Public Health Nurse III –QNS / Accreditation Program Manager – (Health)
(Grant Funded through October 31, 2027)
SALARY: Grade 67 $26.0056 hourly / $54,091.70 annually
OPENING DATE: August 24, 2023 “OPEN UNTIL FILLED”
GENERAL DESCRIPTION OF DUTIES
The Quality Nurse Specialist (QNS) will oversee the internal policy development and review process to assure the implementation of agency and program policy and conduct informal monitoring with program staff. This position will lead the reaccreditation process by coordinating with the department’s Accreditation Team and guaranteeing benchmarks are met. This position oversees and coordinates all-staff training to include new employee orientation and onboarding along with all aspects of the department’s State of the County’s Health (SOTCH) annually between years of the Community Health Assessment (CHA) to include updating Community Health Improvement Plans (CHIPs) and community partnerships. The Quality Nurse Specialist is a leadership position, serving as a member of the Management Team, supervising the Public Health Education program, and as an internal consultant/resource for all staff. This position will report to the department’s Director of Nursing. Administration of the quality assurance program requires consideration of the applicable quality of care standards, certification requirements, operational requirements, and budgetary constraints in order to provide management with effective advice and information on compliance issues. This position has the delegated responsibility of coordinating the quality improvement activities for Maternity Health, Family Planning, Communicable Diseases, STDs, Tuberculosis, Child Health Physicals, Primary Care, Breast & Cervical Cancer Control Program, Cardiovascular Disease, WISEWOMAN, Immunizations, and Environmental Health. Responsibilities of coordinating accreditation activities are related to the collection of documentation in the accreditation process for the entire health department. This employee’s work has a direct effect on the department’s compliance with standards and certification requirements which could directly affect reimbursement for services.
SPECIFIC DUTIES AND RESPONSIBILITIES
EXAMPLES OF ESSENTIAL FUNCTIONS
This list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.
98% Quality Assurance and Performance Improvement
- Develops, implements, and provides training on policies and procedures for clinical and non-clinical staff programs in accordance with Addendum Agreements, state, and federal regulations.
- Coordinates the department’s quality assessment and improvement program by reviewing, monitoring, and auditing processes for compliance with programmatic guidelines (Medicaid, Medicare, Private Insurance, etc.), CLIA, OSHA, agency policies and applicable protocols.
- Conduct internal program audits and works with staff to identify areas for improvement.
- Conducts internal program audits and work with staff to identify areas for improvement.
- Audit records to assure compliance with the NC Nurse Practice Act, NC Public Health Law, NC Administrative Code, Center for Disease Control & Prevention Guidelines for the treatment of sexually transmitted infections, NC Dept Health & Human Services, Division of Public Health Agreement Addendums, Women’s & Children’s Branch, Tuberculosis Control Branch, Communicable Disease/STD Branch & Immunization Branch.
- Work with staff across the agency to foster a culture of quality improvement.
- Provide input on the analysis of data related to program outcomes.
- Coordinates and participates in quarterly clinical record reviews within all clinics.
- Correlates audit findings to identify out-of-compliance issues. Prepare a Corrective Action Plan (CAP) for the Health Director and Director of Nursing, if warranted.
- Coordinate Plan-Do-Study-Act (PDSAs) as part of the department’s problem-solving processes and quality improvement efforts.
- Serve as the Health Department Agency Accreditation Coordinator (AAC) for the Accreditation cycle and on the accreditation team for the site visitors’ scheduled in-person visit.
- Work with the Management Team and staff to assure NC Accreditation standards are met. Ensures documentation is completed in the electronic submission platform by the required submission date.
- Manage the policy development and review process for internal organizational policies.
- Oversee orientation process for new staff.
- Provides input into staff development including orientation and trainings.
- Serve as Training Coordinator for annual training requirements and training events.
- Oversees annual competence activities for health department staff.
- Coordinates and oversees the department’s State of the County’s Health (SOTCH) annually between years of the Community Health Assessment (CHA) to include updating Community Health Improvement Plans (CHIPs) and community partnerships.
- Identify tools including new technologies to improve efficiencies.
- Serves as a Super User for Cure MD, the electronic medical system, and works closely with the Health Director and/or Director of Nursing for running various data and program reports. Also, assisting staff with billing issues, work closely with software vendors, adding/modify procedures with charges, and associate CPT codes with specific programs in EMR.
- Present to the Duplin County Board of Health on policies, quality assurance, accreditation, and other important public health topics.
- Assist and/or lead special quality projects as assigned by the Health Director and/or Director of Nursing.
- Stays informed of current trends in public health by attending workshops and conferences.
- Maintains knowledge of medical coding requirements needed for clinic procedures.
- Documents all information according to policy in electronic health records.
While the following tasks are necessary for the work of the unit, they are not an essential part of the purpose of this position and may also be performed by other unit members.
2% Other Duties
- Participates in mandated staff meetings.
- Attends workshops deemed appropriate by supervisor.
- Participates in shelter duty and other activities relating to the Department’s emergency response plan and other disaster relief efforts.
- Serves as a team member during outreach projects such as flu vaccine season and disease outbreaks.
- Performs any other duties and responsibilities as directed.
MINIMUM TRAINING AND EXPERIENCE
- Graduation from a four-year college or university with a BS degree in nursing which includes a Public Health Nursing rotation and four years of Public Health Nursing experience including two years’ experience in a supervisory capacity; or
- Graduation from an accredited school of professional nursing, five years of professional nursing experience, four of which must have been in public health including two years’ experience in a supervisory capacity; or
- An equivalent combination of education and experience.
- Knowledge of quality assurance practices
- Knowledge and comprehension of public health laws and services
- Experience with accreditation and organization policy development preferred
- Experience with state agreement addenda and/or grant management preferred
- Experience prioritizing and managing multiple projects simultaneously
- Current, valid NC Board of Nursing Certified Registered Nurse
- Valid NC Driver’s License
- Reliable means of transportation for work assignments
- Certified in basic CPR life support
- Completion of Dispensing by Public Health nurses within one year of hire date