Manager - Quality Program

Location: 1010 Spruce Street, Española, NM 87532-2724

About the Role

Presbyterian Española Hospital is seeking a Manager for our Quality Program to lead quality improvement initiatives, regulatory readiness efforts, and patient safety programs that support exceptional clinical outcomes and operational excellence. The Manager, Quality Program serves as a key leader within the hospital, partnering with physicians, nursing leadership, and interdisciplinary teams to foster a culture of continuous improvement, patient safety, and high reliability.

This role leads, designs, and supports the quality program including clinical quality, patient safety, and continuous readiness to ensure quality care and regulatory compliance. It functions as a subject matter expert for quality methodologies, facilitating, coaching, and supporting quality initiatives. The role is also responsible for Infection Control, Employee Health, and Case Management service programs. This position is based at Presbyterian Española Hospital and features a flexible hybrid schedule, allowing for a combination of on-site and remote work based on business needs.

Responsibilities

• Develop, monitor, and support the facility QAPI program to ensure it meets regulatory requirements, including infection control, clinical quality, and business indicators in conjunction with leadership and the Regional Director of Clinical Quality/Patient Safety.
• Analyze QAPI data and report data to appropriate committees/groups.
• Provide clinically pertinent perspective in the development of clinical information and measurement processes in conjunction with the Regional Director of Quality/Safety.
• Participate in the development, collection, and reporting of clinical performance measurements.
• Manage regulatory and accreditation preparation activities at the facility level and assist at the PHS level. Serve as a lead contact during regulatory surveys, working with the Regional Director of Clinical Quality/Patient Safety.
• Lead and assist the facility in establishing and maintaining quality plans, clinical improvement, management of processes, and establishing goals and objectives for clinical quality and patient safety initiatives.
• Serve as a resource regarding quality theory and practice, especially as it relates to development and evaluation of patient safety and quality indicators, application of quality methodologies to quality improvement, and regulatory readiness.
• Lead and support clinical quality and patient safety initiatives at the facility and participate in task forces, summits, and work groups as appropriate.
• Conduct risk analysis using established techniques and strategies.
• Conduct RCI/PSI or special cause investigations.
• Prepare, present, and maintain short-term and long-range quality improvement plans, clinical outcome plans, and patient safety plans.
• Manage and direct a team, orient new staff, oversee the outcomes of orientation processes, and address areas of opportunity to meet organizational goals.
• Drive financial components of department operations including budget creation, monitoring, analyzing, and report variances in areas of responsibility. Responsible for achieving established targets.

Requirements

• Bachelor's degree in nursing or related clinical field, or bachelor's degree with healthcare experience required.
• Master's degree preferred.
• Licensed RN preferred.
• 3-5 years of experience in healthcare quality required.
• Clinical Quality experience with emphasis on clinical quality data and measurement, interdisciplinary support, and performance improvement preferred.
• Prior leadership experience preferred.
• CPPS, CPHQ, or other quality certification preferred.

Skills

• Analytic
• Customer service
• MS Office
• Negotiation
• Presentation
• Reporting
• Verbal communication
• Professionalism
• Written communication

Pay

Pay Range Minimum Offer: $75,732.80

Pay Range Maximum Offer: $128,960.00

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes:

• Medical, dental, and vision insurance
• Short-term and long-term disability
• Group term life insurance
• Other optional voluntary benefits

Wellness

Presbyterian's Employee Wellness rewards program is designed to provide engaging opportunities to enhance health and activate well-being. Earn gift cards and more by participating in wellness activities like wellness challenges, webinars, and preventive screenings.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.