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Job Summary and Responsibilities

The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.

Responsibilites:

+ Assists in the design, planning, implementation and coordination of Quality Management, Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (e.g. case review for peer review, OPPE, FPPE).

+ Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.

+ Facilitates meetings, presents data and reports, identifies key findings and assists with action plans andimplementation.

+ Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.

Job Requirements

E** **ducation and Experience:

+ One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)

+ Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience in anacute care setting

+ Current state license in a clinical field in state of practice.

Licensure:

+ Current state license in a clinical field in state of practice.

+ Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment isrequired.

Where You'll Work

As the only not-for-profit, faith-based healthcare system in the area, Dignity Health Nevada, guided by the Adrian Dominican Sisters' vision for over 70 years, continues to serve the Henderson and Las Vegas communities. The Siena Campus, a 326-bed acute care hospital opened in 2000, expanded the services of the Rose de Lima Campus to meet growing healthcare needs. St. Rose Dominican is part of Dignity Health, one of the nation’s largest healthcare systems, with over 9,000 physicians, 60,000 team members, and 400 care centers across 22 states, including hospitals, urgent care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to compassionate, high-quality care, especially for the underserved.

Pay Range

$41.14 - $61.20 /hour

We are an equal opportunity/affirmative action employer.