Manager, Quality Improvement (FT, Days, Exempt) Monterey Park Hospital

AHMC Healthcare • Monterey Park, CA

17d

About The Position

Monterey Park Hospital is seeking a full-time Quality Improvement Manager for its Quality Assurance Department. The hospital is a 101-acute care facility in the San Gabriel Valley of Los Angeles County. This role oversees and facilitates hospital-wide quality, safety, and risk management operations and reports to the Chief Operating Officer.

The manager oversees provider evaluation and peer review activities, leads cross-functional performance improvement efforts, and ensures compliance with regulatory and external reporting requirements. The position also provides staff education, collaborates with department leaders on incident reporting and Root Cause Analyses, and analyzes clinical data to identify trends, mitigate risk, and support continuous improvement.

Requirements

• BS degree in a related field or current California RN nursing license.
• Two years of supervisory or management experience in a healthcare setting.
• Experience in quality management or three years of clinical experience; acute care experience preferred.

Responsibilities

• Oversee and facilitate comprehensive quality, safety, and risk management operations across the hospital.
• Manage FPPE, OPPE, and medical staff peer review activities to maintain provider competence and clinical standards.
• Lead cross-functional Performance Improvement teams to achieve measurable patient safety and operational goals.
• Ensure compliance with regulatory and external reporting requirements, including TJC Core Measures, Leapfrog, eCQMs, and CMS initiatives.
• Provide ongoing staff education and training on quality protocols.
• Collaborate with department leadership on incident reporting and Root Cause Analyses (RCA).
• Analyze clinical data to identify trends, mitigate risk, and drive continuous improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager