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San Jacinto Methodist Hospital, located 35 miles southeast of Houston, is the area´s only full-service hospital offering specialized medical care for patients at every stage in life.

JOB SUMMARYResponsible for providing daily supervision of the operations of the Performance Improvement Department to promote and monitor procedural compliance, staff development, and continual process improvement, while promoting customer and employee satisfaction. Sets deadlines, assigns responsibilities, monitors and summarizes progress of projects. Prepares reports for teams, Director, and/or Administration regarding the status of projects. Relies on extensive experience and judgment to plan and accomplish goals. Multitasks; a wide degree of creativity and latitude is expected.EDUCATION REQUIREMENTS Graduate of an Accredited School of Nursing with BSN or Bachelor degree in an appropriate related field, masters preferred.EXPERIENCE REQUIREMENTS1. Three to five years in a hospital quality, risk management, statistical decision support, regulatory compliance, or care / utilization management.2. Demonstrated application of process / performance improvement principles and tools. 3. Familiar with a variety of Performance Improvement concepts, practices, and procedures.4. Knowledge and experience with statistical analysis and charts. Strong computer skills (Microsoft applications). 5. One year management experience or equivalent training.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED1. Certification as a Professional in Healthcare Quality preferred.2. For Registered Nurses: Current licensure to practice in the State of Texas.3. For HIM professionals: Registered Health Information Administrator.SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED Strong organizational, interpersonal and communication skills. Ability to manage multiple projects. Proficiency in information systems, PI tools, word processing, and data base management. Basic understanding of statistical analysis techniques. Knowledge of regulatory standards as they apply to departmental and hospital operations. Ability to analyze and solve complex problems.

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: AR&LSCHEDULE: Full-Time Regular, 40hrs/wk, Day Shift.EDUCATION/ LICENSE/CERTIFICATION: Bachelors degree in nursing or related field.SKILLS TESTING: N/AQUALIFICATIONS: A minimum of 3 years experience in acute care nursing as a RN. Must have a current RN license in California. A minimum of 1 year´s experience in quality management with demonstrated knowledge of quality improvement, statistical analysis, accreditation and licensing processes. Strong problem solving, project management, group facilitation and teamwork skills. Demonstrated ability to assess or evaluate patient medical records as it relates to quality of care and systems analysis. Current working knowledge of The Joint Commission, NCQA and Title 22 standards/regulations. Supervisory experience preferred. Demonstrated knowledge of adult learning theories. Must be PC literate, Microsoft Office applications preferred. Valid CA driver´s license with personal means of transportation preferred.PREFERRED QUALIFICATIONS: Knowledge of Joint Commission, Title 22 and Conditions of Participation, knowledge of performance improvement process and excellent communication skills.POSITION SUMMARY: Coordinates quality, utilization and risk management activities for the medical center; provides technical, educational, consultative, and coordinating support to assigned areas.DUTIES: Assists in the coordination of the quality management/utilization management department activities with other medical center departments. Acts as a consultant for appropriate departments on quality management, utilization management and risk management activities. Assists with quality management studies through data collection, data input and report development. Provides objective assessment of important aspects of patient care through ongoing chart review with pre-established criteria. Reports all occurrences which may lead to medical center liability and follows up as necessary. Facilitates interdisciplinary collaboration for development of patient care paths. Reviews hospital admissions and extended stays for specific hospital departments. Serves as a member of the QM and/or UM Committees as needed. Attends and/or participates in committee meetings as needed. Assists in orientation and training of peers; in formulating and evaluating policies and procedures. Performs special projects as assigned, such as statistical reports for state, federal, and local agencies. Assists the director of quality and utilization management for QM and UM in the formulation of department goals and objectives. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, KaiserPermanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrated the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.OTHER DUTIES: Will assist Director ARL with auditing of regulatory compliance (Joint Commission, Title 22 and Conditions of Participation), patient and system tracers and survey readiness. Will provide direct feedback to directors and managers on compliance with standards and opportunities to improve patient care and services.

