- Assignment Category: Full Time
The Manager of Quality Improvement assists the DCQI in the operations of the hospital's Quality / Performance improvement program. Supports quality and process improvement efforts identified in the hospital. Responsible for data tracking/collection and trending. Coordinates, assists and advises on a variety of meetings, seminars, services and/or programs related to the overall Quality / Performance Improvement program. Coordinates hospital wide performance improvement activities under the direction of the DCQI.
Responsibilities
- Facilitate quality improvement projects using evidence-based methodologies and performance improvement tools.
- Monitor organizational quality metrics and identify opportunities for improvement.
- Facilitate development, implementation, and evaluation of corrective action plans.
- Support Quality Assessment and Performance Improvement (QAPI) activities.
- Assist departments in achieving quality and patient safety goals.
- Analyze clinical performance data and identify trends, risks, and improvement opportunities.
- Develop and maintain quality dashboards and scorecards.
- Collaborate with operational leaders to improve outcomes related to mortality, readmissions, hospital-acquired conditions, and patient experience.
- Ensure timely and accurate reporting of quality measures.
- Promote a culture of safety and high reliability.
- Support ongoing readiness for CMS, state, and accreditation surveys.
- Monitor compliance with regulatory and accreditation standards.
- Facilitate survey preparation, mock surveys, and corrective action plan development.
- Provide education regarding regulatory and accreditation requirements.
- Present quality and patient safety data to committees and leadership teams.
- Facilitate interdisciplinary teams focused on quality improvement initiatives.
- Support medical staff quality and peer review activities
Qualifications
Special Skills
- Knowledge of CMS Conditions of Participation and accreditation standards.
- Understanding of quality improvement methodologies (PDSA, Lean, Six Sigma).
- Strong analytical and data interpretation skills.
- Experience with quality reporting systems and dashboards.
- Excellent communication and presentation skills.
- Ability to lead multidisciplinary teams and influence change.
- Strong project management and organizational skills.
Minimum Requirements
Preferred Requirement:
Experience: 1 year as a hospital Quality Manager
Certifications/Licensure: Registered Nurse, CPHQ, CPPS, HACP-CMS
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About Us
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Abrazo Central Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At Abrazo Central Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
