Quality Patient Safety Program Manager Licensed

CommonSpirit Health•Redding, CA

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) within 24 months
Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff
Current state license in a clinical field in state of practice

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
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