Adventist HealthCare
Quality Advisor RN, Day Shift, Quality Services
Adventist HealthCare, Rockville, Maryland, us, 20849
Position Overview
Shady Grove Medical Center seeks to hire an experienced Quality Advisor RN for our Quality Services Dept who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.
Responsibilities
Provide one‑on‑one customer service and area‑specific coaching to assigned departments regarding Tracer findings, compliance with regulatory requirements (e.g., TJC, CMS, Maryland Office of Healthcare Quality (OHCQ), Maryland Healthcare Commission (MHCC)) and education/awareness of Sentinel Events/alerts from TJC and CMS.
Facilitate focused quality and performance improvement efforts in accordance with AHC’s documented Performance Improvement System (DMAIC) for assigned departments, units and committees. Effectively lead projects and project teams to ensure timely, fiscally sound, quality improvement projects.
Partner with assigned areas to support continuous accreditation readiness (e.g., Mock surveys, Inter‑Cycle Monitoring, Survey, etc.) Conduct Tracers and mini Tracers to ensure compliance with Entity and AHC policy, TJC standards, and CMS/DHMH regulations.
Monitor and assist in the preparation of status reports for assigned monthly project review (measure monitoring).
Support assigned committees.
Support Peer Review efforts for nursing and LIPs by providing quality data and educating the nurse leadership and department chairs on quality data, accreditation and regulatory standards.
Support activities/tasks resulting from patient safety incidents/findings.
Participate in Root Cause Analyses (RCAs) in assigned areas.
Qualifications
RN required; Master’s Degree preferred.
Project management experience in the healthcare industry.
Strong knowledge of clinical operations.
Experience interacting with cross‑functional teams.
Proficient in Microsoft Office Suite.
Six Sigma Green Belt or higher required (must be obtained if hired within 1 yr).
CPHQ preferred.
Excellent communication, relationship building and interpersonal skills.
Excellent organizational and priority‑setting skills.
Work Schedule M‑F Days
Pay Range $71,932.12 – $107,889.60
Benefits
Work life balance through non‑rotating shifts.
Recognition and rewards for professional expertise.
Free employee parking.
Medical, prescription, dental, and vision coverage for employees and their eligible dependents effective on your date of hire.
Employer‑paid short‑ and long‑term disability, basic life insurance, AD&D, and short‑term disability buy‑up available.
Paid time off.
Employer retirement contribution and match after 1‑year of eligible employment with a 3‑year vesting period.
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long‑term care, and critical illness & accident insurance.
Subsidized childcare at participating childcare centers.
Tuition reimbursement.
Employee Assistance Program (EAP) support.
COVID‑19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID‑19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement Tobacco use is a well‑recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re‑apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow‑up testing.
Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission‑centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
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Responsibilities
Provide one‑on‑one customer service and area‑specific coaching to assigned departments regarding Tracer findings, compliance with regulatory requirements (e.g., TJC, CMS, Maryland Office of Healthcare Quality (OHCQ), Maryland Healthcare Commission (MHCC)) and education/awareness of Sentinel Events/alerts from TJC and CMS.
Facilitate focused quality and performance improvement efforts in accordance with AHC’s documented Performance Improvement System (DMAIC) for assigned departments, units and committees. Effectively lead projects and project teams to ensure timely, fiscally sound, quality improvement projects.
Partner with assigned areas to support continuous accreditation readiness (e.g., Mock surveys, Inter‑Cycle Monitoring, Survey, etc.) Conduct Tracers and mini Tracers to ensure compliance with Entity and AHC policy, TJC standards, and CMS/DHMH regulations.
Monitor and assist in the preparation of status reports for assigned monthly project review (measure monitoring).
Support assigned committees.
Support Peer Review efforts for nursing and LIPs by providing quality data and educating the nurse leadership and department chairs on quality data, accreditation and regulatory standards.
Support activities/tasks resulting from patient safety incidents/findings.
Participate in Root Cause Analyses (RCAs) in assigned areas.
Qualifications
RN required; Master’s Degree preferred.
Project management experience in the healthcare industry.
Strong knowledge of clinical operations.
Experience interacting with cross‑functional teams.
Proficient in Microsoft Office Suite.
Six Sigma Green Belt or higher required (must be obtained if hired within 1 yr).
CPHQ preferred.
Excellent communication, relationship building and interpersonal skills.
Excellent organizational and priority‑setting skills.
Work Schedule M‑F Days
Pay Range $71,932.12 – $107,889.60
Benefits
Work life balance through non‑rotating shifts.
Recognition and rewards for professional expertise.
Free employee parking.
Medical, prescription, dental, and vision coverage for employees and their eligible dependents effective on your date of hire.
Employer‑paid short‑ and long‑term disability, basic life insurance, AD&D, and short‑term disability buy‑up available.
Paid time off.
Employer retirement contribution and match after 1‑year of eligible employment with a 3‑year vesting period.
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long‑term care, and critical illness & accident insurance.
Subsidized childcare at participating childcare centers.
Tuition reimbursement.
Employee Assistance Program (EAP) support.
COVID‑19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID‑19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement Tobacco use is a well‑recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re‑apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow‑up testing.
Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission‑centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
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