Quality Registered Nurse RN

OakLeaf Surgical Hospital • Full-time • Altoona/WI/United States, WI, United States • 1d ago

APPLICATION DEADLINE: 05/03/2026

Located in Altoona, WI, the River Prairie Surgery Center is an Ambulatory Surgery Center (ASC) proudly owned by OakLeaf Surgical Hospital, offering a variety of outpatient procedures including, but not limited to, ophthalmology and GI, to our growing community. This role will contribute to the facility’s success and support our commitment to delivering excellent patient care. Come join a team that thrives on collaboration, compassion, and clinical excellence within a supportive, family-like environment.

Job Summary:

The Quality Registered Nurse (RN) is responsible for leading and overseeing key programs that support clinical excellence, patient safety, and regulatory compliance. This role oversees quality improvement initiatives, infection prevention and control, staff education, and employee health services. The Quality RN monitors performance data, ensures adherence to accreditation and regulatory standards, and collaborates with interdisciplinary teams to promote a culture of safety, continuous improvement, and high-quality patient care.

Hours:

1.0 FTE - 40 Hours per week
Monday through Friday day shift

Essential Job Functions:

Quality and Performance Improvement
- Develop, implement, monitor, and maintain the organization’s Quality Assessment and Improvement Plan, programs, and initiatives
- Collect, analyze, and report quality and performance data; identify trends and communicate findings to staff, leadership, and providers
- Ensure compliance with regulatory requirements
- Lead survey readiness and accreditation activities, including regular rounding.
- Lead quality and performance improvement initiatives, including planning, implementation, monitoring, and alignment with organizational goals
- Collaborate with leaders and departments to maintain and advance quality improvement projects and promote a culture of safety and accountability
- Serve as a clinical and quality resource; educate and coach staff on quality measures, regulatory expectations, and best practices
- Support infection prevention, QAPI, and organizational education initiatives, including training and annual program development
- Assist in patient relations by investigating grievances and helping resolve them through effective management
- Serve as the Risk Manager by identifying, assessing, and mitigating potential risks to patient safety and quality of care
- Engage with vendors and providers to support implementation of new quality-related programs and initiatives
- Lead rounding, committees, and interdisciplinary collaboration to identify and drive improvement opportunities
- Chair and participate in Performance Improvement and Safety Committee
- Manage development and review processes for policies
- Serves as a member of the Internal Review Board and the Medical Executive Committee
- Use the organization's secure messaging platform in accordance with departmental protocols, including timely receipt and responses to communications
Infection Prevention
- Serve as a resource for staff, leadership, and providers, promoting evidence-based infection prevention practices and standards
- Develop, implement, monitor, and maintain the organization’s infection prevention and control plan, programs, and initiatives
- Serve on organizational committees related to quality, safety, and infection control
- Ensure compliance with local, state, and federal infection control regulations
- Collect, analyze, and report infection data in a timely manner to identify trends and initiate interventions as needed
- Collect and monitor 30- and 90-day infection and complication surveillance data; collaborate with surgeons and staff to investigate and respond to identified issues
- Conduct routine rounding to assess infection control practices and promote survey readiness throughout the organization
- Ensure infection reporting deadlines are met
- Educate staff, providers, and leadership on infection prevention protocols and regulatory updates
- Support the organizations preparedness and compliance during public health events or emerging infection threats
Education
- Coordinate, develop, and deliver comprehensive education programs for clinical and non-clinical staff across the organization
- Oversee new hire orientation, onboarding, and ongoing competency validation for staff
- Plan and implement organization-wide, unit-based, and role-specific education, including annual training and certifications (BLS, ACLS, PALS)
- Ensure compliance with regulatory requirements through effective education, documentation, and tracking of training completion
- Develop and manage computer-based learning modules and education records
- Collaborate with leadership and department teams to assess, design, and meet ongoing education needs
- Facilitate education-related committees, skills fairs, and training initiatives to support clinical competency and patient safety
- Provide real-time education and support through rounding, staff meetings, and on-demand training
- Monitor, analyze, and report education metrics and outcomes to support organizational goals and compliance
- Oversee education and drills for emergency situations
Employee Health
- Serve as a subject matter expert and resource on employee health best practices and infection prevention
- Develop, implement, document, and continuously monitor the Employee Health Program in alignment with regulatory requirements and organizational goals
- Ensure compliance with local, state, and federal regulations through collaboration and communication with organizational leadership
- Collect, analyze, and report employee health data in a timely and accurate manner
- Conduct health assessments and screenings for new hires, ensuring compliance with immunization and health status requirements
- Coordinate and oversee the provision of employee health services, including screenings, follow-ups, and wellness initiatives
- Assess, treat, and follow up on bloodborne pathogen exposures and perform communicable disease exposure tracking
- Participate in and manage preventative screening and immunization programs
- Monitor trends in employee illness and injury and develop strategies to reduce workplace-acquired conditions
- Maintain accurate and confidential employee and non-employee health records
- Lead the planning and execution of the seasonal influenza and other immunization programs, including tracking, follow-up, and reporting
- Perform other duties as assigned

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, including experience with Microsoft Xcel
Carry out 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
BLS certification is required upon hire
Must obtain ACLS and PALS certification within twelve (12) months of hire
Three or more years of health care experience is required
Certified Professional in Healthcare Quality (CPHQ) required within 36 months of hire date
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
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.

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.