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UI Health - Administrative Nurse III (Quality Manager) - MSHC

University of Illinois Chicago
life insurance, paid time off, retirement plan
United States, Illinois, Chicago
Jan 01, 2026
UI Health - Administrative Nurse III (Quality Manager) - MSHC UI Health - Administrative Nurse III (Quality Manager) - MSHC Hiring Department: MSHC Location: Chicago, IL USA Requisition ID: 1039042 FTE : 1 Work Schedule - W/MGR discus Shift : Days # of Position: 1 Posting Date: 12/31/2025 Salary: The previously determined range for this position was $90,985.44/yr to $186,511.82/yr. Final rate offered will be determined by the collective bargaining agreement, internal salary equity, candidate experience and qualifications, and budget constraints. It is not typical for an individual to be offered a rate at or near the top of the full range for a position. This position requires Illinois residency within 180 days of the hire date.(RNs only) About the University of Illinois Hospital & Health Sciences System (UI Health)* The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more: https://hospital.uillinois.edu/about-ui-health This position is intended to be eligible for benefits. This includes Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid time Off, and Tuition waivers for employees and dependents. Position Summary The Administrative Nurse III (Quality Manager) is a Registered Professional Nurse responsible for leading quality improvement initiatives and ensuring compliance with regulatory standards. This role integrates Relationship-Based Care, Evidence-Based Practice, and Magnet's Five Models of Care to improve patient outcomes. The Quality Manager oversees data collection, analysis, and reporting for quality metrics, facilitates staff development, and drives strategic initiatives aligned with organizational goals. Duties & Responsibilities Professional/Leadership Establishes and maintains Mile Square performance improvement program Collection, management, and analysis of quality data, and the preparation of quality reports. Practical knowledge of tools and techniques of Continuous Quality Improvement, including analysis and interpretation of data using computer-based disease registries or similar data collection systems, Conducts quality chart audits as needed on topics such as, but not limited to HEDIS measures, UDS measures, PCMH and evidence-based guidelines. Coordinates preparations for HRSA on site visits Develops and implements QI reporting calendar Complies and summarizes finding from chart audits with recommendations for quality improvement to the Director of Quality Coordinates periodic patient satisfaction surveys with clinical support teams to enhance change and /or develop clinic services. Coordinates periodic staff surveys and complies reports for the CEO, COO and CMO to be used in provider performance assessments. Conduct analysis and identify opportunities and action plans for patient satisfaction and staff improvement. Proactively monitors quality metrics and identifies opportunities for improvement. interdepartmental staff Supports the Director of Quality with QI reports and initiatives to be presented at the monthly provider meeting and QI committee meetings. Define, monitor, and execute quality initiatives across all departments within the organization. Monitors outcome measures and implementation of implemented QI programs and maintains a log of all QI activities. Facilitates process improvement groups as needed. Work with Administrative Nurse IIIs as needed on Quality Improvement Demonstrates the highest level of customer service to internal and external customers Actively participates in Health Center communication processes through timely review and response to electronic and written messages Performance Metrics Achievement of quality benchmarks and compliance standards. Improvement in patient satisfaction and clinical outcomes. Timely completion of audits, reports, and corrective actions. Staff engagement Organizational Adheres to and enforce the Medical /Health Center's Code of Conduct Treats patients/families, staff, students and visitors with respect and dignity Adheres to and enforces clinical support staff time, overtime and attendance policies Completes electronic learning modules and related programs as assigned by Medical Center Learning by established date Complies with University Health Services TB and fit-testing requirements Initiates resolution of patient care problems utilizing established communication channels/chain of command Resolves recurring clinical practice and/or related unit problems Participates in problem solving and resolution utilizing established communication channels/chain of command Assists in writing, implementing, managing, and reporting on grants in the QI division Facilitates the planning, presenting and evaluating of learning/educational experiences for staff and students Serves as resource to clinical staff Directs unit-based quality initiatives and provides feedback and education to staff Encourages and supports nursing and multidisciplinary research efforts conducted on the unit and in the Health Center Responsible for continued professional growth/development by identification of learning needs and initiates strategies to meet such needs Assists in the development, monitoring, and presentation of internal quality measures and initiatives Coordinating tracking and reporting of clinical outcomes, and follow-up of corrective action plans Provides in-service training to non-provider staff in the area of quality improvement Prepares QI reports and statistics Strategic Planning and Goal Setting Study most recent trends, innovative approaches in the ambulatory health care industry to apply new concepts towards organizational strategic goals Manages positive relations with providers to facilitate patient care. Oversees provider productivity and provider scheduling process