Quality Patient Safety Program Manager Licensed

Common Spirit • Laveen, AZ

47d

About The Position

Come join our fast-growing team! As our new Quality and Patient Safety Program Manager (licensed), you will 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. Will handle patient sensitive and confidential hospital information. Assists in the design, planning, implementation and coordination of QM, PS and PI 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. peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review. 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. Directs programs involving risk mitigation/management and initiatives related to providing safer care to patients. This position is responsible for providing information to various key stakeholders on the progress and status of described programs/initiatives. Oversees the implementation of compliance policies and procedures to ensure that they meet organizations compliance requirements. Has management responsibility and accountability for the hospital's overall compliance with regulations from The Joint Commission, Department of Health Services, CMS and other regulatory agencies. Oversees the events, reporting, process, root cause analysis, and event investigation/review. Participates in system office initiatives and programs to mitigate risks identified at other hospitals resulting in reduced costs and adverse patient outcomes. Receives and oversees responses to patient complaints and investigates to solve issues promptly. Acts as an intermediary between patients, staff and family to provide clear communication between all parties regarding any outstanding issues.

Requirements

• Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff.
• One (1) year healthcare-related quality management/performance improvement experience (e.g. chart audits, PI team member, etc.).
• Three (3) years clinical experience in an acute care setting.
• Demonstrated accomplishments performing case reviews.
• 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 the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) 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.
• Handle patient sensitive and confidential hospital information.
• Assist in the design, planning, implementation and coordination of QM, PS and PI 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 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. peer review, OPPE, FPPE).
• Participate in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures.
• Facilitate 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.
• Direct programs involving risk mitigation/management and initiatives related to providing safer care to patients.
• Provide information to various key stakeholders on the progress and status of described programs/initiatives.
• Oversee the implementation of compliance policies and procedures to ensure that they meet organizations compliance requirements.
• Have management responsibility and accountability for the hospital's overall compliance with regulations from The Joint Commission, Department of Health Services, CMS and other regulatory agencies.
• Oversee the events, reporting, process, root cause analysis, and event investigation/review.
• Participate in system office initiatives and programs to mitigate risks identified at other hospitals resulting in reduced costs and adverse patient outcomes.
• Receive and oversee responses to patient complaints and investigates to solve issues promptly.
• Act as an intermediary between patients, staff and family to provide clear communication between all parties regarding any outstanding issues.

Benefits

• Medical/Dental/Vision Insurance (no premium option for employee benefits)
• Flexible spending accounts
• Matching 403(b) retirement program
• Fully Funded Pension Plan
• Paid Time Off (PTO)
• Tuition Reimbursement
• Mental Health Benefit
• Employee Life Insurance
• Dignity Health now offers an Education Benefit program for benefit-eligible employees in Arizona. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Join our team at Dignity Health to take advantage of this amazing opportunity!

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Water Transportation
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees