All personnel are expected to comply with hospital policies and applicable state and federal laws, including HIPAA, to ensure confidentiality.

Hours: 8-4:30pm, Monday-Friday with weekends off

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Oversees the development and implementation of a comprehensive patient safety program inclusive of the analysis and trending of data.
• Supervises risk investigations of incidents reported through the hospital's incident reporting system or other means of reporting to quality, such as Joint Commission complaints.
• Analyzes and verifies accuracy of information of incident and occurrence reports. Ensures any additional information relevant to the incident or occurrence report through auditing and monitoring. Supervises the process for incident follow-up documentation.
• Facilitates the development of corrective action plans which may include a performance or process improvement plan.
• Ensures mandatory reporting to regulatory agencies (e.g., Department of Public Health Healthcare Quality, Board of Registration in Medicine, and The Joint Commission) is in accordance with the required specifications for the regulatory agency.
• Oversees the process for monitoring corrective action plans, patient complaints and grievances to ensure compliance with regulatory requirements.
• Chairs and/or sits as a member on applicable Committees, Councils and Taskforces. Provides data and other quality reporting as required.
• Supports and provides training and education for new hire orientation and as needed on quality, risk management, and performance improvement to staff.
• Develops quality and patient safety scorecard, in conjunction with clinical and operational leaders, to identify trends and track adherence to patient safety goals.
• Collaborates with departmental leaders and guides the development of department specific quality assessment data indicators.
• Monitors quality assessment and performance improvement activities of departments and committees for compliance with the hospital's Quality Improvement program and reports any risks, compliance concerns or newly discovered opportunities for improvement to the Chief Quality Officer (CQO) as appropriate.
• Provides collaboration in the formation of relevant policies and procedures with hospital leadership.
• Provides ongoing supervision to assigned staff, providing one to one direction as needed.
• Develops, reviews, revises, and implements written procedures for the Quality Management department.
• Leads or participates in hospital performance improvement including root cause analysis, causal analysis, proactive risk assessments including Failure Mode Effects analysis, regulatory readiness activities, and performance improvement methodologies including LEAN/Six Sigma.

Required Qualifications:

• Grasp the principles and practices of healthcare.
• Understand healthcare terminology and standard abbreviations.
• Prepare charts, graphs, and tables using standard methods.
• Follow clinical policies, procedures, methods, and techniques.
• Utilize effective interviewing techniques.
• Apply problem-solving techniques.
• Explain laws, rules, and regulations governing agency operations.
• Deliver precise written and oral instructions.
• Write clearly and concisely.
• Collect information through observation, questioning, and document examination.
• Build harmonious working relationships with others.
• Collaborate in a multi-disciplinary healthcare team.
• Maintain confidentiality of patient information.
• Analyze medical data to draw conclusions and make recommendations.
• Use effective training methods and techniques.

Preferred Qualifications:

• Knowledge of the laws, rules, regulations, policies, procedures, specifications, standards, and guidelines governing agency and assigned unit activities.
• Experience with the of change management and process improvement principles
• Ability to explain the laws, rules, regulations, policies, procedures, specifications, standards and guidelines.
• Knowledge of the methods used to evaluate nursing practices.
• Competent of the principles and practices of healthcare administration.

About the Lemuel Shattuck Hospital:

Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital's services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity.

Located in the heart of Boston's Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients.

The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness.

Learn more about: what it's like to work as a DPH nurse

Learn more about Shattuck Hospital: https://www.mass.gov/locations/lemuel-shattuck-hospital

Relocation information: https://www.mass.gov/service-details/dph-renovation-for-shattuck-hospital-replacement-building

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website, http://www.mass.gov

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form

For questions regarding this requisition, please contact Executive Office of Health and Human Services, Human Resources at 1-800- 510-4122 Ext. #4

Qualifications

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least two years must have been in a supervisory, administrative, or managerial capacity, or (C) any equivalent combination of the required experience and the substitutions below.

Substitutions:

I. A Graduate degree with a major in Nursing may be substituted for a maximum of one year of the required (A) experience. No substitutions will be allowed for the required (B) experience.

Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing .

Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination.

Special Requirements: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.

Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.