Performance Improvement LPN
Department of Public Health
 Tewksbury, MA

Tewksbury Hospital under the Department of Public Health (DPH), a 370 bed Joint Commission accredited hospital, is currently hiring for the position of Performance Improvement LPN. The hospital provides a broad treatment of care and comfort to adults with medical and/or mental illnesses.

The selected candidate will work in the Quality Management Department and will be utilizing clinical knowledge to serve as a support to the LTCH Coordinator by assisting in the data collection and data entry required for the CMS Long Term Quality Indicator Project. They will keep current with CMS guidance relative to the LTC Indicator Project, complete chart reviews for incidences of SREs, will participate in presentation at RCA’s and Mock Tracers, collect quality indicator data, assist with the incident report function as needed, and perform other related duties as assigned.

Please Note: This position is 37.5 hours per week, Day shift, Saturday and Sunday off.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

  • Serves as support to the LTCH Coordinator by collecting data, via medical record audits, required for timely completion, and submission of indicator data as required by the CMS Long Term Care Quality Indicator Project for Medical and Psychiatric services.
  • Keeps current with all guidance issued by CMS and NHSN relative to Long Term Care Hospital quality reporting requirements.
  • Completion of chart review in preparation of clinical reports that include key facts relative to incidence of a Serious Reportable Event (SRE) to a Root Cause Analysis (RCA) team for Medical and Psychiatric Services.
  • Collection of performance quality indicator data as assigned to meet various needs of the Quality Management Department.
  • Participates in/Leads Performance Improvement teams initiatives as requested.
  • Participates in Mock Unit Tracers and prepares resultant reports.
  • Assists as needed in the incident review process.
  • Serves on Nursing and Hospital committees as requested.
  • Attends required educational seminars to maintain licensure, and other workshops and seminars to enhance own professional development. Attends required In-service Programs annually as required.
  • Compliance with all applicable state and federal laws including the Health Insurance Portability and Accountability ACT (HIPAA) regulations which govern the privacy and confidentiality of information about patients.
  • Understands and initiates rules and regulations which govern fire, bomb threat and disaster.
  • Performs related duties as required.

Required Qualifications:

  • The ability to audit medical records and extrapolate clinical data
  • Data aggregation relative to SREs
  • Computer skills relative to inputting, analysis of data and presentation of information in reports and graphs.
  • Clinical working knowledge of CLABSIs, CAUTIs, and Pressure Ulcers.
  • Knowledge of external accrediting/regulatory agencies such as CMS, CDC, TJC, DMH and DPH
  • Extensive experience with Microsoft Word and Excel

About Tewksbury Hospital:

Tewksbury Hospital offers a broad range of services including a physician on site at all times, around-the-clock nursing care, rehabilitation services including physical therapy, occupational therapy, and speech therapy, psychology services, social services, nutritional services, and an on-site dialysis clinic.

Learn more about our important work: https://www.mass.gov/locations/tewksbury-hospital

Total Compensation:

As an employee of the Commonwealth of Massachusetts you are offered a great career opportunity influencing a wide-spectrum of services to the diverse populations we serve - but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits which you should consider towards your overall compensation, including:

  • 75% state paid medical insurance premium
  • Reasonable Dental and Vision Plans
  • Flexible Spending Account and Dependent Care Assistance programs
  • Low cost basic and optional life insurance
  • Retirement Savings: State Employees' Pension and a Deferred Compensation 457(b) plan
  • 11 paid holidays per year and competitive Sick, Vacation and Personal Time
  • Tuition benefit for employee and spouse at state colleges and universities
  • Short-Term Disability and Extended Illness program participation options
  • Incentive-based Wellness Programs
  • Professional Development and Continuing Education opportunities
  • Qualified Employer for Public Service Student Loan Forgiveness Program

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

For questions about this requisition, please contact Human Resources at 978-851-7321 x2347.

Questions or issues regarding access/login credentials to MassCareers, please contact the Mass HR ESC at 617-979-8500.

First consideration will be given to those applicants that apply within the first 14 days

MINIMUM ENTRANCE REQUIREMENTS

Applicants must have at least one year of paraprofessional experience in the field of nursing as a licensed practical nurse.

SPECIAL REQUIREMENTS: Possession of a current and valid license as a practical nurse under the Massachusetts Board of Registration in Nursing.

An Equal Opportunity/Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.