The Seton Family of Hospitals, a not-for-profit organization, is the leading provider of healthcare services in Central Texas.Seton is building for the future providing ´Healthcare that Works and Leaves No One Behind.´

Job Title: Clin Quality Review Coord RN Location: Seton Medical Center Hays Full/Part: Full-Time Days - 8hr Shift: Responsibilities 1. Collaborates and partners with physician leadership to perform ongoing review of physicians care and patient outcomes. Collects, verifies and evaluates data relevant to physicians professional performance used to make evidence-based decisions regarding appointment to membership on the medical staff and recommendations to grant or deny initial and renewed clinical privileges. 2. Assists Director in interpreting and/or analyzing the results of ongoing physician performance evaluation (OPPE) datum to provide physicians with systematic, timely and periodic feedback on all dimensions of physician performance within the Seton Family of Hospitals including Clinical Quality of Care, Service Quality, Patient Safety, Resource Utilization and Citizenship. 3. Partners, leads and supports medical staff councils and medical staff specialty services in the coordination, implementation and sustainment of medical staff quality improvement initiatives. 4. Assists and provides direction for the development of medical staff clinical indicators with which to monitor and evaluate the quality of care and services rendered by physicians by collaborating effectively, efficiently, and appropriately with medical staff leadership and medical staff members. 5. Ensures compliance with applicable regulatory guidelines and requirements, state and federal statutes, and medical staff bylaws, rules and policies. 6. Coordinates outside physician reviews by a third party when requested by the medical staff. 7. Assists with and supports medical staff education regarding peer review and regulatory requirements. Minimum Qualifications Bachelors degree from an accredited nursing program (BSN) is required. Training or experience in system/process analysis and performance improvement is preferred. Five (5) years post-graduate nursing experience is required to include broad clinical knowledge and one (1) year in a leadership or administrative role. Current licensure to practice nursing in the State of Texas is required. Certified Professional in Healthcare Quality (CPHQ) is preferred. Preferred Qualifications Bachelors degree with 5 years nursing experience in quality improvement preferred. Must feel comfortable in performing ongoing reviews of physicians care and patient outcomes. Must have excellent computer skills and ability to use statistical analysis tools. Position will office at SMCA three days a week and SMCH two days a week. Must have reliable transportation. Skills Knowledge of change management, strategic planning, horizontal management and working with matrices is required. Must be able to understand and interpret regulatory standards as well as implement systems to comply with them. Must have knowledge of state laws related to physician licensure, allied health professional licensure, medical staff peer review, as well as awareness of state laws that have impact on the medical staff or hospital. Effective communication, facilitation, and conflict resolution skills; analytical ability; ability to use statistical analysis tools. Knowledge of information systems and working knowledge of hospital financial systems.

Bachelors Degree in Nursing, Education or other health-related field. BLS instructor certification obtainable within 6 mo. of hire. Minimum 3 yrs. clinical healthcare nursing experience, previous clinical or health education/instruction required.

You´ll Find A Great Place to WorkVail Valley Medical Center

Department: Quality Resources Management Schedule: Full-time (Year Around) Shift: Days Hours: 8am-5pm Job Details: - RN - BSN Preferred This position is responsible to review and assess VVMCs operations to abstract and develop data to assess VVMCs compliance with accreditation and other regulatory standards as well as to identify priority areas for quality improvement. This position will also support the investigation and follow-up on root cause analyses and other performance improvement activities.

Hours: 8am - 4:30pm Days: Monday - FridayShift Type: DayWeekends: None Job Description: Cedars-Sinai Health System has an opening for a RN, Supervisor Case Review. The Case Review Supervisor will be responsible for the day to day oversight of the Peer Review Process. The supervisor will review correspondence and assist case review coordinators with routine process questions. The Supervisor must demonstrate initiative, resourcefulness and problem-solving skills in applying a detailed knowledge of the responsibilities, functions and underlying management structure of the department and of the larger Health System in organizing and prioritizing work, establishing procedures and systems and ensuring the orderly and timely flow of business. The Supervisor must possess a full understanding of the confidentiality requirements to effectively and legally communicate practitioner related issues. The supervisor will communicate to the Patient Safety Manager all concerns and issues of a non routine nature or potential safety issue. In addition, the supervisor will be responsible for coordinating the Ongoing Professional Practice Evaluation (OPPE) for the medical staff. The Supervisor will have oversight of the Case Review Coordinator who will focus on identifying professional practice trends that impact quality of care and patient safety. The Supervisor will utilize expert clinical knowledge and experience to collaborate with the Case Review Coordinator using the Medical Center and Department specific criteria. Education and Work Experience Preferences: Educational Requirements:Bachelors Degree preferred and course work in healthcare related field preferred.License/Certification/Registration Requirements:Current active licensure as Registered Nurse in California required; Certified Professional in Healthcare Quality preferred

