East Tennessee Children's Hospital ยท 3 weeks ago
Children's Surgical Verification Program Manager, Full Time, Days
East Tennessee Children's Hospital is dedicated to providing quality healthcare for children. The Children's Surgical Verification Program Manager is responsible for establishing and coordinating a multidisciplinary approach to surgical quality and performance improvement, ensuring the hospital meets national standards for Children's Surgery Verification status.
Health CareHospitalNon Profit
Responsibilities
Lead efforts to obtain and maintain Children's Surgery Verification (CSV) with the American College of Surgeons, meeting all regulatory compliance and standards, as applicable. The incumbent will coordinate all responses to the verification application and site visit, documenting and facilitating issue resolution and corrective action plans
Collaborates with medical and hospital staff across the continuum of children's surgical care, including planning and implementing of clinical protocols, clinical pathways and practice management guidelines, monitoring care, and serving as an expert resource for clinical practice both within the facility and at other outside system entities. Oversees the development and review of care protocols, policies and procedures that promote organized and effective pediatric surgical care
Facilitates the development and implementation of intra-facility and regional staff development educational programs including hospital nursing and physician continuing education programs. Facilitates and participates in case review, standardizing practice guidelines, and directs community education for appropriate transfers to inpatient surgical services or intra-facility transfers to a higher level of care
Oversees the implementation of clinical program initiatives, including (but not limited to): core measures, surveillance, clinical data abstraction, and patient safety efforts. Works collaboratively with multidisciplinary teams to strategize, develop, and achieve goals. Works with the Acute Care/Trauma Committee, Quality Improvement Committee, and other hospital committees to coordinate surgical quality efforts
Formulates, drives, and leads projects using process improvement methodologies (e.g. Lean, Six Sigma, PDSA), project management strategies, facilitation, and change management to achieve improvements in operational and/or clinical outcomes
Provides ongoing evaluation of the effectiveness and efficiency of the pediatric surgical enterprise. Monitors clinical processes, outcomes and system issues related to quality of surgical care through the development of quality filters, audits, case review and root-cause analyses. Identifies trends and sentinel events and helps to outline corrective actions as applicable. Is involved in patient engagement efforts and monitors patient perception of the quality of care delivered. Participates on hospital root-cause analyses and assists in action plan follow-up as needed
In conjunction with the Medical Director of Children's Surgery plans, coordinates and conducts quality and safety meetings such as the Performance Improvement Patient Safety (PIPS) Meeting, Surgical Services Executive Committee (SSEC) Meeting, Acute Care/Trauma, Department of Surgery Meeting, Grand Rounds and Multidisciplinary Committees as appropriate. Sees that agendas, attendance, records/minutes and follow up are prompt, detailed, and accurate
Provides oversight and direct supervision of the collection, coding, validation, analysis, and distribution of data used to guide performance improvement activities for surgical registries. Designs processes to facilitate performance improvement activities, trend reports and research while protecting confidentiality
Supports clinical program, facility and corporate goals and initiatives. Attends and actively participates in system level meetings representing the facility. Presents/reports on progress to directors, administrators and leadership boards as assigned
Assists in annual strategic planning, operational, personnel and capital budgetary planning for the children's surgery program. Adheres to staffing and operational budgets as applicable. Completes and submits budget reports as required by facility
Facilitates communication and collaboration to stabilize the complex network of many disciplines and departments that work in concert to provide high quality children's surgical care. Represents the children's surgery program on various hospital and community committees to enhance and foster optimal surgical care management
Assist Trauma Coordinator with review and performance improvement with the care of trauma surgical patients
Demonstrates excellent communication skills through verbal, written and presentation material as required for committees, management groups, administration, etc
Utilizes hospital resources and time respectfully and accountably
Willingly accepts any other assignment that may be requested
Qualification
Required
Bachelor's Degree/BSN required
RN in state of Tennessee required
PALS required
3-5 years of surgery clinical experience required
1 year minimum of supervisory experience required
Proven on the job leadership skills working with multidisciplinary patient care providers in a hospital setting
Ability to work independently on assigned projects and to recommend improvements to the process to medical and hospital staff
Excellent organizational, written and verbal communication skills, and the ability to prioritize multiple work projects and tasks
Moderate keyboarding speed
Must be able to work effectively with common office computer software (such as Microsoft Office), the electronic medical records system, spreadsheets, graphical programs, and NSQIP database
Preferred
Master's preferred
CPHQ preferred
Pediatric experience preferred
Surgical Manager or Educator experience preferred
Statistical knowledge and previous statistical analysis preferred
Company
East Tennessee Children's Hospital
East Tennessee Children's Hospital is a comprehensive pediatric hospital providing compassionate care to children and their families.
H1B Sponsorship
East Tennessee Children's Hospital has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
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Trends of Total Sponsorships
2025 (2)
2024 (3)
2023 (4)
2022 (1)
2021 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
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