Quality Manager

Position Summary: Oversees use and reporting of Quality Information to improve patient outcomes and fulfill regulatory requirements. Coordinates service improvement initiatives , measures the effectiveness of process improvements, and drives quality results that directly impact patient care and organizational success.

Critical Tasks:

• Assists in the development of clinical outcome measures, related tracking and monitoring systems and a mechanism to integrate efforts into organization-wide patient safety, accreditation, and care quality systems
• Coordinates quality survey activities and action plans
• Prioritizes, oversees, and assists with external quality and regulatory reporting including ORYX, MIPS, GPRA, MPQIP, and other programs
• Facilitates use of external quality and regulatory reporting to improve patient outcomes
• Defines program-specific objectives and establishes metrics, then regularly evaluates and reports on progress toward achieving program outcomes
• Develops organization’s Quality Plan in collaboration with GRHC Executive and Departmental Leadership.
• Actively participates in a variety of committees providing information, reports and recommendations relevant to care quality and patient safety
• Works closely and collaboratively with direct and ancillary patient care areas
• Collaborates with other departments to promote process improvement and outcome improvement strategies.
• Participates in departmental orientation, on the job training and quality improvement programs/initiatives
• Participates in a variety of department and hospital educational programs to maintain current skill and competency levels; identifies and discusses performance or training needs with Director

Required Qualifications:

• Bachelor’s Degree in Nursing, Health Administration, Public health or a related field required, Master’s degree preferred.
• Two years experience as quality manager, coordinator or equivalent
• Two years management experience
• CPHQ or CPPS preferred