Manager Quality

About the role

Responsible for the day-to-day management of the organization’s quality and safety programs. Develops and manages quality and safety programs exceeding the standards and quality expectations of patients, the Board of Directors, payors, and other relevant entities. Oversees nursing services policies, protocols, and educational initiatives, performance improvement activities, regulatory compliance, and other initiatives that lead to effective clinical resource utilization and improvements in quality. Promotes interdisciplinary collaboration and teamwork to promote excellence in patient-centered care. Key customers include clinical practitioners/applicants, physician leaders, and the senior administration team.

Responsibilities

• Assists in the development and implementation of quality activities and monitors quality indicators for assessment of house-wide quality.
• Develops and implements mechanisms for ongoing data collection, analysis, and reporting of quality indicators.
• Initiates mechanisms to ensure timely and accurate reporting of data and relays quality reports to appropriate leadership teams and committees.
• Develops performance improvement initiatives throughout the institution and supports sustained performance improvement.
• Collaborates with the interdisciplinary healthcare team to support resource utilization and quality improvement, develops educational opportunities for staff, and oversees appropriate policies and protocols for ambulatory offices.
• Performs administrative functions for the Quality & Nursing department, including budget preparation and management, planning, office organization, and other management functions.
• Assists with employee health functions for the organization.
• Participates in the selection and hiring of qualified individuals and evaluates employee effectiveness on an ongoing basis.
• Provides ongoing performance reviews with objective, constructive feedback, including departmental plans for each employee.
• Coaches and counsels employees to correct performance deficiencies, developing plans that establish goals and provide follow-up.
• Assists the Director with patient incident reports requiring root cause analysis or further follow-up and implements improvement initiatives to sustain high-quality outcomes.
• Assists the Director in developing and monitoring short-term goal setting and long-range plans for the department.
• Oversees quality assurance reports for ambulatory offices and follows up with offices needing additional assistance with QA programs.
• Prepares correspondence, reports, forms, policies/protocols, work orders, and specialized documents for the department.
• Proofreads materials for accuracy, completeness, compliance with departmental policies, formatting, and correct English usage, including grammar, punctuation, and spelling.

Requirements

Minimum Qualifications

• Bachelor’s degree in a healthcare-related field, or Associate degree in a healthcare field and three (3) years of healthcare supervisory experience.
• Three (3) years of relevant healthcare experience.

Preferred Qualifications

• Bachelor’s degree in a healthcare-related field.
• Five (5) years of healthcare quality, nursing, education, and/or supervisory experience.

Skills

• Maintains assertiveness and diplomacy skills.
• Ability to access community and system resources.
• Good written and verbal skills, along with effective interpersonal communications and negotiation skills.
• Strong analysis and research skills.
• Proficiency in MS Word, Excel, Access, and other software to collect, analyze, and present data.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping are necessary body movements utilized throughout the work shift.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• Office setting.
• Hospital setting.

Schedule

Scheduled Weekly Hours: 40

Shift: Day

Pay

Exempt status (United States of America).