Nurse Manager, Quality & Clinical Compliance / Grant Coordinator

Job Description

Job Description At Memorial Hospital, we are committed to delivering exceptional patient care through quality, safety, and continuous improvement. We are seeking an experienced Registered Nurse to serve as our Nurse Manager, Quality & Clinical Compliance / Grant Coordinator, a key leadership role responsible for driving organizational excellence, regulatory compliance, performance improvement, and strategic grant initiatives that support the health of our patients and communities.

Reports To: Chief Nursing Officer
Status: Exempt
Schedule: 40 Hours per Week, Monday-Friday, Day Shift
Location: 100% On-Site

Position Summary

Memorial Hospital is seeking a dynamic and experienced Registered Nurse to serve as the Nurse Manager of Quality & Clinical Compliance / Grant Coordinator. This leadership position is responsible for overseeing hospital-wide quality improvement initiatives, regulatory compliance programs, accreditation readiness, clinical informatics activities, disease prevention efforts, and healthcare grant administration.

The Nurse Manager will collaborate with physicians, nursing staff, department leaders, and community partners to improve patient outcomes, ensure compliance with regulatory standards, support strategic initiatives, and secure and manage grant-funded programs that advance the hospital's mission.

QualificationsRequired

• Current Illinois Registered Nurse (RN) license in good standing.
• Associate Degree in Nursing (ADN).
• BLS and ACLS certifications.
• Minimum of three (3) years of clinical nursing experience.
• Strong knowledge of Joint Commission, CMS, IDPH, and state regulatory standards.
• Proficiency with clinical data analysis and performance improvement methodologies.
• Vaccinations required in accordance with IDPH, CDC, and CMS guidelines.

Preferred

• Bachelor's Degree in Nursing (BSN).
• Two (2) years of leadership, quality improvement, compliance, or management experience.
• Certification in Nursing Informatics, Healthcare Quality (CPHQ), or related specialty.
• Experience with healthcare grant writing, grant administration, and program reporting.
• Experience with hospital accreditation and survey readiness activities.

Essential FunctionsQuality Improvement & Patient Safety

• Lead hospital-wide quality improvement initiatives designed to enhance patient safety, clinical outcomes, and operational effectiveness.
• Monitor quality indicators and performance metrics, identify improvement opportunities, and develop corrective action plans.
• Facilitate performance improvement projects utilizing evidence-based practices and data-driven decision making.
• Prepare and present quality reports to leadership, committees, and regulatory agencies.

Clinical Compliance & Accreditation

• Coordinate organizational readiness for Joint Commission, CMS, IDPH, and other regulatory surveys.
• Ensure compliance with federal, state, and accreditation standards.
• Monitor regulatory changes and implement policies, procedures, and education as necessary.
• Conduct audits, investigations, and compliance reviews to identify and mitigate risks.
• Assist departments with action plans related to survey findings, quality indicators, and compliance concerns.

Clinical Informatics

• Support optimization and effective utilization of electronic health record systems.
• Analyze clinical and operational data to support patient care and organizational goals.
• Collaborate with clinical teams to improve documentation practices and workflow efficiency.
• Participate in implementation, training, testing, and evaluation of healthcare technology initiatives.

Grant Coordination

• Research, identify, and coordinate grant opportunities that support hospital strategic initiatives.
• Collaborate with leadership teams to develop grant proposals and supporting documentation.
• Monitor grant compliance requirements, project implementation, timelines, and reporting obligations.
• Track grant-funded program outcomes and ensure timely submission of required reports.
• Coordinate with internal and external stakeholders regarding grant activities and funding opportunities.

Disease Prevention & Community Health

• Support infection prevention, disease prevention, and population health initiatives.
• Participate in community health programs and educational outreach efforts.
• Promote evidence-based practices that improve patient and community health outcomes.

Full job description is available at the time of the interview.

Benefits include: Exempt status, Retirement Deposit of 5% with an optional match program, PTO Accrual earned up to 4 hours a week, Medical Insurance for employee for under $5.00 a week for H.S.A plan and many other optional insurances available.