Quality Nurse Consultant

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POSITION:          Quality Nurse Consultant
SCHEDULE:       Full Time – Monday- Friday 8AM – 5PM
FACILITY:           Company-wide facilities
LOCATION:        Remote – Heavy travel to correctional facilities
**ideal candidates would be located in IL, IN, or MO
 
Wexford Health Sources, Inc. is one of the nation’s largest correctional health care providers.  Over the past 30 years, our team of dedicated clinical professionals has helped literally millions of justice-involved patients receive life-changing medical and mental health services.

BENEFITS
•    Annual review with performance increase
•    Generous paid-time off program that combines vacation and sick leave
•    Paid holidays
•    Comprehensive health insurance through Blue Cross Blue Shield
•    Dental and Vision insurance
•    401(k) retirement saving plans
•    Company-paid short-term disability
•    Healthcare and dependent care spending account

POSITION SUMMARY
The Quality Nurse Consultant is responsible for monitoring the nursing department’s compliance with all federal and state legislation (MCCS, ACA, NCCHC, Programs, etc.), accreditation requirements, Wexford Health policies and procedures, and current contract requirements.  The Quality Nurse Consultant provides guidance and consultation to leadership on any processes, policies, or practices not in compliance.  The Consultant also provides leadership, consultation, and support in the development of a culture of quality and continuous improvement.

DUTIES/RESPONSIBILITIES:
1.    Works with each contract’s Statewide CQI Coordinator, Statewide Director of Nursing and Regional Director of Nursing (or equivalent positions) to monitor the nursing department’s compliance with regulatory and contract requirements, per the state-wide Continuous Quality Improvement (CQI) program, and is in alignment with program evaluation findings and goals.
2.    Completes contract compliance audits and provides reports to supervisory personnel.
3.    Provides recommendations to the leadership team and participates in decision-making on action plans, education, outcome studies, and utilization of services as it relates to the CQI process. 
4.    Works closely with each contract’s Regional management team and clinical site leadership to maintain CQI standards and measures and to design and implement effective processes and programs to improve quality of care and ensure compliance, including high volume, high risk areas including but not limited to utilization of on-site and off-site specialties.
5.    Assists in the development and training of clinical policies/procedures related to JCAHO, NCQA standards or similar health industry standards.
6.    Prepares for and presents at the quarterly Corporate CQI Meeting as requested.
7.    Monitors Chronic Care and Intake process for compliance with policy and contract requirements.
8.    Reviews and audits documentation in the medical record (whether electronic or paper) for tracking and trending information.
9.    Ensures policies and procedures comply with regulatory and contract requirements related to CQI process and outcome monitoring and evaluation of services and program.
10.    Collaborates with the Regional leadership team to assess performance monitoring and implement improvement plans, and to ensure accountability, feedback loops and monitoring systems.  Preforms on site audits as indicated to ensure ongoing compliance.
11.    Collects and analyzes data to identify trends and patterns related to areas of concern.
12.    Maintains strong relationships with leadership and nursing staff by to ensure the quality of activities and projects leads to ongoing improvement.
13.    Provides oversight of grievances and complaints for identified trends and improvement strategies.
14.    Works closely with Regional leadership team regarding opportunities to improve selected aspects of clinical care and the specific actions needed in order to achieve goals for improvement on selected clinical quality measures.
15.    Assist in compiling and completing monthly CQI summary.
16.    Facilitates the tracking and compiling of wound data, Infection Control date, and inpatient admissions from facility infirmaries as requested. 
17.    Provides assistance to sites with audit (NCCHC, ACA, MCCS, Programs, and Quarterly Scorecard assessments).  Provides assistance by way of troubleshooting for a variety of nursing related issues.
18.    Participates in pertinent professional education to maintain current knowledge of best improvement practices.
19.    Complies with Wexford Health’s and correctional facility’s policies and procedures, including all safety and security regulations.  
20.    Maintains confidentiality of inmate records and complies with HIPAA and PHI regulations.  

JOB REQUIREMENTS
The following requirements list the minimum to qualify.  An equivalent combination of education and experience may be accepted.
LICENSING: Current unrestricted Registered Nurse license required
CERTIFICATION: 

• Current CPR Certification
• Quality Improvement Certification, preferred

EDUCATION:  Bachelor’s Degree in Information Science or related field
PREFERRED SKILLS/EXPERIENCE:

• Five-seven (5-7) years of quality improvement experience and 3-5 years of nursing experience.
• Correctional experience preferred
• Fundamental knowledge and skill in utilization of computer applications.
• Ability to investigate and solve non-routine problems.
• Excellent verbal and written communication skills; ability to communicate with senior management; demonstrated ability to communicate solutions and educate
• Requires a comprehensive understanding of performance improvement, quality assessment, risk management, and quality improvement.
• Ability to work effectively with physicians and other health care providers as well as with multi-disciplinary teams across the contract and organization. 
• Strong interpersonal, and verbal and written communication skills
• Excellent problem solving skills and strong organizational skills
• Ability to develop and deliver presentations, and facilitate meetings
• Must possess critical thinking skills and ability to independently solve problems and create processes
• Must ensure documents are ready for review well in advance of any deadline.
• Must be a highly organized and detail-oriented individual who is capable of performing under a variety of requirements and deadlines.
• Must have basic computer skills (including software programs like Microsoft Word and Excel), as well as the ability to research information on the internet

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