Overview

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.

USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

Responsibilities

Abides by and enforces all compliance requirements and policies and performs these responsibilities in an ethical manner consistent with the organization’s values; adheres to hospital policies including confidentiality; enhances profession growth and development through participation in educational programs; engages and fosters relationships with all levels of staff within the organization; build strong relationships with team members, faculty and customers’; possess superior time management skills with ability to multi-task and prioritize established timelines and deadlines; ensures on-time completion of deliverables; remains highly organized and skilled at managing numerous details for multiple projects; showcases an open mind to continue learning and research’ practices innovation in process improvement and exhibits passion in the belief of harm prevention and evidence-based practice; maintains optimism and conviction to speak up for quality and safety, showcasing constructive approaches to errors and system improvement opportunities; advocates for the engagement of the family and patient; communicates and demonstrates appropriate customer relation skills with physicians, patients, families, and co-worker; maintains accurate, complete and confidential information utilized in the hospital Quality Assurance, Performance Improvement and Peer Review program; serves a leader or member of various committees such as: Patient Safety, Women’s Peer Review, PI Council, and MEC; advises organizational leaders/department heads in planning, monitoring and evaluating activities; provides education/information on Performance Improvement activities to various healthcare audiences on a regular basis; serves as a subject matter expert in the concepts of quality management, performance improvement, and patient/family engagement’ possess ability to accurately process detail-oriented work with advanced problem-solving skills, ability to think quickly and implement plans/structure for accomplishing work, remaining composed under pressure, working in a small, fast-moving and at times, intense environment; anticipates team needs and takes initiative to complete work before being asked; applies strategic planning to address large scale opportunities for improvement with transformational leadership; compiles complex data and analysis of data with statistical analysis to identify opportunities for improvement; understands the principles of human factors and safety and applies them in performance improvement project designs; participates in root cause analysis of sentinel, adverse or near miss occurrences to discern improvement opportunities, as needed; coordinates and promotes initiatives in alignment with the Joint Commission National Patient Safety Goals, reductions or elimination of patient safety indicators of harm, and evidence-based quality initiatives; identifies opportunities for improvement in coding or documentation and initiates improvement strategies; monitors the hospital’s compliance with National Patient Safety Goals; collaborates with staff development to develop staff education related to quality and performance improvement initiatives; applies and suggests methods to spread quality management and improvement knowledge/materials/concepts, meaningful and relevant for organizational needs and with suitability to the target population’ plans, collects, organizes and reports QA data for use in the PI program and in external and internal benchmarking programs according to the hospital’s PI plan; prepares reports, attends, and presents committee meeting materials; assists the organization in identifying opportunities for improvement; coordinates and/or revises policies and procedures related to evidence-based compliance; coordinates and directs service line improvement activities; collaborates with clinical areas to ensure that care meets evidence-based standards; designs and facilitates revisions or builds in Cerner applications to support evidence-based care; participates in local, state and/or national activities pertaining to evidence-based care; abstracts and enters data into web based software for the quality measures; validates data in the various programs as needed; facilitates/participates in activities to ensure policies/measures/safe practices are being followed; conducts inter-rater reliability audits for the program as indicated; conducts Plan-Do-Study-Act (PDSA) cycles for small, rapid-cycle tests of change; leads performance improvement teams with the science of improvement concepts including lean principles; seeks engagement of all staff, medical staff and residents in performance improvement initiatives; maintains current knowledge of Joint Commission/CMS standards/regulatory requirements; collaborates in development of service line dashboards; communicates and uses appropriate customer relation skills with physicians, patients, families and healthcare team in person and via telephone; communicates relevant aspects of evidence-based standards and compliance to members of the healthcare team and medical staff committees; demonstrates excellent interpersonal verbal skills and writing skills; maintains accurate and complete records through documentation; maintains working knowledge of Microsoft Word, Excel and PowerPoint; uses internet, email, databases, spreadsheets, word processing and presentation programs; accepts and completes all duties positively and without conflict; cooperates, helps other and improves the performance of the department; completes all mandatory unit, education and hospital requirements; utilizes cost effective measures in performing all aspects of the job; adheres to current Infection Control and Safety Standards; facilitates development of evidence-based care specific to different populations, including maternal, newborn and pediatrics; regular and prompt attendance; ability to work schedule as defined and additional hours as required; related duties as required.

Qualifications

Bachelor’s degree in nursing from an accredited institution as approved and accepted by the University of South Alabama, five years acute care nursing experience, and current licensure with state of Alabama as a registered nurse. Formal project management and performance improvement training, such as lean six-sigma required. Master’s degree, advanced data management skills and certification in healthcare quality (CPHQ), is preferred.