Registered Professional Nurse VI in Waimea, HI

LOCATION: KAUAI VETERANS MEMORIAL HOSP | Quality Dept

POSITION STATUS: 1.00 | Permanent

SALARY RANGE: BU09 | SR24

SALARY RATE: $131,316.00 (Annual Salary) based on the FTE

JOB DUTIES: This position is regional and is located in the Quality department of the Hawai’i Health Systems Corporation (HHSC) Kaua’i Region, a public benefit corporation of the State of Hawai’i. The HHSC Kaua’i Region encompasses Kaua’i Veterans Memorial Hospital (KVMH) and Samuel Mahelona Memorial Hospital (SMMH), both designated as critical access hospitals (CAH), as well as the Kaua’i Region Clinics and its affiliated entities.

The Quality department administers the quality assurance, risk management, utilization review, and infection control programs; monitors and evaluates the quality and appropriateness of patient care and initiates improvements to the care; identifies, evaluates, and addresses potential and actual risks to patients and staff; ensures effective and efficient utilization of hospital facilities and services through admission and continues stay reviews; conducts the program of surveillance, prevention and control of diseases within the hospital environment.

The Registered Professional Nurse (RPN) VI (Regional Director of Quality & Regulatory Integrity) oversees all Quality Assurance and Performance Improvement, Risk Management, and patient safety activities, including Employee Health, Infection Prevention, Case Management, Social Services, Utilization Review, Meaningful Use, Promoting Interoperability, and Compliance operations. The RDQRI utilizes expertise to lead Quality Assurance Performance Improvement (QAPI) Management operations, planning, coordinating, and evaluating compliance with standards from The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), U.S. Food and Drug Administration (FDA), Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA), Centers for Disease Control and Prevention (CDC), and the Hawai’i Department of Health (DOH). The RDQRI serves as the organizational lead for CMS certification, TJC accreditation, and DOH licensure survey activities, in addition to acting as the Compliance Officer for the HHSC Kaua'i Region. This role ensures compliance with government laws and regulations, identifies potential risks, implements policies and procedures, and monitors adherence to those policies. The RDQRI collaborates with the Medical Records, or Health Information Management (HIM), department to ensure proper documentation practices. Responsibilities also include training employees, addressing HIPAA complaints, fostering a culture of compliance within the region and performing any other duties as assigned.

This position may require extended hours, including weekends and holidays, and travel to various facilities as needed.

This position reports directly to the Regional Chief Quality & Compliance Officer (RCQCO), position number 109565, or their designee.

THE MINIMUM QUALIFICATION REQUIREMENTS ARE: Applicants must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experiences are based on a 40-hour work week.

BASIC EDUCATION/EXPERIENCE REQUIREMENTS: Graduation from an accredited school of nursing. Master of Science in Nursing (MSN) degree preferred.

EXPERIENCE REQUIRED: Two (2) years of nursing experience required, preferably in acute care units (ex, Medical/Surgical, Pediatric, Obstetrical/Gynecological, Emergency, Cardiac/Intensive Care, etc.).

SUPERVISORY EXPERIENCE: Six (6) months of supervisory experience required. Professional nursing experience which includes: (1) planning and directing the work of others; (2) assigning and reviewing their work; (3) advising them on difficult problem areas; (4) timing and scheduling their work; and (5) training and developing employees.

CERTIFICATIONS: Current certifications issued by the American Heart Association (AHA) in Basic Life Support (BLS) for Healthcare Workers, Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS) are required upon hire. Certified Professional in Healthcare Quality (CPHQ) or Certified Healthcare Quality Professional (CHQP) certifications must be obtained within eighteen (18) months of hire.

LICENSURE: License to practice as a professional nurse in the State of Hawai'i. For certain positions, possession of a motor vehicle operator’s license is required.

SUBSTITUTIONS ALLOWED: Possession of a master’s degree from an accredited college or university school of nursing may be substituted for one (1) year of nursing experience.

DESIRED SKILLS:
• Knowledge of: current trends and new developments in healthcare administration, TJC standards, rules, and regulations; nursing theory and practice; nursing techniques and procedures; nursing literature and current trends and development in nursing; Joint Commission on Accreditation of Hospital Organizations (JCAHO) requirements, and other federal, state, or private regulatory/review organizations.
• Ability to: initiate and maintain working relationships with members of the medical staff, nursing, and other departments and agencies affiliated with the hospital; facilitate in dealing with and developing policies and procedures experience or documented evidence of competence in the area of practice, and administration; communicate well with individuals at all levels; work as a team member; shows management, leadership, decision-making, interpersonal skills; interpret policies with analytical and practical application; generate enthusiasm and cooperation from others as part of the leadership of Kaua’i Region; apply nursing theory and practice in planning and giving nursing care, recognize, interpret, and evaluate symptoms of patients’ condition and take appropriate action, plan and schedule the work of others and utilize the principles and practices of supervision.
• Additional Skills Preferred: Excellent communication, analytical, leadership skills, and interpersonal abilities; demonstrated ability to lead interdisciplinary teams and manage multiple improvement initiatives simultaneously; proven success in developing, implementing, and sustaining quality and patient safety programs in an acute care hospital setting; proven leadership and project management skills; strong knowledge of regulatory requirements (CMS, TJC, DOH).

ALL CIVIL SERVICE JOB VACANCIES WILL BE POSTED FOR A MINIMUM OF TEN (10) CALENDAR DAYS

The Hawaii Health Systems Corporation is an equal opportunity employer and complies with applicable state and federal laws relating to employment practices

QUALITY OF EXPERIENCE: Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities. If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek. Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications.

MERIT OR CIVIL SERVICE SYSTEM: You must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted.

CITIZENSHIP AND RESIDENCE REQUIREMENT: Applicants must be a citizen, national or permanent resident alien of the United States or a non-citizen eligible under the federal law for unrestricted employment and at the time of appointment intend to reside in the State of Hawaii during the course of employment with the Hawaii Health Systems Corporation.

VETERAN’S PREFERENCE: If you are claiming Veteran’s Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service.

HEALTH AND PHYSICAL REQUIREMENTS: Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation. Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodations should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship.

MEDICAL/PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be contingent on successfully passing a pre-employment physical examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, two-step tuberculosis (TB) screen. The cost for physical examinations, except the cost for drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation.

CRIMINAL/GROUND, CREDENTIALING CHECKS: Applicable checks will be conducted periodically, and any associated costs may be borne by the applicant. Applicable checks may include, but are not limited to, state and federal criminal history records, child abuse and neglect registry check, adult protective services registry and sex offender registry records, etc. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks.

IMPORTANT APPLICATION/EMPLOYMENT INFORMATION

Administrative Review, subsequent appeals: If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete a Request for Administrative Review form (available on the HHSC website) or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include: 1) The job title(s) and recruitment number(s), 2) the specific reason(s) you are requesting the review noting if there is statute or rule violation, and 3) any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection. If you do not agree with the Administrative Review, you may file a Formal Compliant and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board.

CONTACT INFORMATION: KAUAI VETERANS MEMORIAL HOSP is located at 4643 Waimea Canyon Drive, Waimea, HI 96796. For employment opportunities, please contact KVMH: (808) 338-6133 | SMMH: (808) 823-4145, email: kauaijobs@hhsc.org or visit our website at https://www.hhsc.org/.

Persons with Disabilities may contact the Recruitment Office to discuss special needs in applying at KVMH: (808) 338-6133 | SMMH: (808) 823-4145, kauaijobs@hhsc.org.