RN - Registered Nurse - System Performance Improvement Coordinator - Quality and Safety
Job Summary
Evaluates 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.
Success Profile
What makes a successful nurse at Geisinger? Check out the top traits we're looking for and see if you have the right mix.
- Collaborative
- Communicator
- Compassionate
- Problem-solver
- Team Player
- Trustworthy
Culture
Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. Our nurses treat each other with respect and compassion, embrace diversity and take time to connect and listen. We are led by five main values:
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Kindness
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Excellence
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Safety
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Learning
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Innovation
Geisinger nurses: in their own words
Hear from some members of our Geisinger team and how the fight against COVID-19 has affected them.
Our Geisinger Family
Growing up in the northeast, Geisinger has always had a reputation of being a leader in cutting edge medicine. Being part of their staff is both a privilege and honor. So far working as a RN, has been an incredible experience. The staff is knowledgeable and passionate about their field. They are always willing to help me further my education and skills.
RN, Telemetry Unit, GMC
I had a very positive experience as a student nurse during my clinical rotations and knew I wanted to join the nursing team at Geisinger Lewistown Hospital. As a new nurse everyone has been extremely helpful. My coworkers are dedicated to the success of the team and providing the best care possible for our patients.
RN, Orthopedic Oncology, GLH
I'm excited to take the lessons I've learned along my journey from bedside nurse to educator to leader and help position Geisinger's more than 6,500 nurses—in all positions, from LPNs to RNs to advanced practice nurses—for their own future successes.
Chief Nursing Executive, MSN, RN
Benefits
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Health and Wellness Programs
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Tuition Reimbursement
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Professional Development
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Maternity and Paternity Leave
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Collaboration
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Awards and Recognition
Responsibilities
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: https://jobs.geisinger.org/diversity
- 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
Education
Bachelor's Degree-Nursing (Required)Experience
Minimum of 2 years-Nursing (Required)Certification(s) and License(s)
Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Valid Driver's License - Default Issuing BodySkills
Clinical Skills; Critical Thinking; Working Independently; Organizing; Computer Literacy; Teamwork; CommunicationAbout Geisinger
Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.
Our Commitment to Diversity, Equity and Inclusion
Geisinger values who you are, where you are from, and where you are going. We seek out people of various backgrounds and cultures with unique abilities, non-traditional career paths and ambitious aspirations. We are an Affirmative Action, Equal Opportunity Employer. Women and Minorities are encouraged to apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. Read more about Our Commitment to Inclusive Recruiting.
Our Vision & Values
Everything we do is about making better health easier 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.
Our Benefits
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.
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