<p>Job Requirements</p> <p>Position Summary</p> <p>Responsible for planning, directing, implementing, and coordinating the quality improvement process and goals.This role will work with Senior Leaders to promote a high reliability organization. Will lead clinical quality initiatives utilizing quality concepts, tools, and data.Maintains continuous awareness of patient safety and compliance with regulatory bodies. The manager has 24-hour responsibility as required for the job function and other duties assigned.</p> <p>Primary Accountabilities</p> <ul> <li>Provides direct guidance and support for the facility's quality initiatives in line with corporate strategies and external quality resources and national benchmarkdata. </li><li>Collaborate with clinical leaders and clinical staff to engage in process improvement. </li><li>Provides resources, support and information to department directors and clinical leaders via timely responses to requests. </li><li>Assesses and makes recommendations for improvement, as well as distributes information, plans of action, and oversees the ongoing improvements. </li><li>Facilitate the planning and implementation of strategies for the improvement of Patient Safety. </li><li>Responsible for the implementation and annual review of the Performance Improvement Plan </li><li>Overall coordination and integration with other departments that have a direct relationship to quality processes and strategies. </li><li>Facilitate the planning and organizing of new and revised measures ensuring compliance and implementation on schedule to avoid penalties and achieve the quality outcome goals. </li><li>Plans and coordinates regulatory compliance initiatives with accrediting bodies as appropriate. </li><li>Facilitates the Joint Commission survey in coordination with leadership. </li><li>Manages the flow of information into the Patient Safety Evaluation System (PSES) in accordance with the Health First PSES. </li><li>Facilitates FMEA process and reporting. </li><li>Provides direct guidance and support to the hospital based and medical staff quality committees, as needed. </li><li>Supports medical staff quality initiatives and guides performance improvement within the Peer Review guidelines set forth by Medical Staff Bylaws and the accreditation standards. </li><li>Maintains specific understanding of clinical and quality applications and utilizes application methodology and reports for outcome measurement (MIDAS, Trendstar, HBOC, SCM) </li><li>Remain on the forefront of emerging industry practices. </li></ul> <p>LEADERSHIP Accountabilities</p> <ul> <li>Manage selection, hiring, on-boarding and performance management of direct reports, including goal setting, coaching, developing and evaluating performance to increase workforce capability while achieving department objectives. </li><li>Communicate and comply with federal, state, governing regulatory and Health First policies and procedures, including by not limited to, people and systems, to minimize risk. </li><li>Monitor individual and department productivity and has authority to modify schedules and work assignments to ensure goals established by leader is met. </li></ul> <p>Work Experience</p> <p>MINIMUM QUALIFICATIONS</p> <ul> <li>Education: Bachelor's degree in Business, Healthcare or other information related field required </li><li>Licensure: N/A </li><li>Certification:N/A </li><li>Work Experience:Experience in Quality Management, robust process design, high-reliability outcomes required. Experience with implementing programs, managing people and projects across multiple skills and departments in a highly matrixed environment. </li><li>Knowledge/Skills/Abilities:Microsoft Office - Outlook, Word, Excel, PowerPoint, VISIO </li></ul> <p>PREFERRED QUALIFICATIONS</p> <ul> <li>Education: </li><li>Licensure: </li><li>Certification: </li><li>Work Experience:Three years in management role in healthcare environment </li><li>Knowledge/Skills/Abilities:Critical thinking, Decision-making, Financial acumen </li></ul> <p>PHYSICAL REQUIREMENTS</p> <p>Office Workers</p> <ul> <li>Must be able to stand, walk, bend and stoop for 50% of job. </li><li>Must be able to drive to other facilities unassisted. </li><li>Lifting 10 pounds or more is required only occasionally. </li><li>Must be able to tolerate long periods of computer time a day. </li></ul> <p>Benefits</p> <p>ABOUT HEALTH FIRST</p> <p>At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.</p> <p>Schedule : Full-Time</p> <p>Shift Times : variable</p> <p>Paygrade : 44</p>