Quality-Patient Safety Program Manager - Clinical Lic

CHI Health Immanuel • Omaha, NE

2d • $32 - $48 • Onsite

About The Position

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. 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 patientsensitive and confidential hospital information.
Assists in the design, planning, implementation and coordination of Quality Management, 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, patientexperience, efficiency, FMEAS, root cause analyses and medical staff improvement (e.g. case review for peer review,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 topublication.
Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
Mains 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.

Requirements

• Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff
• Three (3) years clinical experience in an acute care setting
• Ability to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction
• One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
• Current state license in a clinical field in state of practice
• 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.

Responsibilities

• Support, coordinate, and facilitate quality management, patient safety, and regulatory performance improvement activities for the hospital and medical staff.
• Serve as a resource to employees, management, nursing directors, senior management, councils, physicians, and teams on quality management activities.
• Assist in the design, planning, implementation, and coordination of Quality Management, Patient Safety, and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions.
• Proactively coordinate and facilitate performance improvement teams to support key initiatives, including clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAs, root cause analyses, and medical staff improvement (e.g., case review for peer review, OPPE, FPPE).
• Participate in ensuring compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection, and reporting of process and outcome measures.
• Facilitate the development and implementation of data collection tools and processes, including identifying data elements, performing data collection and abstraction, and validating data.
• Facilitate meetings, present data and reports, identify key findings, and assist with action plans and implementation.
• Maintain current knowledge of accreditation and licensing requirements and serve as a resource to staff on these regulations.
• Assist with regulatory readiness and survey preparation activities, including mock survey tracers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed