We are looking for a Quality Improvement RN Specialist with the
Trauma Services at Santa Rosa Memorial Hospital.
Location: Santa Rosa, CA
Work Schedule: Full Time - 80 biweekly hours
Shift: 8-hour, Days
The Quality RN Specialist supports the Performance Improvement
Department's management team in the planning and implementation of
a systemic program for clinical quality and outcomes improvement
efforts. The position serves as primary support to population focus
Medical Staff Quality Committees (e.g. Medicine, Surgery,
Neurology, Emergency Medicine, etc.) in the monitoring and
evaluation of processes for clinical performance improvement and
peer review. The Coordinator supports concurrent oversight and
review of clinical quality measures and evidence based standards of
care for high risk, high volume populations (e.g. Stroke, diabetes,
heart disease, etc.).
- Leads or facilitates clinical performance improvement
teams/task force as indicated.
- Serves as a team facilitator and consultative resource for
clinical and departmental leadership and staff responsible for
quality and performance improvement activities.
- Promotes quality culture to population based multidisciplinary
quality/performance improvement teams.
- Supports and assists Quality Department management team in the
implementation and monitoring of the Hospitals' clinical quality
improvement efforts. This may include concurrent oversight of Core
- Supports and maintains records, minutes, and data from
population based quality committees, ad hoc PI teams, and other
strategic quality initiatives in accordance with SJH
confidentiality, and Federal and State regulatory guidelines.
- Participates in regulatory activities and surveys, using
working knowledge of CMS/Joint Commission, and Title 22
- Attends medical staff committee meetings with punctuality
(meetings may occur at varying frequency throughout the day,
including early morning and late evening).
- Collaborates with Committee Chairs in developing meeting
agendas and setting priorities and in leading improvement efforts
related to Quality/Peer Review.
- Demonstrates a thorough working knowledge and competency in
using the following systems: Meditech; Microsoft Office application
including but not limited to Word, Excel, PowerPoint; Visio; and
creates reports for presentation to medical staff committees.
- Knowledge of CMS Core Measure guidelines.
- Demonstrates a thorough working knowledge and competency in the
utilization of PI framework and tools such as rapid cycle
improvement, PDCA, Lean, Root Cause Analysis (RCA) and Failure Mode
Effects Analysis (FMEA).
- Demonstrates knowledge of basic work flow in a clinical
setting. Has an in depth understanding of population based care and
evidence based practice standards.
Graduate of accredited School of Nursing
Bachelor's Degreee Risk Managment - Nursing or Healthcare
4 Years Risk Managment - working in healthcare environment
License/Certification: Current California RN Licensure
Preferred Position Qualifications:
Education: Bachelor's Degree in Nursing
Experience: 3 years experience in Quality Improvement and 2
years in Risk Managment - working in healthcare quality
Providence St. Joseph Health (Providence) has worked for decades
to improve health and quality of life in California's North Bay
region, starting in Sonoma County, where the Sisters of St. Joseph
of Orange opened the doors of Santa Rosa Memorial Hospital in 1950.
Today, we continue the mission begun by the Sisters to those we
serve through an integrated spectrum of primary, urgent, acute,
outpatient, palliative care and regional referral services. Sonoma
County facilities aligned with Providence include the 278-bed Santa
Rosa Memorial Hospital, the region's only Level II trauma center.
In addition, the 80-bed Petaluma Valley Hospital and 43-bed
Healdsburg Hospital are secular (non-religious) affiliates of
Providence. Our services also encompass three Urgent Care centers,
Hospice of Petaluma, Memorial Hospice and North County Hospice, the
Annadel Medical Group doing business as St. Joseph Health Medical
Group, as well as the St. Joseph Home Care Network (post-acute care
services). We act as a regional referral hub for outlying
hospitals, while also providing outpatient behavioral health care,
education to promote health and prevent chronic disease,
rehabilitation, oral health care, community benefit programs, and
more, all fostering health and quality of life throughout the
Providence provides equal employment opportunities (EEO) to all
employees and applicants for employment without regard to race,
color, religion, sex, national origin, age, disability or genetics.
In addition to federal law requirements, Providence complies with
applicable state and local laws governing nondiscrimination in
employment in every location in which the company has facilities.
This policy applies to all terms and conditions of employment,
including recruiting, hiring, placement, promotion, termination,
layoff, recall, transfer, leaves of absence, compensation and
Positions specified as "on call/per diem" refers to employment
consisting of shifts scheduled on as "as needed basis" to fill in
for staff vacancies.