Quality & Safety Program Manager / Advanced Practice Nurse

Job Summary:

The University of Colorado College of Nursing is seeking a full-time (1.0 FTE), doctoral-prepared, Advanced Practice Nurse (APN) to coordinate quality assurance and improvement activities for the Office of Clinical and Community Affairs (CCA). This is a faculty administrative appointment within the Clinical Practice Faculty Series that will include 0.80 FTE (32 hours/week) time to serve as Quality and Safety Program Manager and 0.20 FTE (8 hours/week) clinical practice appointment within an interprofessional, team-based care model, contributing to the clinical, educational, and service missions of the College of Nursing.

Key Responsibilities:

· Coordinates peer review process for CCA clinical practice providers, organizes quarterly or annual review process, gathers and disseminates information on best practices, and identifies opportunities for improvement.

· Collects, analyzes and disseminates data on quality and key performance indicators (e.g. midwifery birth outcomes, eCQMs )

· Collaborates on case reviews, clinical event reporting, and mortality reports to identify potential and actual quality of care (QOC) incidents. Creates action plans and follow-through for all identified QOC incidents.

· Creates QI projects, identifies gaps and oversees focus PDSA cycles to ensure ongoing continuous quality improvement process

· Serves as a liaison between CCA and:

o College of Nursing teams (i.e. Office of Research & Scholarship )

o University entities (Office of Risk Management, Office of Regulatory Compliance)

o Community partner quality teams (i.e. UCHealth, CUMedicine)

· Builds dashboards establishes quality metrics and monitors regularly

· Leads patient safety and clinical risk management initiatives across clinical settings in collaboration with the clinical leadership teams.

· Supports a culture of safety, compliance and continuous learning through staff engagement, staff empowerment, and staff education initiatives that focus on quality and safety.

· Provides student support (BSN, DNP), coordinates student DNP project placements

· Supports policy and procedure development that focuses on quality of care and safety.

· Participates in college, campus, and community partner quality committees. (e.g. CCA Policy Committee, FQHC Quality Peer Learning)

· Develops QI and QA program for practice and service lines in collaboration with clinical practice leadership.

Clinical Care & Patient Management

· Performs outpatient primary care procedures within scope of practice

· Performs comprehensive patient assessments, including physical examinations, evaluation, diagnosis, treatment, follow-up, and consultation.

· Obtains patient histories and develops individualized, evidence-based plans of care.

· Coordinates patient care activities across the interprofessional team and consulting health care teams.

· Provides health education, counseling, and preventive care to patients, families, and groups.

· Maintains procedural competency and adheres to evidence-based practice standards, documentation requirements, and informed consent processes.

· Completes clinical documentation accurately and in a timely manner within the Electronic Health Record (EHR).

· Adheres to safety, infection control, environmental, and regulatory standards.

· Participates in clinical peer review and routine chart audits, as required.

· Participate in after-hours triage call on a rotating basis as applicable.

· Works weekends, nights, and holidays based on needs of practice and service line expectations.

Work Location:

Hybrid – this role is eligible for a hybrid schedule of a minimum of 3 days per week on-site and as needed, depending on organizational need.