Director, Nursing Quality

About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That's what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

Reporting to the Associate Chief Nurse Officer (ACNO) for Nursing Professional Development, Quality, and Informatics, the Director of Nursing Quality is responsible for enhancing the clinical quality and outcomes of nursing practice using clinical data and project planning, implementation, and evaluation by applying evidenced-based best practices throughout Sinai Health System in the Department of Nursing. In addition, the Director of Nursing Quality is responsible for developing systems and processes, which ensure continual survey readiness and regulatory compliance in partnership with the Hospital Quality Department. The Director of Nursing Quality assesses, plans, organizes, directs, and evaluates overall nursing quality and regulatory compliance initiatives at the unit, divisional, departmental and system level.

The Director collaborates with Nursing leadership, Nursing staff and other patient care related services, as well as those in Quality/Performance Improvement roles to enhance the quality of nursing practice using clinical data and the application of evidence-based practice.As part of the revenue cycle team, the Logistic Technician is responsible for gathering all demographic and insurance information at the time a patient presents for service. The Logistic Technician is responsible for verifying all information for accuracy, thus ensuring prompt billing of all insurance claims. The Logistics Technician is also responsible for counseling all customers on their financial responsibility to Holy Cross Hospital.

Key Job Activities:

• Provides leadership and direction in overall nursing quality and regulatory compliance.
• Plans, coordinates, implements, and evaluates programs relative to quality improvement and regulatory
• compliance within Nursing practice and the Nursing Department.
• Utilizes various assessments and data, identify gaps in compliance from a quality and regulatory
• compliance perspective in the Department of Nursing.
• Reports at the system, divisional and departmental level survey readiness findings, and action planning
• to ensure compliance.
• Creates structure and processes to ensure optimal quality and compliant nursing performance.
• Partners with various service lines, departments, and leaders throughout the organization to promote and
• provide quality care and education compliance that helps Sinai meet its mission and vision.
• Serves as the Department of Nursing point of contact for surveyors during regulatory visits.Prepare a computerized registration on all patients presenting for service. This registration data serves as a patient data base utilized by multiple departments and physicians.
• Performs other duties as assigned.

Education and Work Experience:

• Master's or higher-level degree in Nursing from an accredited school of nursing.
• Five (5) years of clinical or leadership experience as a Registered Nurse.
• Three (3) years of nursing leadership experience preferred.
• Two (2) years of nursing quality and/or regulatory compliance experience preferred.

Knowledge and Skills:

• Knowledge of research/evidence-based practice initiatives
• Lead staff development initiatives to successful outcomes, and effectively utilize data, particularly with
• respect to evidence-based practices.
• Excellent interpersonal skills with the ability to establish strong and effective collaborative relationships.
• Excellent communication skills to prepare written materials and correspond with administrative personnel
• and the general public.
• Knowledge of and experience working in Magnet recognized facilities.
• Proficient in Microsoft Applications.
• Knowledge of National Database of Nursing Quality Indicators (NDNQI) guidelines and benchmarking
• preferred.
• Experience in EPIC and MEDITECH software systems preferred.

Certifications/Licenses:

• Licensed as a Registered Professional Nurse in the State of Illinois.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient's specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

x Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System's goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai's benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual's unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers