Senior Quality Improvement Program Manager

Banner Health Corporate•Edison, NJ

19h•$41 - $68•Onsite

About The Position

Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. Nestled in the high plains of northeastern Colorado, Brush and Sterling are full of small-town charm and rich history. State Wildlife areas and state parks offer hunting, wildlife viewing, fishing, hiking and water activities year-round. In-town recreation includes golf, four local parks, an outdoor swimming pool, and a roller-skating rink. Sterling and East Morgan County Hospital is looking for a full-time Senior Quality Program Manager to work in Brush/Sterling Colorado. In this position, you will be responsible for the Quality Improvement initiatives at the both campus'. This position is 40-hours per week working days. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position leads high reliability in processes through assessment of clinical performance, facilitates prioritization of improvement activities, oversees improvement projects and ensures successful clinical project implementation at operating entities. This position prioritizes clinical improvement activities, oversees the facilitation of performance improvement teams and successful implementation to achieve entity/system targets. The position works closely with both system and operating entities to improve quality and outcomes of clinical care. This role requires strong communication, collaboration, teamwork and change management skills in order to achieve desired results across the continuum of care.

Requirements

Requires a Bachelor’s degree or equivalent experience.
Requires a proficiency level typically attained with five years clinical experience OR other clinical quality improvement experience.
Requires at least two years management experience OR demonstrated leadership abilities through participation in successful large scale projects.
Requires Certified Professional Healthcare Quality (CPHQ) or Certified Professional Patient Safety (CPPS) certification within 3 years of accepting the role.

Nice To Haves

Registered Nurse (RN) license preferred.
Master’s Degree is preferred.
Experience with process improvement, regulatory/accreditation programs, data management, and analysis including graphic development and presentations is highly desirable.
If in a profession that requires licensure, current licensure/certification/registration is preferred for state worked.
Additional related education and/or experience preferred.

Responsibilities

Guides the integration of quality into the fabric of the organization to achieve objectives such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of care.
Assists in directing and supporting the quality infrastructure, protects the use of privileged or confidential information, oversees facilitation of processes for engagement and interprofessional teamwork, identifies and promotes continuous learning.
Collaborates with administrators, physicians, clinical leaders and team members to identify improvement opportunities utilizing qualitative and quantitative data analysis, knowledge of health care operations and systems thinking.
Understands the importance of strategic planning accompanied by relevant tactics to achieve the goals, even when midcourse changes occur.
Establishes and guides the development and implementation of annual quality plans in partnership with administrative, service line and process owners.
Strategizes with entity leadership to plan and coordinate local Quality Councils/QAPIs.
Serves as a subject matter expert in performance and process improvement, project management and change management methods to support operational and clinical quality initiatives.
Manages, coaches, and oversees facilitation of improvement activities related to or resulting from patient safety, harm reduction, clinical performance opportunities, peer review and compliance with regulatory and accrediting agencies.
Serves as a resource and/or facilitates improvement teams to plan, implement, and coordinate entity activities to maximize clinical and operational outcomes.
Oversees and leads improvement teams, guiding teams on system defined improvement methodologies and processes.
Supervises evaluation and improvement of healthcare processes and care transitions to advance the efficient, effective and safe care of defined populations.
Supervises the implementation of Clinical Practices and standardized processes, that are evidence-based Population Health management strategies, encourages and contributes to a holistic approach to improvement.
Collaborates to improve care processes ,as well as, transitions back to the community.
Assists in leading monitoring and reporting of facility Clinical Practice performance.
Uses data to identify populations at risk and collaborates with interdisciplinary teams to develop strategies to improve outcomes.
Supports and participates in Clinical Consensus Groups at a system level to develop metrics for evidenced based practices for the enterprise.
Leverages the organizations' analytic environment to guide data driven decision making and inform quality improvement initiatives while managing and guiding quality improvement initiatives and activities.
Oversees the collaboration with appropriate process owner(s).
Ensures the acquisition and integration of data from internal and external benchmarking sources.
Uses statistical and visualization methods to analyze data for administrative and clinical decision making.
Provides oversight of on-going assessment of performance, analyzes clinical outcome data, and identifies performance improvement opportunities or trends.
Cultivates a safe healthcare environment by promoting safe practices, nurturing a Just Culture and improving processes that detect, mitigate or prevent harm.
Serves as an advocate for safety culture, promotes the application of safety science principles/methods, identification and reporting of patient safety risks/events.
Collaborates to analyze patient safety risks and events.
Facilitates teams to improve processes that impact the safety of patients and team members.
Leverages results from patient safety investigations to coach entity leaders on safety improvement activities.
Manages the evaluating, monitoring and improving compliance with internal and external requirements.
Facilitates processes to prepare for, participate in, and follow up with Regulatory Agencies and certifications.
Facilitiates processes to support compliance with PI standards, ensures continuous survey readiness activities and oversees PI survey processes and findings.
Collaborates and leverages results from regulatory opportunities.
Manages facilitation and promote compliance with voluntary, mandatory and contractual reporting requirement for data acquisition, analysis, reporting and process improvement.
Manages current and emerging payment models as they relate to quality performance outcomes.
Develops and communicates measurement requirements.
Support practitioner and nursing peer review activities.
Engages in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competencies and advancing the field by integrating ethical standards into practice, engaging in lifelong learning and participating in activities that advance the profession, such as participation in professional organizations and achievement of certification in healthcare quality.
Responsibilities cross all levels of internal customers including the department, facility and system, and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.
May be responsible for QI at a single entity or multiple entities and will contribute to system level QI activities.