Quality Manager

Join Our Caring Team! – Indy & Anderson Nursing Quality & Education Manager (RN) This position will split time between our Indianapolis and Anderson hospitals. Candidates must be willing to travel between locations and have flexibility in scheduling. 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 six 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). By applying, you consent to receive text messages related to your application and interview scheduling, with the option to opt out at any time by replying STOP (message and data rates may apply). Job Type: Full-time Pay: $80,000.00 - $95,000.00 per year 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? Education: Bachelor's (Required) Experience: nursing education or staff training: 1 year (Required) psychiatric and/or geriatric nursing : 5 years (Required) License/Certification: RN (Required) Willingness to travel: 50% (Preferred) Work Location: In person