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Quality Improvement - RN Specialist (Trauma)

Company: St. Joseph Health
Location: Santa Rosa
Posted on: June 6, 2021

Job Description:

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

Job Summary:

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.).

Essential Functions:

  • 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 Measure compliance.
  • 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 standards.
  • 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.

Position Requirements:


Graduate of accredited School of Nursing

Bachelor's Degreee Risk Managment - Nursing or Healthcare related field

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 managment.

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 area.

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 training.

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.

Keywords: St. Joseph Health, Santa Rosa , Quality Improvement - RN Specialist (Trauma), Other , Santa Rosa, California

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