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Baptist Memorial Health Care · 10 hours ago

Manager-Quality and Performance Improvement

Memphis, TN

Full-time

Onsite

Mid, Senior Level

5+ years exp

Baptist Memorial Health Care is seeking a Quality and Accreditation Manager to oversee quality and performance improvement activities within the organization. This role involves supporting the development and execution of strategic plans for quality and safety, while enhancing the culture of safety and compliance with regulatory standards.

GovernmentHealth CareHospitalMedicalNon ProfitNursing and Residential CareRehabilitationWellness

Responsibilities

Provides support for an ongoing entity regulatory/accreditation readiness program which enhances quality and patient safety through standards compliance

Collaborates with entity leadership such as Quality Director, CEO, CNO, and Quality to address entity requests for assistance in integrating quality improvement efforts, regulatory/accreditation compliance, and operations

Assists with A3 and strategic planning efforts to determine entity priorities for work each year and on-going

Participates in entity and system performance improvement projects, initiatives, and provides insight for the teams on strategies to achieve the desired goals

Serves as a knowledge expert on accreditation/regulatory requirements from Joint Commission, CMS, state agencies, and accrediting bodies (i.e. ACC)

Educates entity leaders and assists with system accreditation and quality initiatives to meet requirements and enhance patient outcomes

Facilitates various committees associated with quality and performance improvement i.e. QAPI

Assists Director with oversight of hospital benchmarking programs including CMS and LeapFrog

Provides assistance to quality coordinators with their respective programs and responsibilities

Monitors and implements new regulatory and accreditation requirements as needed to maintain compliance

Coordinates communication to corporate counterparts as needed for maintenance of quality and accreditation processes

Provides coaching, mentoring, and resource for the quality department in collaboration with director

Qualification

Quality ImprovementAccreditation KnowledgeHealthcare ExperienceStatistical KnowledgeDatabase ManagementComputer LiteracyRN LicenseInterpersonal Skills