Job Summary Oversees and directs clinical quality within the Institute. Serves as a system-wide manager for coordination, managerial oversight and other support as required to further our mission related to clinical quality and performance improvement . Utilizes background in clinical applications, EPIC, and national registries to bring this knowledge to the design and optimization of care processes, patient experience and clinical outcome. Requires serving as a clinical expert, educator, consultant and a liaison for health care providers and administration for all forms of quality initiatives. Job Duties + Directly manages quality staff. Handles all employee relations activities. + Facilitates active engagement and communication with department staff via formal meetings and informal interactions. + Ensures that data is available for use in innovation initiatives to improve quality and operational enhancements, as well as regular presentation to the service line leadership team to ensure services are operating at optimal quality, efficiency and effectiveness. + Accountable for analyzing, developing, organizing, and directing system resources to realize strategic targets. + Oversees efforts of concurrent and retrospective national registry database. + Works to implement process changes to data collection moving from a retrospective collection to real time data collection. + Communicates with all staff to integrate service specific findings and is the key facilitator to ensure efficient, accurate and validated data from operational personnel. + Focuses on accountability for accurate, timely and complete data reporting. + Participates in research and prevention programs. + Coordinates accreditation activities through campus administrator to ensure accreditation guidelines are maintained and committee meetings are held. + Oversees completion of accreditation application and on-site review processes. Please see individual HR file(s) for more detailed description(s) of program-specific roles and responsibilities. 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. Position Details Hours: Monday through Friday; 8:00a-4:30p Travel: less than 50%- travel to other sites License: Registered Nurse license is required Education: Bachelor's Degree Nursing (BSN)required; Master's Degree Nursing (MSN) is strongly preferred Experience: minimum of 1 year managerial/supervisory experience, plus minimum of 5 years RN experience; previous e ************************************************************************************ 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 5 years-Nursing (Required), Minimum of 1 year-Managerial/Supervisory (Required) Certification(s) and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: Everything we do is about caring 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 We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. 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.