Quality Manager

Responsibilities

• Operational leadership and daily management of the Quality Department
• Coordination of day-to-day operations
• Performance improvement efforts for publicly reported clinical measures
• Auxiliary with regulatory agency investigations and survey activities
• Data analysis related activities
• Investigate and respond to insurance quality referrals
• Participate in regulatory agency deficiencies and validate plans of correction are reported to the required Councils
• Ensure effective execution of quality improvement initiatives, core measure performance, and data integrity
• Translate quality priorities and data analysis requirements into actionable work plans
• Support frontline Quality staff
• Ensure timely, accurate reporting and follow-through
• Assist with implementing strategies for best practices
• Provide educational opportunities in collaboration with the education department and performance improvement support to clinical providers and staff

Requirements

• Bachelor’s Degree in Nursing or related healthcare field, preferred
• Minimum of three (3) years of experience working as a manager in the areas of quality and/or performance improvement highly desirable
• Strong organizational and communication skills desired
• Extensive experience in facilitating and leading teams and conducting Failure Mode and Effects Analysis (FMEA) desired
• Strong knowledge of CMS, Joint Commission, and California regulatory requirements
• Working knowledge of core measure abstraction, data validation, and quality reporting systems
• Team STEPPS Master Trainer preferred
• LEAN Six Sigma training and recent experience preferred

Qualifications

• Current California license as a registered nurse required
• CPHQ preferred
• CPPS preferred
• MAB is required to be completed on the first day of work. (Grandfathered: existing employees must complete new requirements by 6/9/2025.)