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Quality & Patient Safety Program Manager

Company: Dignity Health
Location: Bakersfield
Posted on: May 24, 2020

Job Description:

Overview:Founded by the Sisters of Mercy, Mercy Hospitals have a history of caring for our community that goes back more than 100 years. We provide a broad range of medical and surgical services including minimally invasive and outpatient options. Our family of services includes the area's only inpatient oncology unit, the Orthopedic, Spine, and Hand Center, Family Birth Center, the Lactation Support Center and retail store, and many others. Mercy Hospital Downtown is a 194-bed facility located in downtown Bakersfield. Mercy Hospital Southwest is a 78-bed facility and the only hospital located in the rapidly growing area west of Highway 99. Mercy Hospital is a member of Dignity Health and is a trusted community partner, serving residents of Bakersfield and Kern County with quality, compassionate care since 1910. Learn more at https://www. dignityhealth. org/central-california/locations/mercy-bakersfield.#bakersfieldRNResponsibilitiesPosition Summary: 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. Principal Duties and Accountabilities:

  • Assists in the design, planning, implementation and coordination of Quality Mgmt., 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, and root cause analyses and medical staff improvement (e.g. 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 and implementation.
  • 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.QualificationsEducation and Experience:
    • Bachelor's degree or five (5) years of related job or industry experience in lieu of degree.
    • One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting. Licensure:
      • 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 is required. OptionsApply for this job onlineApplyShareEmail this job to a friendReferSorry the Share function is not working properly at this moment. Please refresh the page and try again later.Share on your newsfeedConnect With Us! Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at Dignity Health and experience #humankindness.Equal Opportunity Dignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.Dignity Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). Dignity Health participates in E-verify. Application FAQs

Keywords: Dignity Health, Bakersfield , Quality & Patient Safety Program Manager, Executive , Bakersfield, California

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