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Nursing Quality & Education Manager (RN)
Department: Nursing / Clinical Education
Reports To: CEO and Director of Nursing
FLSA Status: Exempt
Position Type: Full-Time
On-Call: Participates in a rotating on-call schedule approximately every three weeks, providing clinical support in collaboration with the CEO and DON.
Position Summary
The Nursing Quality & Education Manager (RN) is responsible for coordinating nursing quality initiatives, staff education, and competency validation within an acute geriatric psychiatric hospital setting. This role supports the Director of Nursing in ensuring compliance with CMS Conditions of Participation, Joint Commission standards, and state regulations, while advancing Quality Assessment and Performance Improvement (QAPI), regulatory readiness, and continuous performance improvement.
The Director of Nursing retains overall authority for nursing services; this role serves as a key operational and educational partner.
Key ResponsibilitiesOrientation & Staff Education
- Develops and oversees structured orientation programs for clinical and non-clinical staff.
- Ensures completion of required education including CPI, CPR/BLS, suicide risk assessment, de-escalation, trauma-informed care, HIPAA, and age-specific safety training.
- Provides ongoing education addressing geriatric psychiatric diagnoses, dementia-related behaviors, psychotropic medications, and therapeutic communication.
- Partners with HR and nursing leadership to promote onboarding success and staff retention.
Competency Assessment & Validation
- Coordinates initial and ongoing competency assessments for nurses, mental health technicians, and frontline staff.
- Ensures staff demonstrate competency prior to independent practice.
- Addresses identified competency gaps in collaboration with nursing leadership.
Quality & Performance Improvement (QAPI)
- Collects, trends, and analyzes nursing quality indicators including falls, restraints, seclusion, medication safety, injuries, elopement, and behavioral emergencies.
- Participates in root cause analyses, corrective action planning, and follow-up monitoring.
- Develops targeted education in response to identified quality trends and incident data.
Regulatory Compliance & Survey Readiness
- Supports readiness for CMS, Joint Commission, and state surveys.
- Prepares nursing-related documentation, tracers, and education support for surveys and audits.
- Assists with post-survey corrective action plans related to staff education and quality.
Staff File Maintenance & Documentation
- Maintains accurate staff training records including licensure, certifications, competencies, and in-service attendance.
- Tracks renewals for RN and other clinical credentials.
- Audits files regularly to ensure regulatory compliance.
Leadership & Collaboration
- Serves as an educational resource and mentor to clinical staff.
- Collaborates with nursing leadership, quality, risk management, medical staff, and interdisciplinary teams.
- Promotes a culture of safety, accountability, learning, and evidence-based psychiatric practice.
Qualifications (required)
- Active, unrestricted Registered Nurse (RN) license in the state of employment (multi-state preferred).
- Bachelor’s degree in Nursing (BSN) required.
- Minimum 5 years of psychiatric OR geriatric nursing experience.
- Experience in staff education, quality improvement, or nursing professional development.
- Willingness to participate in a rotating on-call schedule.
Preferred
- Certification in Psychiatric–Mental Health Nursing (PMH-BC).
- CPR/BLS Instructor certification or willingness to obtain.
- Experience in an acute psychiatric hospital setting.
- Familiarity with Joint Commission and CMS behavioral health standards.
Key Competencies
- Strong knowledge of geriatric psychiatric care, crisis intervention, and trauma-informed practice.
- Quality improvement, analytical, and organizational skills.
- Effective communication, leadership, and teaching abilities.
- Proficiency with Microsoft Office, EHR systems, and Learning Management Systems (LMS).
Work Conditions
This leadership role may occasionally involve direct patient care and rounding with nursing and medical staff. Physical requirements include standing and walking for extended periods, lifting and assisting patients as needed, and exposure to healthcare environments. Proper safety training and equipment are provided.
Assurance Health is an Equal Opportunity Employer (EOE).
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Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Are you willing and able to work in a short-term inpatient geriatric psychiatric hospital, providing care and support to older adults with mental health needs?
- Are you willing to participate in rotating on-call schedule?
- Are you willing and able to travel between the Anderson and Indianapolis Assurance Hospital?
Education:
Experience:
- nursing education or staff training: 1 year (Required)
- psychiatric and/or geriatric nursing : 5 years (Preferred)
License/Certification:
Work Location: In person
