Registered Nurse Quality Management Consultant

<p>The Quality Management Consultant is responsible for facilitating compliance with VHA Directive, local policies, national guidance, and is responsible for facilitating implementation of service and hospital-wide performance improvement activities. He/she works in concert with the planning and development of intra-cycle accreditation monitoring and associated activities developed with the Accreditation Coordinator.</p><h3>Major Duties</h3><p>The Registered Nurse Quality Management Consultant is a full-time professional nurse who works under the supervision of the ACQM. The incumbent is a registered nurse that is responsible for the formulation of policies in conjunction with clinical services in influencing, prescribing general principles, planning, coordinating, and developing Performance Improvement Activities and courses of action in accordance with all established Statues and Veterans Affairs (VA)/VISN Medical Center policies. Ensure staff in the services are apprised of current TJC standards; utilizes TJC perspectives to keep abreast of changes and clarifications of standards; ensure that the CQM is aware of all discrepancies or weak areas of compliance and of any implementation issues; facilitates development and maintenance of policies and procedures are updated; and utilizes TJC Accreditation Manager Plus (AMP) and Joint Commission Resources (JCR) tools to assess readiness for survey. Collaborates with leadership to plan corrective actions to address weakness and to improve performance on surveys Plans and coordinates preparation for all types of external reviews and maintenance of standards with various regulatory and accrediting bodies such as Environmental Protection Agency (EPA), Government Accountability Office (GAO), Long Term Care (LTC), Office of Inspector General (0lG), Occupational Safety and Health Administration (OSHA), TJC, etc., as needed. Reviews reports from external review bodies to identify important issues and maintains a compilation of recommendations and tracking to completion. Collaborates with the Performance Measures Coordinator and the External Peer Review Program (EPRP) reviewer to determine facility performance on national performance measures. Works with the EPRP Coordinator to identify opportunities for improvement and develop improvement plans with managers and leaders. May be asked to participate in development of action plans to improve performance measures. Collaborates with the Program Manager for Risk Management and Medical Legal Affairs to identify trends in tort claims and peer reviews. Collaborates with the Patient Safety Manager regarding patient safety issues and implementation of corrective actions. Remains vigilant for patent safety and infection control issues in all areas of the medical center. Works with the Patient Safety Manager and Infection Control Nurses to plan corrective actions and measures sustained improvement. Demonstrates the ability to improve the effectiveness of communications and interactions with others, to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting. Communicates and collaborates as an effective leader of the interprofessional team, at the expert level, with improved evidence-based and/or data-driven outcomes for the immediate practice setting 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: Monday - Friday 07:30am - 4:00pm. Subject to change based on the facility needs. Telework: Ad-Hoc per agency policy Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.