Nursing Quality Management Specialist 2 - Full Time

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . Primary Responsibilities for Quality Hospital Accreditation: Lead assigned accreditation readiness activities for internal mock-surveys, and required accreditation activities. Responsible to ensure a continuous readiness in collaboration with healthcare quality colleagues and management, within assigned area of responsibility, and in close collaboration with Director, Quality Management for Hospital Accreditation. Manage the establishment, compliance, and policy and procedure evaluation of the assigned accreditation functions. Conduct reviews of the effectiveness of the Quality Management Plan and related Policies and Procedures, and reviews and revises the Plan, its Program Goals and Objectives, and all related Policies and Procedures as necessary. Participate in the development of, and continuously monitor, an internal reporting structure for quality management and related activities under the direction of senior management. Ensures the timely reporting of quality data to appropriate individuals through a systematic and defined multidisciplinary process. Assist committees and departments with PI planning, organization, design of monitoring systems, implementation of study topics and follow-up activity, as necessary. Coordinates timely reporting through the defined, formal reporting structure. Educate faculty, administration and staff in the identification of opportunities for improvement and methods of collecting, analyzing, and reporting of findings and improvement strategies. Collaborate with Risk Management, Regulatory Compliance, Healthcare Quality, and Environment of Care Safety Officer in the identification of opportunities for improvement in the areas of clinical quality and patient safety. Manage the timely submission of patient care data for patient satisfaction and TJC. Analyzes findings and implements appropriate interventions to demonstrate improvements in quality outcomes. Ensure accuracy and validation of unit’s work product and submissions, ensure deadlines are met, and provide effective coaching and training to collaborators in order to successfully meet established standards of excellence and metrics. Ensure communication and training of new standards and/or regulations to identified stakeholders. Prepare and/or present surveys, reports, and presentations. Lead and ensure compliance for various regulatory requirements. Ensure regulatory agencies are contacted to proactively verify and clarify expectations, as directed by Manager. Work closely with senior management in the development, attainment, and evaluation of metrics /outcomes, and make/ implement recommendations. Work closely with the Quality Management leadership team. Maintain knowledge of accreditation, regulatory, licensing and other standards, requirements, and guidelines applicable to hospitals and hospital-based clinics, including but not limited to TJC, CMS, AHCA, Commission on Cancer, and professional nursing standards. Provide support and expertise to perform general functions for the department as requested, on an individual basis or as a team member, e.g., clinical database coordination, team/task force development and facilitation, maintenance of policies and procedures staff education, committee support, continuous accreditation preparedness, quality assurance, data collection and validation, chart review, medical staff peer review and credentialing, and OPPE and FPPE. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS                                                                                                                                                 Education: Minimum Bachelor’s Degree in Nursing, Health Science, Public Health, Health Informatics or a related health care field. Certification and Licensing: Minimum State of Florida Practical Nurse (LPN) or Registered Nurse (RN) ; or ability to obtain a Florida licensure by endorsement in first six months of position start date.  Clinical licensure must be kept clear and active for duration of employment. Basic Life Support (BLS) Experience: Minimum of 4 years’ experience (comprised of at least 2 years clinical nurse work experience in a clinical or healthcare environment AND at least 2 years direct experience managing clinical quality outcomes involving accreditation and/or quality assurance activities, inclusive of a service lines or a disease specific group). Proficiency with Microsoft Office Suite programs, Excel, PowerPoint, Word.  Working knowledge of accreditation, regulatory, licensing and other standards, requirements, and guidelines applicable to hospitals and hospital-based clinics, including but not limited to TJC, CMS, AHCA, Commission on Cancer, and professional nursing standards. Preference given to any combination of the following experiences: Coursework, continuing education completion of quality and patient safety, clinical informatics, patient centered outcomes, quality improvement, and related topics. Acute care experience, in clinical specialty, within the last two years. National Certification in area of clinical specialty. Familiar with aspects of care, standards of care metrics for accreditation and maintenance. Experience with EpicCare Ambulatory Core EMR (EpicCare Ambulatory, Care Everywhere, MyChart, Workbench) Previous working experience with any of the following programs preferred: Sequel, ProDiver, Care Discovery, Tableau, NetAccess, Cerner, Sovera and/or Vizio Experience with spreadsheets and database software. Evidence of ability to draw on knowledge from the following areas: Measur