Quality Patient Safety Program Manager
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 patient sensitive and confidential hospital information Directors 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 organization's compliance requirements. Has management responsibility and accountability for the hospitals' 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
- Bachelor's degree
- three (3) years clinical experience in an acute care setting
- One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
- Certified Professional in Healthcare Quality (CPHQ) or Healthcare Quality Mgmt (HCQM) or Cert Prof Healthcare Qual (CPQPS)
Responsibilities
- support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff
- resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities
- handle patient sensitive and confidential hospital information Directors programs involving risk mitigation/management and initiatives related to providing safer care to patients
- 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 organization's compliance requirements
- management responsibility and accountability for the hospitals' 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
