Quality and Patient Safety Program Manager (3-month temporary) HRC-178

San Benito Health Care District•Hollister, CA

36d•Onsite

About The Position

The Quality and Patient Safety Program Manager is responsible for developing, implementing, and evaluating the hospital's quality assessment and performance improvement (QAPI) program, and promoting a culture of safety and continuous improvement, including the skilled nursing facilities (SNFs), clinics, and ambulatory surgery center (ASC). This position plays a critical role in ensuring the delivery of high-quality, safe, and effective healthcare services to patients while driving continuous improvement in clinical processes, standards, and outcomes.

Requirements

Bachelor’s degree in healthcare administration, nursing, medicine or a related field.
Registered Nurse License (California), or one to three years of experience in a related clinical field required.
Three to five years of experience in acute care hospital quality management required, with supervisory experience a plus.
Strong understanding of quality improvement methodologies, Microsoft Office, Incident Reporting, Peer Review, Risk Management, OPPE/FPPE, QAPI regulatory requirements.

Nice To Haves

Master’s degree preferred
Professional certifications in quality management, patient safety, (e.g., CPHQ, CPPS) and knowledge of Lean/ Six Sigma principles are preferred.

Responsibilities

Develop, implement, and maintain the hospital's QAPI program, aligning with national and local standards and best practices.
Develop and implement quality improvement projects, using data analysis and evidence-based practices.
Coordinate and integrate QI plans and processes for individual services.
Identify and implement process improvements to enhance efficiency, effectiveness, patient safety, patient experience, and operational processes.
Lead and participate in cross-functional teams to develop and execute quality improvement initiatives.
Foster a culture of continuous quality improvement by engaging clinical staff and leaders in quality- related projects and initiatives.
Collect, analyze, and interpret data related to quality and patient safety.
Identify trends, patterns, and areas for improvement.
Prepare and present reports on quality performance to hospital leadership and staff.
Identify areas for improvement in clinical processes, patient care, and safety through data analysis and regular assessments.
Collaborate with hospital staff, physicians, and other healthcare professionals to improve quality and patient safety.
Promote a culture of safety within the hospital.
Develop and implement strategies to address performance gaps and ensure consistent adherence to evidence-based clinical practices.
Investigate and analyze adverse events and near misses.
Develop and implement strategies to prevent adverse events.
Foster a positive and collaborative work environment that promotes teamwork, accountability, and coordination of quality improvement efforts.
Perform other duties as assigned.