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in San Jose, CA

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Hours Full-time, Part-time
Location San Jose, California

About this job

Coordinates quality, accreditation, regulatory and licensing (AR&L), patient safety and risk management activities for the medical center. Provides clinical, educational, consulting, and coordinating support to assigned areas. Uses nurses' licensure as a substantial amount of scientific knowledge or technical skill for indirect patient care services that ensure the safety, comfort, personal hygiene, and protection of patients; and the performance of disease prevention and restorative measures.

Essential Functions:

* Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs.

* Assists with quality management studies through data collection, data input and report development.

* Analyzes, interprets and provides recommendation based on quality principles.

* Organize and coordinate project planning, group process facilitation, training, and appropriate application of information technology.

* Reports all occurrences which may lead to medical center liability and follows up as necessary.

* Facilitates interdisciplinary collaboration for implementation of evidence based guidelines, criteria and other clinical tools to reduce variation in clinical practice and to optimize clinical outcomes.

* Educates physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the methods of compliance when preparing for a review or the interpretation of project goals.

* Analyzes risk management/patient safety principles and provides recommendations for the incorporation of risk management principles in each medical center.

* Provides support services to appropriate medical center staff in implementing risk management principles into credentialing processes.

* Participates in special projects as assigned, such as statistical reports for state, federal, and local agencies.

* Applies the appropriate performance improvement methodology to address improvement opportunity (eg. MFI, Lean DMAIC).

* May support infection prevention and control activities.

* Supports maintenance of IC records and policy/procedure manual reviews and revisions.

* Supports the medical center's continuous survey readiness program to maintain compliance with regulatory standards.

Basic Qualifications:

Experience

* Minimum five (5) years of experience in an acute care setting.

Education

* Bachelor's degree in nursing, business administration, economics, health care administration, operation research, public health administration, or other related field.

License, Certification, Registration

* Current RN license in California.

Additional Requirements:

* Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

* Three (3) years of experience with quality assessment, quality improvement, and quality demonstration.

* Master's degree preferred.

* Quality/ Risk/Patient Safety/ Just Culture/Project Management/ Lean/ IP certification preferred.

* CIC certificate required within a year, if primary job focus is Infection Control.