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Details

+ **Department: Total Quality Management**

+ **Schedule: Full Time, Days**

+ **Hospital: Statewide (travel required)**

+ **Location: Glendale, WI (on-site)**

Significant experience with CERT and RCA process

Deep knowledge and understanding of CMS** **CoPs

HRO experience

RN License and advanced healthcare degree** **_required_

CPHQ or CPSP preferred

Progressive leadership experience** **_required_

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._

Responsibilities

Direct quality and patient safety activities and resources.

+ Develop and implement systems, policies and procedures for the identification, collection and analysis of quality, risk and/or patient safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims, and/or other patient safety-related data.

+ Educate and train the leadership, staff and physicians as to the quality and patient safety program and their respective responsibilities in carrying out the program. Advise departments on designing quality improvement and patient safety initiatives, policies and protocols within their own departments.

+ Investigate and analyze root causes, patterns and trends that could result in compensatory or sentinel events, serious adverse events and near misses. Assist with identification and implementation of corrective action where appropriate.

+ Report all adverse events to appropriate regulatory and accrediting agencies as required. Works with legal counsel to coordinate the investigation, processing, and defense of claims against the organization.

+ Enhance the organization's and the larger healthcare community's knowledge of quality improvement and safety best practices through literature review, interaction with internal & external resources, and knowledge of evolving relevant regulatory requirements.

Requirements

Licensure / Certification / Registration:

+ Quality Professional preferred.

+ Risk Management preferred.

Education:

+ High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

Additional Preferences

No additional preferences.

Why Join Our Team

Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf)

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.