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Quality Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA RN)

Bethel Family Clinic
Bethel, AK

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Job Details

Full-time
$110,000 - $125,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance

Qualifications

Nursing
Teamwork
Electronic health records (EHR) management
RN License
Safety regulations
Master's degree
Attention to detail
Organizational skills
Nursing
Quality assurance experience within healthcare

Full Job Description

Position Summary

The Quality Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA/Compliance RN) is responsible for leading and supporting the health center’s quality improvement, patient safety, risk management, and regulatory compliance programs. This position ensures compliance with HRSA Health Center Program Requirements, Federal Tort Claims Act (FTCA) standards, Uniform Data System (UDS) reporting requirements, and applicable Federal, State of Alaska regulations.

The QI/QA/Compliance RN works collaboratively with clinical leadership, providers, nursing staff, and administrative teams to promote continuous performance improvement, patient safety, and high-quality, culturally responsive care in Alaska’s rural, frontier, and remote healthcare environments.

Essential Duties and Responsibilities

Quality Improvement (QI)

Lead and coordinate the organization-wide Quality Improvement (QI) Program
Facilitate Plan‑Do‑Study‑Act (PDSA) cycles and performance improvement initiatives
Monitor, analyze, and trend Clinical Quality Measures (CQMs), including UDS clinical measures
Identify gaps in care and work with clinical teams to implement and sustain improvement strategies
Support value‑based care, patient‑centered medical home (PCMH), and care integration initiatives
Incorporate health equity principles into quality improvement activities

Quality Assurance (QA)

Conduct routine and targeted clinical chart audits to assess quality of care and documentation
Monitor compliance with evidence‑based guidelines, clinical protocols, and standing orders
Participate in peer review and clinical case review activities
Identify quality concerns and ensure corrective actions are implemented and monitored
Track trends related to clinical outcomes and quality indicators

Compliance & Regulatory Oversight

Ensure ongoing compliance with:
HRSA Health Center Program Requirements, including the HRSA Operational Site Visit (OSV).
Federal Tort Claims Act (FTCA)
CMS and Medicaid requirements
Alaska Board of Nursing and state regulations
HIPAA, OSHA, and CLIA (as applicable)
Maintain readiness for audits, surveys, and regulatory reviews, including the HRSA Operational Site Visit (OSV).
Assist with policy development, review, and revision to ensure regulatory alignment
Maintain compliance documentation and tracking tools

FTCA Risk Management & Reporting

Coordinate the health center’s FTCA Risk Management and Claims Prevention Program
Support the annual FTCA Deeming Application
Track, review, and trend:
Incident reports
Patient complaints and grievances
Adverse events and near misses
Conduct or support root cause analyses (RCAs) and corrective action plans
Coordinate follow‑up actions and monitor risk mitigation strategies
Maintain required FTCA documentation and reporting records
Collaborate with leadership and legal counsel as appropriate

Uniform Data System (UDS) Reporting

Support and coordinate UDS reporting and data validation
Validate clinical quality measure accuracy through chart audits and data review
Collaborate with providers, nursing, IT, billing, and data teams to ensure data integrity
Analyze UDS data to identify trends, gaps, and opportunities for improvement
Use UDS results to inform quality improvement initiatives
Support timely submission of UDS data in accordance with HRSA requirements

HRSA Operational Site Visit (OSV) Compliance & Reporting

Ensure continuous compliance with HRSA Health Center Program Requirements
Coordinate preparation for HRSA Operational Site Visits (OSVs), including:
Evidence collection and organization
Policy and procedure review
Staff education and readiness
Conduct or participate in mock site visits as needed
Track OSV findings and coordinate Corrective Action Plans (CAPs)
Support post‑OSV reporting and ongoing HRSA communications
Promote continuous compliance rather than event‑based preparation

Infection Prevention & Patient Safety

Coordinate and support the Infection Prevention and Control Program
Monitor compliance with CDC, HRSA, OSHA, and Alaska public health guidance
Conduct infection control audits and staff education
Support outbreak response and exposure investigation
Promote a culture of patient safety and quality improvement

Education, Training & Staff Support

Provide education and training on:
Quality improvement methods
Documentation standards
Compliance and risk management requirements
Infection prevention and patient safety
Support onboarding and annual competency requirements
Serve as a quality and compliance resource for clinical and administrative staff

Data, Reporting & Committee Support

Prepare quality, compliance, and risk management reports for:
Leadership
Quality Committee
Board of Directors (as required)
Participate in quality, compliance, and risk management committees
Maintain accurate documentation and reporting records

Alaska‑Specific Responsibilities

Demonstrate understanding of rural, frontier, and remote healthcare delivery
Support telehealth and remote care models used in Alaska
Work effectively with diverse populations, including Alaska Native/American Indian communities
Adapt quality and compliance programs to limited resources, weather‑related access challenges, and workforce variability
May require occasional travel to clinic sites, including travel by small aircraft or other rural transportation

Qualifications

Required

Current, unrestricted Registered Nurse (RN) license in the State of Alaska
Associate’s or Bachelor’s degree in Nursing (BSN preferred)
Minimum 3–5 years of nursing experience, preferably in:
Primary care or ambulatory care
Community health or public health
Rural or frontier healthcare
Knowledge of healthcare quality improvement, regulatory compliance, and patient safety
Strong analytical, organizational, and communication skills
Proficiency with electronic health record (EHR) systems

Preferred

QI/QA 2-3 years Direct Experience
Experience in a FQHC, tribal health organization, or safety‑net setting
Experience with:
HRSA UDS reporting
HRSA OSVs
FTCA risk management
Bachelor’s or Master’s degree in Nursing, Public Health, or Healthcare Administration
Quality or patient safety certification (e.g., CPHQ, CPPS)

Core Competencies

Quality improvement methodology
Regulatory compliance and audit readiness
Risk management and patient safety
Cultural humility and trauma‑informed care
Collaboration and communication
Attention to detail and accountability
Adaptability in rural and remote environments

Physical & Work Environment

Combination of office‑based and clinical area responsibilities
Ability to sit, stand, and walk for extended periods
Ability to lift up to 25 pounds
May require travel between clinic or outreach sites

Reporting Relationship

Reports to: Executive Director, CEO
Works closely with: Medical Director, Nursing Leadership, Compliance Officer, Executive Team, and IT/Data teams

Mission Alignment

This position supports the health center’s mission to provide high‑quality, patient‑centered, and culturally respectful care to Alaska’s communities while ensuring regulatory compliance, patient safety, and continuous quality improvement.

Pay: $110,000.00 - $125,000.00 per year

Benefits:

401(k)
Dental insurance
Employee assistance program
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

claims program manager jobs

Quality Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA RN)

TOP Case Management Program Manager

Life Claims and Annuities Supervisor

Safety Manager - Bilingual

Program Officer

Environmental Health & Safety Manager

Director of Cyber Risk & Assurance

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Director of Human Resources

Safety Director

Insurance Risk Manager

Environmental Health and Safety Manager

Vice President of Programs

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Clinical Director (PSP)

Corporate Safety Manager

Environmental Health and Safety Manager

Associate Director Field Reimbursement (West)

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