RN Full-time
Frederick Health

PI Coordinator RN - Full-time with Benefits

Job Summary

Performs review of patient records for quality of patient care in conformance with established criteria and identifies and implements performance improvement activities.  Helps to assure appropriate patient outcomes in a timely and cost-effective manner.  Actively initiates, develops, and monitors quality indicators and performance improvement opportunities. Performs  retrospective and concurrent review of records to meet the requirements for all National Hospital Inpatient Quality Measures, including but not limited to Joint Commission Core Measures, CMS Scope of Work, Magnet, NDNQI and American College of Cardiology’s Action Registry. Assists hospital staff to remain in a state of constant readiness for a Joint Commission accreditation survey. Expert in Quality/Process Improvement methodologies.

Essential Functions:

·        Performs retrospective and concurrent review of core measure patients in compliance with National Hospital Inpatient Quality Measures and regulatory agencies such as Joint Commission, CMS, State Regulatory agencies and voluntary Accreditation programs.

·        Reports required data electronically on regular basis as required to QNET/ACC/TJC/CMS/MHCC.

·        Expert in core measures, CMS and TJC requirements informing director of changes in protocol/data requirements and implications for clinical practice.

·        Educates medical staff, employees, leadership and Board of changes in various measures protocol/data requirements and implications for clinical practice.

·        Performs retrospective and concurrent review of specific focused studies (including procedures, diagnosis and other studies) requested by medical staff, hospital departments and committees.

·        Flags and documents variances for selected indicators and variables for focused studies and implements indicators for medical staff peer review including OPPE and FPPE required by TJC.

·        Premier’s Physician Focus subject matter expert – works closely with our Premier clinical partner and AVPMA for OPPE/FPPE to collect data and present goals/expectations and peer group comparisons to the Medical staff.

·        Premier / Financial data monthly and quarterly uploads that is publicly reported and also sent to CMS and The Joint Commission.

·        Provides continued improvement consulting services to customers.

·        Collects, interprets and reports data at specified intervals with 99% accuracy and completeness.

·        Identifies and interprets objective and subjective data found in the medical records.

·        Compares the identified data to established criteria to determine appropriateness of care.

·        Abstracts and reports PI information in appropriate format to detect patterns and/or problems in the delivery of care.

·        Identifies potential areas for change and improvement of the study design and data collection and makes recommendations.

·        Develops new ongoing quality projects and evaluates the appropriateness of indicators and criteria for quality monitoring.

·        Maintains current knowledge of PI strategies, principles, methodologies, techniques and data analysis.

·        Maintains current knowledge of TJC, CMS, ACC national quality indicator guidelines, and assesses compliance for assigned areas.

·        Works with Leaders, Chiefs, Vice Chiefs and Committee Chairs to organize and accomplish goals of required committee meetings, collaboratives and teams.

·        Executes effective improvement projects through multidisciplinary team collaboration.

·        Active participant in meetings and provides reports and information as required by the committee or team and meets required attendance.

·        Assures that issues are communicated to appropriate committees or individuals and that issues have timely resolution. 

·        Maintains peer review information in strict confidentiality and assures entry into database and PI file.

·        Supports ARC and notifies regarding types of cases that constitute Level I reportable events to the Maryland Office of Healthcare Quality.

·        Notifies the Patient Safety Officer regarding reportable or potentially reportable events in a timely fashion.

·        Attends RCA’s and FMEA’s related to their subject matter.

·        Assists in the investigation of reportable or potentially reportable events.

·        Assists with Leading teams to identify areas of potential breach of patient safety and create solutions to eliminate such breaches.

·        Facilitates and/ or leads projects related to identified areas in need of process improvement.

·        Facility provides the structure, process and personnel to obtain and maintain the quality standards of the MBSAQIP in caring for metabolic and bariatric surgical patients.  The administrative and medical staff commit to broad cooperation in order to improve the quality of metabolic and bariatric surgical care provided at the center.

·        Collect and submit accurate, complete and timely data to the MBSAQIP Data Registry platform.  This is accomplished through high-quality data compilation, documentation, and entry of 100% of metabolic and bariatric procedures performed at the Center into the MBSAQIP Data Registry Platform.

·        Works closely with the members of the metabolic and bariatric and general surgery departments to identify opportunities for clinical quality improvement and other special projects that may be identified. 

