Montage Health · 9 hours ago
Quality RN Analyst - Quality Management
Monterey, CA
Full-time
Onsite
Mid Level
$72.45/hr - $96.90/hr
3+ years expMontage Health is committed to providing quality healthcare, and they are seeking a Clinical Quality RN Analyst to operationalize their patient safety and quality program. The role involves ensuring compliance with healthcare regulations and facilitating high-performing teams to enhance patient safety and quality outcomes.
Health CareNon ProfitPharmaceutical
Responsibilities
Operationalize the annual patient safety and quality plan; maintain alignment with strategic goals and values
Ensure ongoing compliance with TJC, Title 22, CMS and related regulatory and payer programs (e.g., IQR, HACRP, HRRP, Leapfrog as applicable)
Lead/participate in mock tracers, audits, and readiness rounds; maintain evidence of compliance
Participate actively during TJC surveys and other regulatory inspections; coordinate corrective actions and sustainment plans
Develop, maintain, and educate on policies, procedures, and standard work related to assigned measures and safety practices
Provide routine reporting to Administration, Board committees, Medical Staff committees, and quality councils
Own assigned inpatient measures (e.g., CLABSI, CAUTI, HAPI, falls with injury, sepsis bundle/SEP‑1, readmissions, mortality, LOS/throughput, hand hygiene)
Perform surveillance and data validation (including inter‑rater reliability); translate findings into actionable insights for leaders and frontline teams
Build and maintain run/control charts, dashboards, and huddle briefs using Epic, Vizient, and Microsoft Office tools
Support external submissions and data integrity for relevant programs (e.g., NHSN, CMS IQR, Leapfrog) in collaboration with Analytics/IT
Apply statistical process control (SPC) to detect special cause variation; stratify results to close outcome gaps
Partner with Risk Management to review patient safety events, near misses, and grievances; perform targeted chart reviews and case tracers
Facilitate or contribute to RCAs/After‑Action Reviews; develop corrective action plans (CAPs) and monitor effectiveness and sustainment
Lead proactive hazard surveillance and failure mode identification; embed feedback loops (huddles, visual controls, standard work audits)
Facilitate Lean Model for Improvement projects (AIM, driver diagram, PDSA cycles) at the unit and service line level
Coach leaders, charge nurses, educators, and physicians on measure definitions, documentation, and bundle reliability tactics
Design and deliver adult‑learning education (tip sheets, micro‑learning, in‑services) based on identified performance gaps
Lead or co‑lead relevant committees/work groups (e.g., Patient Safety, Sepsis, Falls, Pressure Injury, Throughput, Unit‑based councils)
Prepare agendas, minutes, dashboards, and storyboards; track actions to closure and communicate progress
Maintain strong relationships with Nursing, Medical Staff, Case Management, Infection Prevention, Pharmacy, Lab, Radiology, and IT/Analytics
Provide supported groups with reliable data, coaching, and process improvement support
Qualification
Required
Minimum of 3 years recent acute inpatient care experience (e.g., ICU, Telemetry, Med-Surg, ED)
Proficiency with Microsoft Office (Excel pivot tables/lookups, PowerPoint, Word)
Bachelor's degree in Nursing (BSN) required or BSN in progress with attainment within 12 months of hire
Current State of California RN license (unencumbered) required
CPHQ certification active or ability to attain within two years of hire
Preferred
Experience in clinical performance improvement, health informatics, and teaching adult learners
Hands-on with Epic, Vizient, (or similar BI tools)
Master's degree in Nursing, Healthcare Administration, Public Health, or related field
Working knowledge of Title 22, TJC standards, CMS Conditions of Participation
Company
Montage Health
Montage Health is a nonprofit company that provides healthcare services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Steven Packer
President/CEO
Allison Stegge
Strategic Marketing Partner, Communication and Marketing
Recent News
2025-10-07
2025-05-05
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