Continuous Quality Improvement RN

Job Summary:

Serves as an expert resource on regulatory, compliance, and correctional healthcare standards, as well as customer contracts and expectations for compliance at CFG Health Systems contracted correctional facilities. Designs, implements, and facilitates a systematic approach to ensure awareness of regulatory and compliance requirements, including completion of audits and monitoring systems. Works with the Health Services Administrator to revise site-specific policies and procedures to maintain compliance with standards, regulations, and contracts. Acts as a liaison to external audit consultants and provides education to health staff to promote compliance.

Essential Functions:

• Provides education and serves as a resource to management, medical staff, and patient care services.
• Stays current with regulatory agency updates and ensures compliance.
• Demonstrates strong verbal and written communication skills.
• Maintains professionalism, diplomacy, and trustworthiness.
• Develops and maintains facility-specific policies and procedures.
• Coordinates corrective action plans, audit tools, and monitoring activities.

Performance Expectations:

• Ensures services align with contractual and accreditation requirements.
• Develops and implements policies reflecting applicable standards.
• Assists site management with CQI activities, action plans, and compliance monitoring.
• Ensures completion and reporting of CQI activities and patient safety issues.
• Provides reports highlighting areas of potential risk.
• Serves as a resource for contract compliance, accreditation, and audits.
• Attends required CFG staff meetings.
• Provides on-site coverage in the absence of the HSA/DON as needed.
• Performs other duties as assigned.