Quality Registered Nurse RN at OakLeaf Surgical Hospital

APPLICATION DEADLINE: 10/24/2025

Job Summary:

The Quality Registered Nurse is a key member of the organization’s quality and performance improvement team, responsible for supporting clinical excellence, regulatory compliance, and patient safety across the organization. This role oversees the collection, analysis, and reporting of performance data, supports continuous quality improvement initiatives, and ensures adherence to accreditation standards from The Joint Commission (TJC), CMS, and other regulatory bodies. The Quality RN collaborates with leadership, staff, and providers to facilitate change, educate stakeholders, and foster a culture of safety, accountability, and continuous learning.

Hours:

• 1.0 FTE - 40 Hours per week
• Monday through Friday day shift
• Opportunity to work Hybrid after orientation period 

Essential Job Functions:

• Oversee and facilitate accurate data collection across the organization
• Prepare, analyze, and submit data for reporting internally and externally as required
• Analyze trends and identify opportunities for improvement
• Communicate findings effectively to staff, leadership, and providers
• Ensure ongoing compliance with local, state, and federal regulation and Joint Commission standards
• Participate in survey readiness activities and support accreditation and certification process
• Promote and monitor compliance with governmental and regulatory requirements
• Function as a patient relations specialist and investigate and assist with resolution of grievances
• Lead and manage quality improvement projects and new initiatives, including planning, implementation, tracking progress, and ensuring alignment with organizational goals
• Lead and support performance improvement (PI) initiatives using established PI tools and methodologies
• Coach and educate teams on best practices and improvement strategies
• Present quality data and physician-specific fallout to medical staff
• Engage and onboard newly identified vendors related to new quality programs
• Collaborate with department managers to maintain and update quality improvement projects
• Support development and implementation of the annual Infection Control Plan and QAPI
• Function as a clinical resource for leadership, staff, and provider
• Assist the education department in fulfilling internal and external training requirements
• Educate team members on quality measures, performance improvement initiative, and regulatory expectations
• Support organizational-wide educational projects throughout the year
• Participate in rounding to support clinical team and identify improvement opportunities
• Serve on organization committees related to quality, safety, and performance
• Facilitate collaboration among departments to promote a culture of safety and accountability
• Provide occasional backup support for infection prevention efforts, including monitoring, reporting, and ensuring compliance with standards
• Use the organization's secure messaging platform in accordance with departmental protocols, including timely receipt and responses to communications

Knowledge, Skills, & Abilities:

• Medical terminology
• Electronic Medical Records (EMR) systems
• Performance Improvement
• Quality assurance and accreditation standards
• Understanding of HIPAA regulations, patient confidentiality laws and patient rights
• Effective English communication in verbal and written format
• Quality work including attention to detail and accuracy
• Advanced computer proficiency
• Carry out organization’s customer service standards
• Prioritize tasks effectively through managing workload based on urgency and importance
• Capacity to work independently and as part of a multidisciplinary team
• Continuously learn and improve through staying up to date on job specific trends, policies and new technologies
• Successfully demonstrate organization-wide performance review competencies

Qualifications:

• Demonstrates eligibility for employment in the U.S.
• Bachelor’s degree in nursing (BSN) from an accredited nursing program required
• Current RN licensure in the State of Wisconsin required
• Experience collecting data in a hospital environment preferred
• Must possess a cell phone that interfaces with the organization’s secure messaging system

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Company paid life insurance
• Free scrubs with laundry service
• Free meals
• PTO
• 401(k) retirement plan with 4% company match
• Tuition reimbursement
• Wellness reimbursement 

Equal Employment Opportunity & Work Force Diversity  

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws.  This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.  Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization. 

Equal Opportunity Employer:

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.