·        Successfully completes the MBSCR Online Training Program

·        Participates in program teleconferences

·        Participates in data compilation for audits and re-accreditation or site visits.

·        Periodically attends voluntarily in-person professional development seminars offered at annual meetings such as ASMBS, ACS NSQIP, or ACS Clinical Congress.

·        Primary Competencies:

·        Clinical Knowledge: Data collection and identification of areas for quality improvement requires clinical knowledge and understanding of patient care.  The candidate should have some clinical understanding as well as access to a clinical mentor who can advise when clinical questions arise.

·        Computer Knowledge: The ability to learn and utilize new software and web applications for data entry and report generation.  The candidate should have some computer experience with Microsoft Office and basic statistical skills.

·        Hospital Systems knowledge:  The ability to track health information through various sources such as medical records, surgery clinics, death index, direct patient contact, accounts payable, and legal counsel.  The candidate should have some experience gathering information in a complex hospital system environment.

·        Hospital Departmental Knowledge:  The ability to identify opportunities to report metabolic and bariatric data to relevant groups or meetings (for example, morbidity and mortality, infection control, quality management, and administration.  The candidate should have some experience sharing information across functions. 

·        Data Collection and Reporting:

·         Identifies 100% of metabolic and bariatric surgery patients for inclusion in MBSAQIP data registry. 

·        Collects preoperative, intraoperative, 30-day postoperative, and long-term (six month and annual thereafter) follow –up data components for the program through the effective utilization of the hospital medical record systems and through a coordinated effort with individual surgeon office staff.

·        Identifies streamlining and process improvement opportunities in the data collection process.

·        Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the program.

·        Utilizes software applications for data collection and analysis.

·        Responsible for the accurate, complete and timely entry of data into the program’s database.

·        Work effectively with Hospital and individual Surgeon Office Staff: 

·        Establishes effective working relationships with members of the hospital community, especially staff in the surgery, medicine, nursing, medical records, and information systems departments and individual bariatric surgeons’ offices whose support is necessary for the management and success of the program.

·        Serves as an educational resource on the MBSAQIP Data Registry Platform for internal and external audiences by developing educational material and delivering presentations.

·        Conducts routine assessment of products to determine needs, variations, and improvements required.

·        Assures complete, efficient and effective usage of all of the Verge Products including Credentialing, Peer Review, Patient Relations, Event Reporting, Compliance Rounding/Findings, and reporting (Insights)

·        Assures maximum optimization of each product.  Assures that enhancements are utilized.

·        Maintains databases and processes in the system.  This includes maintaining user accounts, permissions, and areas of responsibility. 

·        Identifies potential areas for change and improvement of the system and makes recommendations.

·        Communicates system upgrades and downtimes as necessary.

·        Develops new ongoing quality projects and evaluates the appropriateness of use of the system to affect change and improve processes.

·        Identifies and interprets objective and subjective data found in the Verge Products.

·        Triage all Event Reports and assure proper delineation and accuracy.

·        Maintain Intranet Page for data, tips of the week, training schedules, etc.

·        Create monthly report of events with drill downs for Operations Council.

·        Evaluate event types and determine potential trends.  Forward these issues to the appropriate individuals and teams including use for possible RCA or FMEA.

·        Evaluate event types and determine appropriate reports.  Build the reports and assure that they are distributed to all necessary individuals and groups.  Provide routine reports monthly to necessary teams and individuals.

·        Meet with Leaders to identify needs and make improvements.  Leaders includes: department managers/directors, team leaders, and system leaders.

·        Chair Verge Steering Committee

·        Assure that leaders are completing their reports timely.  This would include review of reports.

·        Assure that Peer Review/Medical Staff Review is completed timely and accurately.

·        Assure Peer Review is forwarded from the Peer Review to Credentialing

·        Work with HR to assure that the user database is accurate and new users are added timely.  Assure that the product is maintained and current.

·        Build and/or revise various audit tools, event types, and other databases to meet the customer’s needs while following the approved process and policy.

·        Maintain policies and procedures with necessary changes as needed.

·        Keep current on each product and assure efficient and effective use of the system. 

·        Assure that there is flow of data/information throughout the Verge Solutions products.

·        Submit tickets to Verge and communicate with Verge at least bi-weekly

·        Assure that the process is working for end users.  This would include data entry, reports, and views for leaders.