and work to ensure coverage Provides primary input to the executive management team on decisions affecting practice site(s), as well as feedback on department programmatic, planning, and policy issues Assist with annual UDS and HRSA reports Reviews literature for upcoming HRSA and Illinois regulatory audits; changes and develop strategic plans to implement prospective changes as needed Direct and implement disaster management drills for MSHC and participates in UIC campus-wide disaster drills as needed Co-manage the implementation of Patient-Centered Medical Home (PCMH), throughout the Mile Square enterprise Meet established work/compliance/project deadlines as required Responsible for developing methods for data collection and extracts data as required Regulatory Compliance Ensure policies and procedures for the practice site(s) are reviewed by staff as required by University, Medical Center, MSHC, and external regulatory agencies, particularly the Health Resources and Services Administration Implement MSHC Quality Plans at practice site(s) which is multidisciplinary and support the continuum of patient care needs Monitor quality of patient care prepare, regular reports of quality indicators, and initiate appropriate interventions as needed; in order to meet or exceed customer expectations and established standards/benchmarks Space Planning Participate in disaster planning to ensure continuity of service in extreme situations Staff Management Interview, hire, orient, lead, mentor, and evaluate performance of all staff under their direction to meet departmental and organizational needs Verify staff completes all Learning Management System (LMS) modules and has current licensure and certifications prior to deadlines/expiration (i.e. CPR) Perform other related duties and participates in special projects and assignments as assigned Clinical Completes required orientation program and unit-specific competencies Assist physicians or residents with patient care when needed. Completes required orientation program and unit-specific competencies Assist physicians or residents with patient care when needed. Other duties as assigned. Minimum Qualifications Licensure as a Registered Professional Nurse in Illinois with the Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. Three years of professional nursing experience. Two years of professional nursing experience and one year of related advanced education. Patient Centered Medical Home (PCMH) experience Management of patient registry data experience Preferred Qualifications NCQA PMCH Certified Content Expert Bachelor's degree in a field related to health care administration (such as hospital administration, business administration, or nursing) or Master in Public Health preferred but individuals with experience in leading a quality improvement program may be considered Three years of experience in a health care field that included one year of supervisory or charge nurse experience Current license as a Professional Registered Nurse from the State of Illinois Current AHA BLS/CPR and other required unit-specific certifications Minimum 2-3 years of progressive experience in Quality Improvement in a healthcare facility, preferably with a federally qualified health center Previous experience in Uniform Data System (UDS) reporting within FQHCs. Experience in grant writing and management Effective communication skills (oral and written) that facilitate therapeutic relationships between patients, families and health care providers Basic computer skills with the ability to become proficient in the Electronic Health Record (EHR) with on-the-job training Working knowledge of healthcare in a physician office environment. Solid knowledge of Federal, state, HRSA and JCAHO clinical guidelines and compliance for patient healthcare, safety and billing requirements, and knowledge of how to apply them in practice. Outstanding skills in data collection, analysis, and presentation. Experience in the use of spreadsheets (e.g. Excel) for QI- related data management and display. Intermediate skills using general office equipment, Microsoft Office Suite (i.e. Word, Excel, Outlook, etc.). Strong communication skills to interact with patients and develop effective working relations with colleagues, other colleges, ambulatory, patients, providers, regulatory bodies, consultants, and vendors. Ability to work with physicians in a collaborative manner. Must possess excellent analytical skills to read, analyze, and interpret business trends. Excellent problem-solving skills. To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application. Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Working knowledge of healthcare in a physician office environment. Solid knowledge of Federal, state, HRSA and JCAHO clinical guidelines and compliance for patient healthcare, safety and billing requirements, and knowledge of how to apply them in practice. Outstanding skills in data collection, analysis, and presentation. Experience in the use of spreadsheets (e.g. Excel) for QI- related data management and display. Intermediate skills using general office equipment, Microsoft Office Suite (i.e. Word, Excel, Outlook, etc.). Strong communication skills to interact with patients and develop effective working relations with colleagues, other colleges, ambulatory, patients, providers, regulatory bodies, consultants, and vendors. Ability to work with physicians in a collaborative manner. Must possess excellent analytical skills to read, analyze, and interpret business trends. Excellent problem-solving skills. To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application. Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an Accommodation Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. To apply, visit https://uic.csod.com/ux/ats/careersite/1/home/requisition/18792?c=uic Copyright 2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-d7653f25ac98b44d87f84c1e9e33803b