Quality Registered Nurse RN

Application Deadline: 4/19/2026

Job Summary

Hours

• 1.0 FTE - 40 Hours per week
• Monday through Friday day shift

Essential Job Functions

• Quality and Performance Improvement
• + Develop, implement, monitor, and maintain the organization’s Quality Assessment and Improvement Plan, programs, and initiatives
• + Collect, analyze, and report quality and performance data; identify trends and communicate findings to staff, leadership, and providers
• + Ensure compliance with regulatory requirements
• + Lead survey readiness and accreditation activities, including regular rounding.
• + Lead quality and performance improvement initiatives, including planning, implementation, monitoring, and alignment with organizational goals
• + Collaborate with leaders and departments to maintain and advance quality improvement projects and promote a culture of safety and accountability
• + Serve as a clinical and quality resource; educate and coach staff on quality measures, regulatory expectations, and best practices
• + Support infection prevention, QAPI, and organizational education initiatives, including training and annual program development
• + Assist in patient relations by investigating grievances and helping resolve them through effective management
• + Serve as the Risk Manager by identifying, assessing, and mitigating potential risks to patient safety and quality of care
• + Engage with vendors and providers to support implementation of new quality-related programs and initiatives
• + Lead rounding, committees, and interdisciplinary collaboration to identify and drive improvement opportunities
• + Chair and participate in Performance Improvement and Safety Committee
• + Manage development and review processes for policies
• + Serves as a member of the Internal Review Board and the Medical Executive Committee
• + Use the organizations secure messaging platform in accordance with departmental protocols, including timely receipt and responses to communications

Infection Prevention

• Serve as a resource for staff, leadership, and providers, promoting evidence-based infection prevention practices and standards
• Develop, implement, monitor, and maintain the organization’s infection prevention and control plan, programs, and initiatives
• Serve on organizational committees related to quality, safety, and infection control
• Ensure compliance with local, state, and federal infection control regulations
• Collect, analyze, and report infection data in a timely manner to identify trends and initiate interventions as needed
• Collect and monitor 30- and 90-day infection and complication surveillance data; collaborate with surgeons and staff to investigate and respond to identified issues
• Conduct routine rounding to assess infection control practices and promote survey readiness throughout the organization
• Ensure infection reporting deadlines are met
• Educate staff, providers, and leadership on infection prevention protocols and regulatory updates
• Support the organizations preparedness and compliance during public health events or emerging infection threats

Education

• Coordinate, develop, and deliver comprehensive education programs for clinical and non-clinical staff across the organization
• Oversee new hire orientation, onboarding, and ongoing competency validation for staff
• Plan and implement organization-wide, unit-based, and role-specific education, including annual training and certifications (BLS, ACLS, PALS)
• Ensure compliance with regulatory requirements through effective education, documentation, and tracking of training completion
• Develop and manage computer-based learning modules and education records
• Collaborate with leadership and department teams to assess, design, and meet ongoing education needs
• Facilitate education-related committees, skills fairs, and training initiatives to support clinical competency and patient safety
• Provide real-time education and support through rounding, staff meetings, and on-demand training
• Monitor, analyze, and report education metrics and outcomes to support organizational goals and compliance
• Oversee education and drills for emergency situations

Employee Health

• Serve as a subject matter expert and resource on employee health best practices and infection prevention
• Develop, implement, document, and continuously monitor the Employee Health Program in alignment with regulatory requirements and organizational goals
• Ensure compliance with local, state, and federal regulations through collaboration and communication with organizational leadership
• Collect, analyze, and report employee health data in a timely and accurate manner
• Conduct health assessments and screenings for new hires, ensuring compliance with immunization and health status requirements
• Coordinate and oversee the provision of employee health services, including screenings, follow-ups, and wellness initiatives
• Assess, treat, and follow up on bloodborne pathogen exposures and perform communicable disease exposure tracking
• Participate in and manage preventative screening and immunization programs
• Monitor trends in employee illness and injury and develop strategies to reduce workplace-acquired conditions
• Maintain accurate and confidential employee and non-employee health records
• Lead the planning and execution of the seasonal influenza and other immunization programs, including tracking, follow-up, and reporting
• Perform other duties as assigned

Knowledge, Skills, & Abilities

• Medical terminology
• Electronic Medical Records (EMR) systems
• Performance Improvement
• Quality assurance and accreditation standards
• Understanding of HIPAA regulations, patient confidentiality laws and patient rights
• Effective English communication in verbal and written format
• Quality work including attention to detail and accuracy
• Advanced computer proficiency, including experience with Microsoft Xcel
• Carry out customer service standards
• Prioritize tasks effectively through managing workload based on urgency and importance
• Capacity to work independently and as part of a multidisciplinary team
• Continuously learn and improve through staying up to date on job specific trends, policies and new technologies
• Successfully demonstrate organization-wide performance review competencies

Qualifications

• Demonstrates eligibility for employment in the U.S.
• Bachelor’s degree in nursing (BSN) from an accredited nursing program required
• Current RN licensure in the State of Wisconsin required
• BLS certification is required upon hire
• Must obtain ACLS and PALS certification within twelve (12) months of hire
• Three or more years of health care experience is required
• Certified Professional in Healthcare Quality (CPHQ) required within 36 months of hire date
• Must possess a cell phone that interfaces with the organization’s secure messaging system

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Company paid life insurance
• Free scrubs with laundry service
• PTO
• 401(k) retirement plan with 4% company match
• Tuition reimbursement
• Wellness reimbursement

Equal Employment Opportunity & Work Force Diversity

Equal Opportunity Employer

Job Details

About The Company

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