Job Title: RN - Registered Nurse - System Performance Improvement Coordinator - Quality and SafetyLocation: Danville, PennsylvaniaJob Category: RN - Registered Nurse, Nursing and Nursing SupportSchedule: DaysWork Type: Full timeDepartment: Accreditation DivisionDate Posted: 10/22/2024Job ID: R-68695Job SummaryEvaluates the quality of health care rendered by the System for the purpose of meeting regulatory requirements for inpatient and outpatient assigned areas. Will coordinate and ensure action plans and performance improvement projects are performed through practice analysis, audits, education, and the compliance of assigned department, with the standards set by associations of healthcare providers and with applicable laws, rules and regulations. Responsible for coordinating and supporting Regulatory and Performance Improvement activities and identifying ongoing data and information system needs.Job Duties
- Demonstrates a comprehensive understanding of the theory and principles of clinical performance improvement.
- Creates and fosters change in a positive proactive manner.
- Fosters problem-solving using critical thinking skills.
- Reviews and monitors occurrences, quality triggers and quality of care concerns observing for problems or patterns related to regulatory standards affecting the quality of care.
- Educates and orients providers, administration, professional and line staff as needed regarding Regulatory/Performance Improvement requirements.
- Serves as resource person for Regulatory/Performance Improvement initiatives within assigned areas.
- Assists with and provides direction to staff in developing measurements for Performance Improvement and evaluation activities.
- Develops data collection tools, data collection, summarization of data and reporting of findings.
- Schedules and assists with follow-up on corrective action plans.
- Prepares and submits monthly Performance Improvement Reports within the regions committee structure as assigned.
- Maintains appropriate records of all Performance Improvement activities.
- Assists in the preparation and coordination of all regulatory surveys.
- Actively participates in all regulatory surveys.
- Conducts and coordinates the follow-up of survey recommendations and requirements.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.Position Details
- Hours: 40 hours per week; Monday through Friday; 8:00a-4:30p
- Location/Travel: More than 50%- requires weekly on-site campus visits. This position will support all hospital systems across Geisinger located in Pennsylvania (Danville, Lewistown, Bloomsburg, Wilkes-Barre, Scranton or Jersey Shore). When not on-site, you will be permitted to work from home.
Required Experience:
- BSN
- 2 years of RN work experience
- Outpatient clinic experience is preferred.
Preferred Experience:
- Experience with maintaining hospital compliance with regulatory agencies.
- Knowledgeable with PA DoH, CMS, and Joint Commission regulations and standards.
- Previous experience with writing action plans, licensure applications, plans of corrections, attestations, and narrative submissions to regulatory agencies.
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Geisinger cares about not only its patients and members but also about you and your family. We offer a competitive compensation and benefits package to ensure that you and your loved ones can maintain good health, achieve financial stability, and excel both personally and professionally. We believe in creating a diverse and inclusive environment where all employees can be their authentic selves. To learn more: (
- Full benefits (health, dental and vision) starting on day one
- Three medical plan choices, including an expanded network for out-of-area employees and dependents
- Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
- Company-paid life insurance, short-term disability, and long-term disability coverage
- 401(k) plan that includes automatic Geisinger contributions
- Generous paid time off (PTO) plan that allows you to accrue time quickly
- Up to $5,000 in tuition reimbursement per calendar year
- MyHealth Rewards wellness program to improve your health while earning a financial incentive
- Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
- Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
- Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance
EducationBachelor's Degree-Nursing (Required)ExperienceMinimum of 2 years-Nursing (Required)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Valid Driver's License - Default Issuing BodyOur Purpose & ValuesOUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.