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| Leads and executes administrative and operational support for designated quality-related programs, related to planning, directing, and coordination of activities associated with systemic improvements, innovative design, and training at the system oversight level. Working under general supervision, this position assists with the development of quality educational materials, advanced data reporting associated with quality performance and improvement outcomes, and lead process improvement for quality and regulatory performance metrics. |
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As the SME, guide clinical quality practice and operations with applicable regulations or standards by assessing policies and evidence-based practice and conduct audits to ensure compliance; utilize education techniques (such as just-in-time training) during audits to enhance knowledge and understanding of standards with front-line staff; provide analysis of compliance to assist with development of sustainable action plan in partnership with leadership; develop process for early identification of areas that are not in compliance; communicate results to leadership as an action plan for compliance.
Analyzes information from disparate sources. Analyzes comparative data, benchmarks, and evidence-based practices for possible adaptation into the organization. Uses valid and reliable data to support opportunity recommendations and illuminate key trends for stakeholders.
Demonstrates expertise in the use of analytical and statistical tools and techniques including understanding of how process goals are established, measured and monitored; applies techniques and tools to identify variation and its causes; analyzes input variable to identify critical factors that must be addressed to achieve optimal process performance.
Communicates improvement priorities and results using narrative and visual tools by create graphs and charts that accurately reflect valid interpretation of findings; develops dashboards and scorecards to depict internal metrics and benchmark comparisons; creates written and verbal communication to tell a story appropriate to the audience.
Facilitates the development and monitoring of action plans of accountability for noncompliant findings including assisting with the preparation of an action plan in response to survey or audit reports; develops data collection tools for auditing/monitoring measures of success/compliance with standards.
Demonstrates knowledge of regulatory standards applicable to healthcare quality setting including remaining current on changes in regulatory rules and standards affecting quality and quality reporting; evaluates resources; provides expert analysis to synthesize regulations and interpretive guidance to articulate intent and value of quality and safety regulatory bodies.
Collaborates with system leadership to design, plan, and implement and manage new quality programs or initiatives that align with the organization's quality goals and mission to improve patient outcomes.
Promotes a safety culture and infrastructure by engaging stakeholders to understand all perspectives when addressing patient safety issues; model behaviors that promotes a safety culture; educate staff; supports adoption of high reliability principles; design sustainable actions to improve patient safety.
Supports Quality Division teams with needs as Surveys, Audits, Infection Prevention, and other initiatives to drive patient safety and quality.
Performs other duties as assigned. |
| EDUCATION: |
Required: Bachelor's Degree, Nursing
Preferred: Master's Degree in Nursing |
| EXPERIENCE: |
| Required: 8 years as a Registered Nurse |
| LICENSURE/CERTIFICATION/REGISTRY/LISTING: |
Required:
RN License with certification in Quality specialty in 3 years, and maintenance of licensure and certification. |
Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.
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Cone Health
Oct 28, 2025