RN Quality & Patient Safety Program Manager

Job ID
2020-106912
Employment Type
Full Time
Department
Quality Management
Hours / Pay Period
80
Facility
Mercy Hospital Bakersfield
Shift
Day
Standard Hours
8:00 am - 4:30pm
Work Schedule
8 Hour
Location
CA-Bakersfield

Overview

#bakersfieldRN

Responsibilities

Position Summary:
 
<p>The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff.&nbsp; This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.</p>
 
Principal Duties and Accountabilities:
  • Assists in the design, planning, implementation and coordination of Quality Mgmt., Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, and root cause analyses and medical staff improvement (e.g. OPPE, FPPE).
  • Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
  • Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
  • Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.

Qualifications

Education and Experience: 
  • Bachelor's degree or five (5) years of related job or industry experience in lieu of degree.
  • One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting.
Licensure: 
  • Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.  Current state license in a clinical field in state of practice.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply, or can't find a relevant opportunity?

Join one of our Talent Communities to learn more about a career at Dignity Health and experience #humankindness.