Mgr Patient Safety & Quality

Love where you work! Team Bronson is compassionate, resilient and strong. We are driven by positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.

About the role

Responsible for planning, organizing and managing functions related to quality improvement and patient safety at Bronson. Works with the organization, PI Committees and ad hoc teams in developing quality improvement strategies, goals, targets and measurement plans to achieve best practice levels. Participates in the development and update of the annual Quality and Patient Safety Plans at Bronson.

Responsibilities

• Leads and supports the Medical Staff structures within the Bronson Healthcare system, including credentialing (BLH only), peer review functions, and OPPE/FPPE. Facilitates keeping the medical staff bylaws, rules, and policies current.
• Oversees Bronson’s continuous readiness in assessing compliance with federal and state regulations, core measures, and patient safety. Assists in the implementation of value-based purchasing initiatives and is responsible for clinically related reporting requirements.
• Provides onsite coordination and leadership during CMS and Joint Commission surveys. Organizes and facilitates regularly scheduled audits and training with staff and leaders to implement “continuous readiness” strategies.
• Develops and supports a system for regular and systematic collection, analysis, and reporting of quality data for public reporting and regulatory requirements. Recommends the Measures of Success submission at required Joint Commission time frames.
• Coordinates day-to-day departmental operations, evaluates and oversees staff projects, and acts as a role model, coach, and mentor to staff.
• Ensures all department standards are maintained, encourages a team environment, and maintains positive customer service. Monitors and maintains the approved department budget.
• Oversees quality improvement and patient safety activities within the organization. Reviews current literature and provides recommendations for improvement activities.
• Evaluates organizational data and understands variation and trends. Analyzes and reports regarding regulatory readiness.
• Researches best practices and payer requirements, proposing and implementing recommendations for change. Maintains department budget and coordinates/analyzes progress reports from external agencies.
• Supports the Medical Staff credentialing (BLH only), peer review, and quality programs. Leads teams through the change process.
• Manages day-to-day operations of the department and participates in evaluating staff performance.

Requirements

• Bachelor's degree or an equivalent combination of education and experience.
• 3-5 years of experience in clinical nursing in an acute care setting required.
• Master's degree preferred.
• Previous management experience preferred.
• Previous experience leading teams with improvement efforts preferred.
• Licensed RN in good standing with the State of Michigan required.
• Must work independently, meet deadlines, and demonstrate accountability for assignments.
• Strong leadership, organization, and communication skills required.
• Must control confidentiality of sensitive information.
• Ability to use software relevant to the job (e.g., Word, Excel, Access, PowerPoint, Visio).
• Ability to organize and analyze data.
• Must speak and write English fluently.
• Must interpret regulatory standards and assess impact to the organization.

Work Environment

• Work produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time.
• Operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time.
• Regular walking, standing, stooping, bending, sitting, and some lifting of light-weight objects.

Schedule

First Shift, Full time, 40 scheduled weekly hours.