Manager Quality

About the role

Responsible for the day-to-day management of the organization’s quality and safety programs, developing and managing programs that exceed standards and quality expectations of patients, the Board of Directors, payors, and other entities. Oversees nursing services policies, protocols, and educational initiatives, and leads performance improvement activities, regulatory compliance, and initiatives that improve clinical resource utilization and 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.
• Relays quality reports to appropriate leadership teams and committees.
• Develops performance improvement initiatives throughout the institution and supports sustained performance improvement.
• Works in collaboration with the interdisciplinary health care 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 preparation and management of budget, planning, office organization, and other management functions.
• Assists with employee health functions for the organization.
• Participates in selection and hiring of qualified individuals and evaluates the effectiveness of employees on an ongoing basis.
• Provides ongoing performance reviews that give objective, constructive feedback regarding strengths and opportunities for improvement, including departmental plans for each employee.
• Coaches and counsels to correct identified performance deficiencies, developing plans that establish goals and provide follow‑up.
• Assists the Director with patient incident reports that require 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.
• Assists with oversight of 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:

• Education: Bachelor’s degree in a healthcare‑related field; OR Associate degree in a healthcare field and three (3) years of healthcare supervisory experience.
• Experience: Three (3) years of relevant healthcare experience.

Qualifications

Preferred qualifications:

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

Skills and Abilities

• 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.
• Ability to use MS Word, Excel, Access and other software to collect, analyze, and present data.

Physical Requirements

Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.

Working Environment

Office setting. Hospital setting.

Schedule

Scheduled Weekly Hours: 40. Exempt/Non‑Exempt: Exempt (United States of America).