Clinical Quality Manager

Position Summary

The Quality Manager provides a critical leadership role within National Jewish Health managing the development and implementation of comprehensive quality and safety programs across the continuum of care within the NJH institution and services. This position ensures the development, implementation, and evaluation of quality related policies, practices, and programs and is accountable for the management and implementation of quality programs including reporting of quality and patient safety metrics, reporting of clinical and outcome data, regulatory compliance and education and training on best practices.

Essential Duties

• Manages and develops an effective staff : providing effective communication, leadership, guidance and resources. Determines staff qualifications and competency : recruits, interviews, selects, hires, trains, orients, mentors, evaluates, coaches, counsels, disciplines, and rewards. Establishes and monitors staff safety and regulatory compliance.
• Ensures implementation, maintenance and evaluation of efficient, integrated, hospital-wide, quality improvement, regulatory readiness, and patient safety programs, engaging stakeholders of all types to improve organizational performance and using evidence-based practice based on available data.
• Functions as a resource for leadership and medical staff in regards to improving hospital performance. Provides leadership for and reporting of board, leadership, medical staff, nursing, and employees in planning, design, implementation, and maintenance of systems that enable the hospital to meet new and / or mandated regulations related to quality, public reporting, CMS and others.
• Coordinates and monitors efforts of various departments related to compliance with mandated regulations such as never events. Develops and maintains dashboards for ongoing monitoring of quality and patient safety.
• Coordinates Patient Safety activities with Risk Management activities including data collection, analysis, reporting, improvement activities and follow-up related to quality and patient safety adverse events. Oversees Patient Advocates and complaints and grievances process. Ensures peer review completed for sentinel and adverse events. Develops annual patient safety plan and key performance indicators for the Board Quality Committee and the Operating Plan.
• Reviews and utilizes information from internal and external reporting programs. Participates in the development of performance metrics internally and as requested by external agencies. Develops and maintains a mechanism for internal and external communication of quality and patient safety related information.
• Reports to the governing body the hospital's performance on key quality indicators that include patient safety, clinical excellence, patient satisfaction, regulatory readiness, etc.

Competencies

Supervisory or Managerial Responsibility

Manages 1-10 employees

Travel

None

Core Values

Minimum Qualifications

Salary Range : $102,589.71 - $135,674.89

Benefits

At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset. With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.

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