Lea Regional Medical Center

The Chief Quality Officer is responsible for planning, administration, and monitoring of consistent readiness of all quality management, regulatory requirements, and quality improvement processes. The Chief Quality Officer will oversee and coordinate all hospital efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission on Accreditation of Healthcare Organization standards. The position reports directly to the CEO.Qualifications Education:• Graduate of an accredited school of nursing.Experience:• Minimum of three years in an acute care facility and demonstrates a clear working knowledge of general hospital operations, JCAHO, OSHA, Medicare COP, and state requirements. • Minimum of two years experience in Quality Management required.• Must have coordinated JCAHO preparation and participated in State and CMS surveys within past three years.Certifications / Licenses:• Current state Nurse license

Reporting to the Risk Manager, this position leads and coordinates improvement activities throughout Overlake Hospital for successful accrediting, licensing, and certification surveys (e.g., Joint Commission, Dept of Health, Centers for Medicare/Medicaid Services). Develops and implements systems and processes to sustain survey readiness, including the development and implementation of staff education forums and ongoing internal competency/preparedness reviews. We are proud to be one of the recipients of the 2009 HealthGrades Patient Safety Excellence Award. This award is granted to the top 5 percent of all hospitals in the U.S.This position requires a Bachelors degree, else an Associates degree in a clinical area plus 2 years related experience. Masters preferred. Current licensure as appropriate to profession is required. Also requires 3 years experience in an inpatient setting, with specific knowledge of hospital regulatory and accrediting standards. CPHQ or CQP certification strongly desired.

Join our unique, personalized approach to healthcare at University Hospitals.

University Hospitals (UH) is a community-based health care system which serves patients at more than 150 locations throughout Northern Ohio, including seven wholly owned and four affiliated hospitals. Committed to advanced care and advanced caring, UH encompasses the regions largest network of primary care physicians, outpatient centers and hospitals. The network also offers specialty care physicians to treat almost every disease and condition, skilled nursing, elder health, rehabilitation and home care services, and occupational health and wellness. University Hospitals is the second largest private sector employer in Northeast Ohio and is within the top five largest private sector employers in the state of Ohio. Detailed Position Description This position will be responsible for clinical systems expertise focused on quality initiatives. The Application Analyst will serve as a bridge between the Quality and end-users of the Eclipsys application, participating in software design, implementation, testing, reporting and ongoing support. Participates with the implementation team and clinical subject matter experts, in an enterprise design which will represent an improved clinical workflow and eliminates current state paper-based processes, as applicable while incorporating Quality Outcomes. Position Requirements 5+ years in a clinical/healthcare setting Strong preference for experience in healthcare quality initiatives (TJC, CMS) Must be able to communicate with a wide variety of end users, with varying skill levels and function effectively in a fast-paced environment and meet deadlines. Excellent analytical and problem solving skills required. Moderate skills in MS Office suite. Education Requirements Bachelors degree in a Health related or Information Systems field required. License/Certification Requirements RN, RT, RD, PT, PharmD or other health care professional licensure. Additional Details Employment Status Regular Full Time Shift Days

The Director, Post Acute QA PI/Education is directly responsible to lead, develop and implement effective methods to: assess and ensure quality assurance/process improvement initiatives; oversee clinical staff orientation, education and competency assessments; monitor and assure compliance with regulatory standards; interface with IT staff for effective design and use of electronic medical record and billing software; and oversee effective case management practices for Summa´s Home Care, Hospice of Summa, Summa´s Maternal Touch and Summa´s Home Infusion.The Director, Post Acute QA PI/Education serves as a resource to Summa Health System merged and/or affiliate hospitals post acute programs in sharing, developing and implementing: quality assurance/process improvement methods and practices; staff orientation, education and competency plans and presentations; regulatory compliance standards and updates.Requires a Masters degree in Nursing, Business, Hospital Administration, or other related field of study and a current license to practice nursing in the State of Ohio.Three (3) years QI/Education experience in a homecare/hospice environment to include two (2) years of leadership experience required.