RN, Quality Assurance, Cancer Center

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.

Job Summary:

Coordinates the ongoing development and implementation of organization wide quality improvement activities. Collaborates with hospital leadership, staff, physicians and information systems in facilitating specific job activities to achieve organizational goals. Assists in the coordination of studies performed within the Quality Assurance program and prepare reports as required.

Job Requirements:

Education and Work Experience:

• Bachelor's Degree in Nursing (BSN): Preferred

Licenses/Certifications:

• Registered Nurse (RN) licensure in the state of practice: Required

Essential Functions:

• Prepares first level analytical and statistical reports for the department. Maintains information systems and report results regularly to the department director and appropriate leadership, physicians and staff. Assists with the maintenance of the company's quality assurance program and identifies opportunities to improve patient care within the center.
• Conducts concurrent and retrospective chart audits and data extraction and focused studies as assigned. Assists in the planning, organization and direction of Quality Assurance programs and related activities. Develops and maintains a calendar of chart review activities, including focus studies. Ensures chart reviews are timely, accurate, and meet all data requirements for JCAHO, CMS, Medical Staff and the Board Quality Council and Governing Board.
• Is responsible to perform initial screening and analysis of reported events, conduct data abstraction, and assist in facilitating meaningful Medical Staff case review documentation. Monitors physician specific tracking, trending and reporting and provides assistance in abstracting and aggregating physician specific OPPE data in accordance with the credentialing process.
• Monitors compliance with both internal standards and regulatory requirements and makes recommendations for the adjustment of company programs accordingly. Develops and implements appropriate plans of action to correct identified deficiencies as needed.
• Identifies peer review cases through internal and external sources as appropriate. Collaborates in planning, implementing, and evaluating department activities. Assist Department Heads and staff in the evaluation of programs and effect changes as necessary to improve programs and assure compliance with regulatory requirements.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.