Staff Development/Quality Assurance Coordinator

Job Description

Job Description

POSITION TITLE: Staff Development/Quality Assurance Coordinator

REPORTS TO: Director of Nursing, Administrator

FLSA: Exempt (Administrative)

POSITION SUMMARY: Develop, implement, and maintain an effective training program for all new and existing staff, contracted staff, and volunteers, consistent with their expected roles. Overseeing the facility’s quality assurance and performance improvement activities to ensure the delivery of safe, high-quality resident care and compliance with all applicable federal, state, and facility regulations.

POSITION TYPE/EXPECTED HOURS OF WORK: To be determined at the time of

hire and reflected in onboarding documentation. Potential position types include (at the company’s discretion):

• Full Time (a full-time employee is typically scheduled to work at least 30 hours per week in a regular work assignment.)

• Part Time (a part-time employee is typically scheduled to work at least 15 hours per week in a regular work assignment, but less than 30 hours)

• Per Diem (a per diem employee does not have a regular schedule or regular work assignment).

POSITION STRUCTURE & SCHEDULE: This position is designated with approximately 75% of duties dedicated to Staff Development Coordinator responsibilities and 25% dedicated to Quality Assurance activities. To effectively provide staff education and support all staff, the position may require a flexible schedule, including occasional early morning, evenings, or other off-shift hours.

RESPONSIBILITIES/ACCOUNTABILITIES:

• Participate in the completion of the facility assessment at least annually to determine the knowledge and skills required among staff to meet residents’ needs.

• Identify and prioritize the facility’s educational needs through the completion of an educational needs assessment, based on the facility assessment.

• Work closely with the facility’s Compliance Officer and other leaders in developing a training plan that addresses all regulatory requirements and any other topics identified in the facility assessment and/or needs assessment. Develop educational calendars in accordance with the plan.

• Coordinate and support the Quality Assurance and Performance Improvement (QAPI) program.

• Conduct routine audits of clinical and operational processes, including documentation, infection prevention practices, and resident care services.

• Plan, schedule, conduct, and oversee orientation programs for all personnel.

• Collect, analyze, and report quality metrics and trends to leadership and the QAPI Committee.

• Develop, implement, and monitor corrective action plans to address identified concerns.

• Assist with survey preparation and follow-up activities, including plans of correction.

• Collaborate with department managers to promote continuous quality improvement and regulatory compliance.

• Maintain accurate records and prepare required reports in a timely manner.

• Develop, schedule, and direct refresher training, as necessary, for all personnel. Track attendance/completion of training to ensure that all required training is received by all personnel in a timely manner.

• Review educational content to ensure the information reflects current standards of practice and facility policies and procedures. Develop or revise content as needed. Utilize outside resources for content development, such as consultants, content experts, or electronic learning systems.

• Collaborate with department managers for developing competencies required for meeting residents’ needs. Assist with evaluating competencies, depending on the knowledge-based, technical, or behavioral nature of the competency.

• Cooperate with the Administrator during routine evaluation of the training program’s effectiveness.

• Schedule training with flexibility to ensure limited disruption of resident care, and ample opportunity for staff to attend. Post notices of training in advance.

• Maintain all training records, reports, instructional materials, and speaker qualifications related to each educational program.

• Provide opportunities for staff to obtain continuing education credits for maintaining certifications/licensure. Maintain all documentation related to continuing education.

• Maintain attendance records and individual training records in accordance with facility policy.

• Participate in the facility’s on-call rotation schedule with the nursing leadership team.

• Perform additional assigned tasks as requested by supervisor.

SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:

· A nursing degree from an accredited college or university or be a graduate of an approved LPN/RN program.

· Two years of experience as an LPN/RN in long-term care, quality assurance or related healthcare settings.

· Eligible to participate in federally funded health care programs.

· Must also meet state requirements for relevant licensures or certifications and have no disciplinary action in effect against professional license.

· Extensive knowledge of current standards of practice and the rules, regulations, and laws related to the long-term care industry. Ability to teach this knowledge to others.

· Excellent organizational, analytical, communication, and computer skills.

JOB SKILLS:

· Ability to read, write, speak and understand the English language.

· Ability to see and hear, with or without assistive devices, to perform assigned duties.

· Ability to work beyond normal working hours and on weekends and holidays when necessary.

· Ability to work independently, and to organize, plan, and manage time effectively to complete assignments.

· Knowledgeable of nursing and medical practices, and ability to demonstrate knowledge and skills necessary to provide appropriate care to meet resident needs.

· Effective verbal and written communication skills and ability to exercise judgement.

· Strong listening skills and ability to deal with conflict with professionalism and courtesy.

· Intermediate computer skills, including ability to create documents in various programs (Word, Excel, Publisher, PowerPoint, Adobe), and navigate electronic medical record systems.

BENEFITS

· 401K

· Annual evaluations

· Dental insurance

· Disability insurance

· Electronic documentation

· Employee appreciation events

· Health insurance

· Life insurance

· Modified Comp

· Paid time off

· Tuition reimbursement

· Vision insurance