RN - Quality Program Manager

Description : RN - Quality Program Manager . Company : CHI Franciscan St. Joseph Medical Center . Location : Tacoma, WA, US

Overview :

CHI Franciscan has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound.

We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families.

We believe this three-part approach - physical, emotional, and spiritual - is essential to healing the whole person. Come join our team!

Job Summary :

The Quality Program Manager is responsible for planning, implementing and evaluating evidence-based clinical quality management / improvement plans / programs / initiatives for the assigned CHI Franciscan facility or regional program (e.

g. Leapfrog) designed to achieve measurable improvements in patient perception / safety, utilization of clinical resources and sustained achievement of desired clinical outcomes.

The duties focus on all aspects of quality process improvement and is conducted in accordance with professional standards, organizational objectives and applicable regulatory / accreditation requirements.

This role collaborates with physicians, management / staff and clinical service lines in carrying out performance improvement projects / initiatives relating specifically to quality management / reporting, and monitors quality indicators / results to identify / address weaknesses and recurring variances from established standards.

  • The responsibilities of this position includes overseeing various multi-disciplinary teams, providing support, expertise and guidance in : 1) the application of accepted clinical quality improvement methodologies / tools;
  • 2) data collection and statistical / operational analysis; 3) risk assessment and outcomes measurement; 4) evidence-based best practices research;
  • 5) documenting and implementing process improvements; and 6) evaluating desired vs. actual clinical effectiveness of performance improvement efforts.

    The role requires considerable knowledge of quality objectives / indicators and related quality improvement concepts, methodologies and tools.

    Considerable understanding of the importance of data to performance improvement processes (e.g. establishing baseline, providing objective measurement, determining the degree of the problem, showing variation / causes of variation, identifying root causes, developing appropriate solutions, etc) is also required.

    Duties performed involve weighing and evaluating many factors requiring judgment, analytical ability and problem-solving in dealing with complex data and situations.

    Essential Job Functions :

  • Manages, implements and evaluates approved quality-related programs / initiatives for an assigned facility or regional quality-related program (e.
  • g. Leapfrog) to ensure that all activities are conducted in a timely and cost-effective manner, and in accordance with organizational values, professional standards, internal policies and procedures and applicable legal / regulatory requirements.

  • Monitors and assesses current standards, procedures and outcomes to identify opportunities and provide recommendations for quality-related performance / process improvement initiatives.
  • Provides professional consultation and / or manages / facilitates site-based performance improvement teams convened to address and develop solutions to clinical or operational quality-related objectives, challenges and new regulatory requirements.
  • Serves as the primary quality contact for the assigned facility or regional quality program for regulatory site-visits (e.
  • g. TJC) or audits (e.g. Leapfrog); supports compliance with applicable legal and regulatory agreements, standards and requirements.

  • Performs related duties as required.
  • Qualifications

    Education / Work Experience Requirements :

  • Bachelor's degree in healthcare administration, nursing or other healthcare-related field, and five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge.
  • A minimum of three years in a lead or management role is strongly preferred.

  • Master's degree in a healthcare discipline is strongly preferred.
  • NOTE : If qualified under licensure other than RN, the education level prescribed by the specific licensure is required.

    Licensure / Certification :

  • Current licensure as a Registered Nurse by the Washington State Board of Nursing, OR
  • Licensure as a registered pharmacist by the Washington State Board of Pharmacy, OR
  • Current licensure as an Advanced Registered Nurse Practitioner, OR
  • Current license as a Physician Assistant.
  • Certification as a Certified Professional in Healthcare Quality (CPHQ) is strongly preferred.
  • Equal Opportunity

    CommonSpirit Health is an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

    External hires must pass a post offer, pre-employment background check / drug screen. Qualified applicants with an arrest and / or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request.

    We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

    CommonSpirit Health participates in E-verify.