Quality-Patient Safety Program Manager

CommonSpirit Health • Omaha, NE

20h • Onsite

About The Position

The Quality-Patient Safety Program Manager leads and coordinates Quality Management, Patient Safety, and performance improvement initiatives across the hospital and medical staff. The role supports clinical excellence, organizational compliance, regulatory readiness, and a culture of continuous safety and improvement at CHI Health Creighton University Medical Center - Bergan Mercy, a Level I trauma center and academic medical center.

The manager facilitates multidisciplinary performance improvement teams, conducts clinical quality reviews and root cause analyses, identifies data elements, oversees data collection and abstraction, and analyzes findings to develop actionable reports for leadership and clinical staff. Serving as an internal consultant, the manager provides guidance on accreditation requirements and oversees survey preparation activities, including mock tracers. The role requires maintaining the confidentiality of peer review processes and earning an approved quality certification within 24 months of hire.

Requirements

• At least three years of clinical experience in an acute care setting.
• At least one year of healthcare-related quality management or performance improvement experience, such as chart audit or PI team participation.
• Active Registered Nurse (RN) or Pharmacist license at the time of hire.
• Proven ability to perform case reviews for medical staff peer review.
• Experience with medical/surgical registry abstraction.
• Expertise in quality methodologies such as LEAN or Six Sigma.
• Exceptional analytical and communication skills.
• Ability to manage complex projects.
• Must obtain one of the following within 24 months of hire: Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality Management (HCQM), or Certified Professional in Healthcare Quality (CPQPS).

Responsibilities

• Coordinate Quality Management, Patient Safety, and performance improvement initiatives across the hospital and medical staff.
• Facilitate multidisciplinary performance improvement teams.
• Conduct clinical quality reviews and root cause analyses to reduce risks and improve patient outcomes.
• Identify data elements and manage data collection and abstraction processes.
• Analyze findings and present actionable reports to leadership and clinical staff.
• Provide internal guidance on accreditation requirements and healthcare regulations.
• Oversee survey preparation activities, including mock tracers.
• Perform case reviews for medical staff peer review and medical/surgical registry abstraction.
• Maintain the confidentiality of peer review processes.

What This Job Offers

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