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The Quality and Sepsis Supervisor is responsible for the coordination, implementation, and ongoing monitoring of the organization’s sepsis program. This role ensures compliance with evidence-based sepsis protocols, supports data collection and analysis, and leads initiatives aimed at reducing sepsis-related morbidity and mortality. The Supervisor collaborates closely with clinical teams, quality improvement staff, and leadership to drive best practices in early identification and treatment of sepsis.
Essential Functions & Responsibilities:
- Lead the development and maintenance of the hospital's sepsis management program.
- Ensure adherence to current clinical guidelines and regulatory requirements (e.g., CMS SEP-1 Core Measure).
- Serve as a subject matter expert on sepsis identification, treatment, and documentation.
- Work with physicians, nurses, and other clinical staff to ensure timely recognition and treatment of sepsis including active surveillance of Sepsis cases.
- Collaborate with Management to review, monitor, and document competencies, progressive disciplinary action, and performance appraisals for assigned Sepsis Care Coordinator Team associates.
- Participate in selection, hiring, orientation, training, and performance management for assigned staff.
- Provide education and training on sepsis protocols and updates to frontline staff and leadership.
- Oversee the collection, analysis, and reporting of sepsis-related data.
- Monitor sepsis bundle compliance and outcomes, identifying areas for improvement.
- Prepare reports for internal review and external regulatory submission as required.
- Facilitate root cause analyses and performance improvement projects related to sepsis care.
- Lead interdisciplinary teams to address gaps in care and improve performance metrics.
- Develop and track action plans to reduce sepsis-related complications and mortality.
- Provide coaching and support to ensure high-quality, evidence-based work.
- Completes regular rounds in ED and on patient units to ensure continuity of care and compliance with the Sepsis and quality core measures, providing just in-time coaching as needed.
- Participates in the review of PSI 13 Post Operative Sepsis cases identified
- Serves as the chair of the Sepsis Care Collaborative meeting
- Other duties as assigned.
Qualifications:
Required
·Valid RN License from Virginia or reciprocal compact state.
·Minimum of 5 years clinical experience.
·Ability to articulate information and ideas clearly through both written and verbal communication.
·Experience with Epic Electronic Health Record and the Microsoft Suite.
·Ability to work independently, managing time, priorities, and resources to achieve goals.
Preferred
·Bachelor’s Degree.
·Nursing experience in emergency department, critical care, or sepsis specific setting,
·Certified Critical Care Registered Nurse (CCRN) or Certified Emergency Nurse (CEN).
·Knowledge of Joint Commission and Centers for Medicare and Medicaid Services regulations/requirements.
·Experience with process and quality improvement methods.
·Experience with designing education tools and conducting educational sessions.
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
