At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The RN – Quality Review is responsible for supporting the organization’s quality and patient safety initiatives through data collection, analysis, and process improvement activities. This role assists in maintaining compliance with federal, state, and accrediting body regulations, provides support for medical staff and departmental reviews, and promotes continuous quality improvement throughout the hospital. The RN – Quality Review collaborates with various departments and teams to ensure quality standards are met and that care delivery is optimized for safety and effectiveness.

Essential Functions

• Conducts data collection and analysis related to quality improvement and patient safety initiatives
• Supports medical staff committees by preparing reports, data summaries, and trend analyses
• Assists in identifying opportunities for improvement based on audits, patient outcomes, and regulatory measures
• Participates in safety huddles, rounding, and interdisciplinary quality teams
• Reviews and abstracts data for CMS, TJC, and other reportable quality measures
• Assists departments in adhering to quality and compliance standards
• Serves as a liaison and resource to medical staff and departments regarding patient safety and quality
• Maintains documentation for internal and external audits and regulatory reviews

Knowledge/Skills/Abilities/Expectations

• Working knowledge of TJC, CMS, QIO, and other regulatory standards
• Strong analytical and problem-solving skills
• Ability to manage sensitive data with strict confidentiality
• Effective verbal and written communication skills
• Proficiency with electronic medical records, Excel, Word, and data management platforms
• Self-directed, detail-oriented, and capable of working independently
• Primarily sedentary work with frequent computer and phone use
• Occasional walking, file handling, and light lifting (up to 10 lbs)
• Requires near visual acuity and ability to bend/stoop for file retrieval
• General office setting within a hospital or healthcare facility
• Regular interaction with hospital staff, administration, and medical personnel
• Participation in meetings and departmental rounding as needed

Education

• Associate Degree in Nursing (ADN) required
• Bachelor’s Degree in Nursing (BSN) preferred

Licenses/Certifications

• Current RN license in the applicable state required
• Certifications in Quality, Risk, or Performance Improvement – preferred

Experience

• Minimum of three (3) years of healthcare experience preferred
• Experience in quality improvement, risk management, or data analysis preferred