Quality And Patient Safety Program Manager Licensed
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings.
Our mission is to make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.
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.
Responsibilities include :
- Assists in the design, planning, implementation and coordination of Quality Management, Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions.
- Participates in an integral role to ensure compliance with CMS HIQRP / HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures.
- Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
- Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance.
Qualifications include :
Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience in an acute care setting.Must be able to perform case reviews for medical staff peer review and medical and / or surgical Registry Abstraction.One (1) year healthcare-related quality management / performance improvement experience.Current state license in a clinical field in California.Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.Skills / knowledge include :
Knowledge and expertise of quality management / performance improvement methods, tools, and techniques.Current knowledge of data reporting and regulatory / accreditation requirements for acute and ambulatory care services.Knowledge of the necessity and value of accuracy and attention to detail.Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems.Ability to work well under pressure and respond to changing needs and complex environments.Excellent communication skills.Dignity Health @ Mercy Hospital of Folsom is the community hospital serving the Sierra foothills communities of Folsom, El Dorado Hills, Granite Bay, Cameron Park, Shingle Springs, and Rescue. With 106 licensed acute-care beds, our accredited non-profit hospital has been providing exceptional care for more than 35 years.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.