Quality Program Manager-RN

About the role

This position is responsible to develop and implement the Quality and Performance Improvement Program for the assigned services and location. This includes partnering to develop, implement and organize the annual and multi-year plan to assure quality, patient safety, regulatory readiness, and meeting the specific standards for the setting(s) of care. The QPM-RN provides expertise regarding clinical knowledge and top national and regional performance to the planning, performance assessment and best practices in the clinical domain.

Responsibilities

• Directs activities relating to the related Quality Program, assuring initiatives, projects, and activities are completed within established timeframes, and performs ongoing performance analysis to identify clinical outcome and other improvement opportunities
• Develops components of the QAPI and other regulatory requirements
• Conducts analysis for area, includes common techniques such as apparent and common cause and RCA analysis as well as descriptive statistics and value stream mapping
• Develops data and information into quality analyses such as pareto and driver diagrams, visual displays, graphs to display complex information in usable formats
• Developing routine reporting to assess effectiveness of PI projects and interventions, achievement of outcomes; as well as ad hoc reporting using QM tools like tracers, dashboards
• Uses tools such as the Epic chart and chart review to assess the quality and safety of care and to design improvement solutions, etc.
• Oversees PI, analysis and reporting for projects and activities in assigned area, and develops recommendations, based on research and findings, for appropriate actions by departments/organizational committees

Requirements

• Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
• Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education agreement
• Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred
• Relevant certification in the specialty area preferred
• Minimum five (5) years of experience in a professional or technical role/function in a healthcare or related setting as applicable to a clinical specialty/service line
• Minimum three (3) years of experience in a quality, regulatory readiness, performance improvement or patient safety role
• Consideration of equivalency of prior nurse or clinical supervisory or management roles
• Internal candidates' experience and performance may be considered in lieu of education and experience
• Expected to be competent/proficient in one (one) domain of quality (Pt Safety, ACRR, Peer/Physician Quality, Quality Metrics and Reporting, Clinical Analytics, Clinical Pathways)

Benefits

• Competitive tuition assistance, award-winning residencies, fellowships and career development
• Generous PTO, Code Lavender and Employee Assistance Programs
• Resource Groups and outreach programs
• Comprehensive benefits package including medical, dental and retirement benefits and paid time off