·        Assure that standards are attached to data collection tools.

·        Conduct routine training for leaders and staff.  Conduct focused training for various groups such as nursing, leaders, staff entry, new managers, etc.

·        Write articles as needed for different publications

·        Work closely with Privacy Officer for reporting needs quarterly; Work with Service Excellence Department for system needs

·        Attend Patient Safety and prepare dashboard for Committee

·        Run data and update PSO database

·        Work with Finance to submit Premier data & error reports

·        Work with Frederick Health Medical Group and Home Health for process improvement initiatives

·        Support various Lean projects and mentor individuals pursuing Lean for Leaders

Required Knowledge, Skills and Abilities:

·        Strong clinical knowledge and critical thinking skill to evaluate appropriateness of clinical practice, including diagnosis, treatment and surgical procedures for varieties of disease and disorders.

·        Excellent communication skills, both verbal and written.

·        Strong organizational skills and ability to prioritize and manage multiple tasks.

·        Interacts with physicians, nurses, department heads and others while identifying quality of care issues.

·        Applies creative problem solving, identify errors of omission, and utilize resources effectively.

·        Knowledge of computer software and able to complete data entry from PC database applications.

·        Proficiency and accuracy in the use of software programs such as MS Word, Excel, PowerPoint, and Outlook.

·        Works professionally with a diverse population base.

·        Maintains a high level of confidentiality. 

Minimum Education, Training, and Experience Required:

·        Registered nurse from an accredited school of nursing or healthcare professional from an accredited school required.

·        Bachelor’s degree in nursing, information systems or health care related field required.

·        Three to five years of experience in either nursing in an acute care hospital, (preferable in medical/surgical, pediatrics/OB, oncology, psych, or critical care) OR experience in Performance Improvement with knowledge of procedures, treatments and medications in those areas.

·        Certification as a CPHQ, or another specialty, such as CPPS or HCAP, is required within 2 years of employment.

·        Previous experience in performance improvement is desirable but not required.

·        Lean/Six Sigma experience or certification preferable.

Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. 
 

Pay is based on experience, skills and education.   If position is part-time, salary will be pro-rated based on scheduled hours.  The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. 

Salary range: $69,908.90 -$100,131.20

Schedule: Monday-Friday, 8am-4:30pm; some evenings or early meetings required.

 

 

 

 

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Incorporates processes to enhance the organizational plan of growth and influence. 10. Participates in developing strategies to promote healthy communities and practice environments. 11. Recognizes strategies to improve nursing quality. 12. Provides critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates understanding of importance of data collection and utilization. 14. Disseminates educational findings, experiences, and ideas with peers. 15. Engages in activities related to nurse sensitive indicators to enhance quality of care. 16. Participates in continuing professional development. 17. Identifies ethical situations and seeks assistance of appropriate colleagues. 18. Identifies ways to maintain and improve ethical environment of the work setting conducive to safe, quality health care. 19. Adheres to the moral and legal rights of patients. 20. Engages in opportunities for work/life balance. For facilities with specialty accreditation requirements: 1. Completion of annual required education related to specialty accreditation as defined by accreditation standards. Training may be completed through CBLs, trainings, In-services, and competency validation. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient’s profile and appropriate algorithms. 2. Heavy/Hard work : Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs. 3. Visual acuity must be within normal range. 4. Hearing within normal range is required (i.e. to assess breath sounds, bowel sounds, apical pulse, monitors, etc.) WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Working protracted or irregular hours. 2. Working around biohazards. 3. Working around infectious diseases. 4. Working with or near the deceased. 5. Working with hands in water. 6. Working with electrical hazards associated with patient care equipment. SKILLS AND ABILITIES: 1. Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict. 2. Uses competent clinical practice and critical thinking skills to efficiently deliver patient care with all health care providers while maximizing efficient use of resources. 3. Ability to be flexible in response to changes in work volume, staff and scheduling changes. 4. Ability to work successfully under highly stressful conditions and capable of adapting to varying workloads and work assignments on a constant basis. The CAPE program is a system-wide clinical advancement program (clinical ladder) to enhance professional development, provide a reward system for quality clinical performance, promote quality nursing, and improve job satisfaction for inpatient direct care nurses. To apply for the next level, the CAPE nurse must meet the requirements of their current level. They must also meet the required years of nursing experience, degree, and certification to apply for the next level. In addition, nurses who are approved for levels 3, 4, 5, or 6 must complete and submit five competencies on an annual basis to maintain their current level. Level 1 No experience required All graduate nurses with less than 12 months of experience enter at Level one with a diploma, ADN, BSN, or higher Level 2 Meets requirements for previous level One year of experience. Level 3 Meets requirements for previous levels Two years of experience, plus one specialty certification Certification is Preferred but not required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Level 4 Available to those with a BSN or higher or nurses with ADN/diploma with 5 years of experience one specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and/or shared governance at the unit level Level 5 Available to those with an MSN or higher with 4 years of experience, or nurses with a BSN with 4 years of experience and a health-related Master’s Degree, or nurses with a BSN and 5 years of experience One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the organization level Level 6 Available to those with an MSN or higher degree with 7 or more years of experience. Consideration is given to other health-related advanced degrees that would assist with direct patient care at the bedside One specialty certification is required Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students Required competencies to include demonstration of participation in QI and shared governance at the system level Additional Job Description: Four 10-hour shifts, call required, BLS upon hire, ACLS and PALS within 6 months of hire Scheduled Weekly Hours: 36 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: JMC Jefferson Medical Center Cost Center: 72 JMC Nursing Operating Room Address: 300 S Preston St Ranson West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
RN Full-time
State of Maryland

