RN Performance Improvement QM

Summary

The Marion Illinois - VA Health Care System is seeking a full time Registered Nurse (RN) to join VA HCS/Quality Safety Value and High Reliability as a Quality Management Consultant -

Qualifications

Preferred Experience: Three years of any nursing experience or two years of nursing experience in a Long Term/Extended Care - and/or Home Based Primary Care setting - Quality and Continuous Care - Advanced excel Experience preferred - Shares knowledge gained from self-directed professional development activities - verbal and written presentations to all levels of staff - including but no limited to executive leadership. Participates in performance improved activities - Functions as an emerging leader in providing direction to staff to identify - implement and evaluate patient care needs. Collaboration with interdisciplinary teams - HRO principles and values. Any specialty certifications in Nursing - Lean or Six-Sigma

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment:
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: Heavy lifting (45 lbs and over)
• Moderate Lifting (15 - 44 lbs)
• Light Lifting (under 15 lbs)
• Heavy Carrying (45 lbs and over)
• Moderate Carrying (15 - 44 lbs)
• Light Carrying (under 15 lbs)
• Pushing (up to 2 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 5 hours)
• Standing (up to 3 hours)
• Repeated bending (up to 2 hours)
• Ability for rapid mental and muscular coordination simultaneously
• Depth perception
• Ability to distinguish basic colors
• Hearing (aid permitted).

Duties

• The Quality Management Consultant serves as a subject-matter expert in healthcare quality - regulatory compliance - and performance improvement
• The consultant provides guidance - analysis - and leadership to support a robust Quality Management System (QMS) that ensures safe - effective - patient-centered care across all services
• The role collaborates closely with clinical and administrative leaders - front-line staff - and interdisciplinary teams to drive continuous improvement and maintain full compliance with VA - VHA - and external accreditation standardsMajor Duties and Responsibilities Quality Program Leadership and Consultation Provides expert consultation to service lines on quality principles - improvement methodologies - and data-driven decision-making
• Advises leadership on risk trends - compliance issues - and organizational performance
• Supports development and deployment of QMS policies - procedures - and standard work
• Performance Improvement (PI) Activities Facilitates PI projects using Lean - PDSA - Six Sigma - and other approved methodologies
• Guides teams through problem identification - project chartering - data analysis - and outcome evaluation
• Monitors progress and sustainability of improvement initiatives
• Data Analysis and Reporting Interprets performance metrics from internal and external sources - including SAIL - ORYX - HEDIS - SHEP - and internal dashboards
• Identifies variations - trends - and opportunities for improvement
• Prepares clear and actionable reports for leadership committees and workgroups
• Accreditation & Regulatory Compliance Supports ongoing readiness for Joint Commission - OIG - CARF - and other regulatory bodies
• Conducts tracers - audits - and assessments to evaluate compliance with standards
• Collaborates with services to develop corrective action plans and monitor implementation
• Risk Management & Patient Safety Collaboration Coordinates with Patient Safety - Risk Management - Infection Prevention - and other oversight programs to address system vulnerabilities
• Assists in root cause analyses - proactive risk assessments - and process reviews
• Tracks and follows up on recommendations and actions to reduce harm
• Education and Training Provides training on quality improvement tools - methodologies - and regulatory standards
• Coaches clinical and non-clinical staff in the application of evidence-based improvement strategies
• Develops educational materials - guides - and presentations
• Committee and Workgroup Support Serves as a key resource for quality-related committees and interdisciplinary teams
• Prepares agenda materials - data summaries - minutes - and follow-up actions
• Tracks performance measures assigned to committees and monitors progress
• Document and Process Management Maintains QMS documentation including policies - audits - dashboards - and performance plans
• Supports the development and maintenance of service-level performance improvement plans
• Ensures accurate documentation and timely submission of required reports VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: M-F 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: not authorized Permanent Change of Station (PCS): not authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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