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CommonSpirit Health · 1 month ago

Quality Patient Safety Program Manager - Licensed

Carmichael, CA

Full-time

Onsite

Mid Level

$57.37/hr - $85.33/hr

4+ years exp

CommonSpirit Health is a prominent healthcare organization, and they are seeking a Quality Patient Safety Program Manager to support and facilitate quality management and patient safety activities. The role involves coordinating performance improvement initiatives, ensuring compliance with regulatory standards, and serving as a resource for hospital and medical staff.

Health CareMedicalNon Profit

Responsibilities

Assists in the design, planning, implementation and coordination of QM, PS and PI 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. peer review, OPPE, FPPE)

Clinical performance improvement, including case review for peer review

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

Qualification

Quality ManagementPatient SafetyPerformance ImprovementData ReportingRegulatory ComplianceRoot Cause AnalysisHealthcare Quality CertificationTeam CoordinationAnalytical SkillsCommunication Skills

Required

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

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 is required

Preferred

Familiarity with improvement methods, tools and techniques (e.g. PDSA, Tests of Change, Six Sigma, LEAN)

Ability to create and support an environment that meets the quality goals of the organization

Root cause analysis, data reporting and familiarity with regulatory/accreditation requirements

Company

CommonSpirit Health

Glassdoor3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10001+ employees