Nurse Quality Assurance Advisor

Summary This position serves as the Quality Assurance Nurse Advisor for the Phoenix Indian Medical Center (PIMC) and has the primary responsibility for Continual Survey Readiness activities of Inter Cycle Monitoring (ICM), Patient Tracers, and maintenance of the Quality Dashboard metrics. This position is located in the Regulatory Compliance and Accreditation Department of PIMC. This position is located in Phoenix, AZ. Learn more about this agency Help Overview Accepting applications Open & closing dates 04/10/2024 to 04/24/2024 Salary $99,371 - $135,478 per year Pay scale & grade GS 11 - 12 Help Location 1 vacancy in the following location: Phoenix, AZ Remote job No Telework eligible No Travel Required Not required Relocation expenses reimbursed Yes-You may qualify for reimbursement of relocation expenses in accordance with agency policy. Appointment type Permanent - Work schedule Full-time - Service Competitive Promotion potential 12 Job family (Series) 0610 Nurse Supervisory status No Security clearance Not Required Drug test No Position sensitivity and risk Moderate Risk (MR) Trust determination process Suitability/Fitness Announcement number IHS-24-PI DH Control number Help This job is open to Career transition (CTAP, ICTAP, RPL) Federal employees who meet the definition of a "surplus" or "displaced" employee. Native Americans Native Americans or Alaskan Natives with a tribal affiliation. The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The IHS is an Equal Opportunity Employer. Videos Help Duties Continual Survey Readiness (CSR): Assesses, plans, implements and evaluates continual survey readiness activities of ICM, Patient Tracers, and Quality Dashboard metrics to assure accreditation compliance for PIMC. Provides information to staff and leadership, participated in CSR activities, monitors and analyzes Dashboard CRAE's acting as a resource and providing feedback to staff. Organizes and conducts the Quality Council activities. Prepares and submits a monthly report of clinical quality data and ongoing program evaluation with identified problem areas and corrective action plans. CMS - Quality Improvement Organization (QIO) Liaison: Serves as the PIMC Liaison to the Arizona Professional Review Organization (PRO) and QIO. Implements a Medicare Review Program in compliance with the current PIMC Memorandum of Understanding. Receives and responds to all QIO/PRO correspondence. Participates in biannual Health Services Advisory Group (HSAG) meetings. Peer Review Liaison: Serves as the organization's liaison for medical staff external independent peer review. Works with the Clinical Director and Medical Executive Committee to assist medical staff conduct peer review and provider profile program. Provides technical assistance with establishment and maintenance of peer review tools and process. Help Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or maintained during employment, the employee will be subject to adverse actions, up to and including removal from Federal service. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENTS: Education: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education Council on Accreditation of Nurse Anesthesia Educational Programs , Accreditation Commission for Midwifery Education or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination . In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Experience: The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-9 and above grade level, many positions may require experience in a specialty area of nursing. In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS - GS-11: Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; OR At least one full year of specialized experience equivalent to at least the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:Assesses and evaluates organizational compliance with established accreditation standards; serves as a liaison to external quality improvement organizations; and collaborates with medical staff leadership and the Medical Executive Committee to support the peer review process. MINIMUM QUALIFICATIONS - GS-12: At least one full year of specialized experience equivalent to at least the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Develops corrective action plans and sustainability measures to address compliance deficiencies; serves as subject matter expert for regulatory standards and accreditation content; provides technical assistance with development of peer review tools and process that support compliance with continual survey readiness. You must meet all qualification requirements within 30 days of the closing date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit Additional information Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee . click apply for full job details