RN - Compliance Performance Improvement (Cardiovascular)

2019-R0252674 Requisition #

RN - Compliance Performance Improvement (Cardiovascular)

Department: Regional Cardiac Admin

Position Type: Regular, Full-time
Shift Schedule: Mon - Fri; Day Shift
Scheduled Hours per 2 week Pay Period: 80
Primary Location: Tacoma, WA - St. Joseph Medical Center

The RN-Compliance Performance Improvement position will be a part of the Regional Cardiac Admin team. The role will coordinate regulatory compliance, performance improvement, and risk reduction initiatives/processes for the Cardiovascular service line at all locations to address and strengthen patient safety, utilization of clinical resources, and achievement of desired clinical outcomes that facilitate achievement of overall financial goals and business/patient satisfaction objectives. 

This position serves as project manager for a variety of management-level work teams, providing support, expertise, quality literature, theories of innovation and guidance in: 1) the application of accepted clinical quality improvement methodologies/tools; 2) data collection and statistical/operational analysis; 3) outcomes measurement; 4) risk assessment and reduction measures; 5) research and establishment of best practices; 6) documenting and implementing process improvements; 7) evaluating desired vs. actual clinical effectiveness, reporting outcomes at monthly Quality Assurance Performance Improvement meetings at each location, of performance improvement efforts and; 8) working with clinic staff to ensure survey readiness.  


Essential Duties

  • Performs “rounds” to evaluate, analyze and access patient care activities in relation to CHI Franciscan standards of care and applicable regulatory requirements specific to the assigned service line/function at all locations.
  • Plans and conducts internal reviews/audits to ensure that department operations are conducted in compliance with all regulatory requirements/guidelines.
  • Addresses risk management and regulatory issues/concerns relating to the assigned service line/function. Investigates and responds to grievances and patient complaints directly.
  • Provides ongoing consultation and serves as a resource to physicians and hospital staff regarding the full spectrum of compliance issues. Prepares training materials and delivers staff development and in-service education relating to regulatory requirements, quality improvement principles, standards and tools and compliance issues.
  • Develops and facilitates performance improvement team projects.
  • Develops and maintains an automated database in response to data collection requirements and for use in improving, implementing, maintaining and documenting clinical quality and patient safety initiatives.
  • Performs related duties as required.
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!


Bachelor’s degree in nursing or applied science, plus five years of progressively responsible related work experience that demonstrates the attainment of the requisite job knowledge, skills and abilities. Depending on the assigned department, specialized work experience is strongly preferred.


Current licensure as a Registered Nurse by the Washington State Nursing Commission.

If assigned to Cardiovascular & Thoracic, current certification in the specialty area is required upon hire or within one year of employment in the position.

Join us at Catholic Health Initiatives, and become a part of our faith-based health system.

About Us

We are excited to share that CHI was named as one of America’s Best Employers 2019, by Forbes. Click here to learn more.

Chances are, you’re here because you’re looking for a career offering greater opportunity, challenge and fulfillment. We’re confident you’ll find all three at CHI. As one of the nation’s largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic

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