CommonSpirit Health · 7 hours ago
Manager Quality Patient Safety
CommonSpirit Health is dedicated to providing high-quality healthcare services, and they are seeking a Manager of Quality Patient Safety. The role involves coordinating quality management, patient safety, and performance improvement activities while ensuring compliance with regulatory standards and enhancing patient care outcomes.
Health CareMedicalNon Profit
Responsibilities
Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement
Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures
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
Provides consultation and assists physicians, ancillary and nursing departments with regulatory compliance issues
Supports implementation of regulatory initiatives
Oversees the events reporting process, root cause analysis, and event investigation/review
Supports and encourages harm reporting throughout the organization through a non-punitive just event reporting system
Participates in system office initiatives and programs to mitigate risks identified at other hospitals, resulting in reduced costs, adverse patient outcomes and ultimately safer patient practices/care
Prepares and presents informative and actionable patient safety reports (to include patient's story of harm) to appropriate committees to include high level presentations to leadership, Medical Executive Committee and The Board
Coordinates the requests from the system office claims team (related to litigated claims) and collaborates with other key stakeholders to implement learnings from claims
Coordinates all legal documents related to hospital liability, including the management of subpoenas, Summons and Complaints and other related activities
Educates and trains staff and physicians in quality improvement including the aggregation and analysis, action planning and reporting of performance data
Provides patient safety education at new hire orientation and ongoing to leaders, clinician presentations (e.g. event reporting expectations, culture of safety, patient safety initiatives, etc.)
Qualification
Required
Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree
Minimum of three (3) years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization's Quality Improvement Program including quality improvement methodology and data analysis
Minimum of three (3) years of risk management, patient safety and/or other related professional experience
Experience developing and implementing clinical, service and operational process improvement initiatives
Minimum of two (2) years of clinical, patient care experience or equivalent
Current state license in a clinical field; 5 (five) years' experience in Quality Management can be used in lieu of state license
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
Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN)
Current knowledge of data reporting and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.)
Understands the importance of striving toward a zero defect goal and ability to establish methods and metrics that deliver targeted standards for products and services
Company
CommonSpirit Health
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.
H1B Sponsorship
CommonSpirit Health 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)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (12)
2024 (5)
Funding
Current Stage
Late StageLeadership Team
Recent News
2026-01-20
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2026-01-20
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