COMMUNITY HEALTH NURSE II REPRODUCTIVE HEALTH NURSE

GRADE 19 LOCATION OF POSITION MDH, Carroll County Health Department Westminster, MD 21157 Main Purpose of Job The main purpose of this position is to function as a Community Health Nurse II at the full performance level, providing direct nursing care to patients in local health department clinics and community settings. This position will be responsible for providing support, as well as direct patient care, primarily in the reproductive health clinics. This position may also be assigned to provide clinical support and/or program support to other Nursing Bureau programs as needed. Minimum Qualifications Education : A Bachelor's degree in nursing from an accredited college or university. Experience : None. Notes Candidates may substitute a Bachelor’s degree in a related field from an accredited college or university and one year of experience as a Registered Nurse for the required education. Candidates may substitute two years of experience as a registered nurse for the required education. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Nursing classification or Nursing or Health Care Specialist specialty codes in the Nursing field of work on a year-for-year basis for the required education. Desired Or Preferred Qualifications The desired candidate should possess the following: 1. Bilingual in Spanish and English. 2. Experience working as a Community Health Nurse II with the Maryland Department of Health. 3. Experience working with the Maryland Family Planning Program. 4. Experience working with the Breast and Cervical Cancer Program. LICENSES, REGISTRATIONS AND CERTIFICATIONS Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing, 4140 Patterson Avenue, Baltimore, Maryland 21215. Employees in this classification may be assigned duties that require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator’s license valid in the State of Maryland. Special Requirements Employees in this classification will be required to provide the facility with a telephone number at which they can be reached. SELECTION PROCESS Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training, and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates, and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested before interview). Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application. Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies. Benefits STATE OF MARYLAND BENEFITS FURTHER INSTRUCTIONS Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted. If additional information is required, the preferred method is to upload. If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time. For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251. If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov . Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258. We thank our Veterans for their service to our country. People with disabilities and bilingual candidates are encouraged to apply. As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.
RN Home Health Full-time
BrightSpring Health Services

RN / Registered Nurse - Home Health

Our Company Adoration Home Health and Hospice Overview Are you a Registered Nurse looking for a new opportunity? Adoration Home Health is seeking a passionate, dedicated Home Health RN to join our team in Westminster, MD . Our Home Health RNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! Office Location: Westminster, MD Coverage area: Westminster, MD Schedule: Full-time How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Responsibilities As a Home Health Registered Nurse, You will: Assess/monitor physical, emotional, and psychological needs of patients Create home health care plans that align with MD orders and the patient's goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with an interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by the local branch Qualifications Registered Nursing Degree (Associate or Bachelor) from an accredited college of nursing with current unrestricted registration and license in the applicable state is required One year nursing practice in a patient care setting required; and home health, geriatrics or other related settings preferred Valid driver's license, acceptable driving record, and proof of car insurance in accordance with Adoration policy New nursing graduates may be considered in select markets based on program availability Current CPR certification About our Line of Business Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn. Additional Job Information LUNA