical resource to personnel.
• Maintains updated nursing knowledge and skills.
• Assists with patient visits as needed.
• Assists with administrative calls on a rotational basis and clinical calls as needed.
• Helps the community education team in meeting community education needs.
• Make public speaking engagements as scheduled by the community education team.
• Maintains positive relationships with referral sources.
• Maintains a positive image in the community.
• Acts as a representative of the organization at community meetings, and civic and

professional organizations as needed.

• Promotes self-growth and collegial relations with others in the home care industry.
• Maintains professional and technical knowledge by attending educational workshops,

reviewing professional publications, establishing personal and professional networks, and participating in professional organizations or societies. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

SUPERVISORY RESPONSIBILITIES

• The incumbent in this position supervises Department Heads directly and all community associates indirectly.

EDUCATION/EXPERIENCE/CREDENTIALS

• Valid and active Registered Nurse (RN) license in the state of California.
• Minimum of 3 years experience as a quality assurance Registered Nurse in a home health setting
• Possesses and maintains current CPR/First Aid certification and negative TB skin test or

chest x-ray. • Must have a valid in-state driver’s license, provide current registration and insurance, and have a driving record.

KNOWLEDGE, SKILLS, AND ABILITIES

To perform this position successfully, you must be able to perform each essential duty and responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. The requirements listed below are representative of the knowledge, skill, and/or ability required • Strong understanding of medical terminology and proficiency in medical charting and documentation • Familiarity with electronic health record (EHR) systems and other relevant software applications • Excellent attention to detail and ability to work with accuracy in a fast-paced environment.

• Has excellent coordination and communication skills.
• Effective communication skills, both verbal and written, to interact with team members

and external stakeholders. • Ability to maintain confidentiality and handle sensitive information with professionalism and integrity Pay scale : $110,000 -$130,000 per year Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.