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CommonSpirit Health

RN Quality Patient Safety Program Manager

CommonSpirit Health, Santa Cruz, California, us, 95061

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RN Quality Patient Safety Program Manager Join CommonSpirit Health as a

RN Quality Patient Safety Program Manager

to support quality management, patient safety, and regulatory performance improvement activities.

Job Summary and Responsibilities

SIGN-ON BONUS AND RELOCATION BONUS ELIGIBLE!

JOB SUMMARY / PURPOSE

The primary function of the Quality/Patient Safety Program Manager Clinical License is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.

ESSENTIAL KEY JOB RESPONSIBILITIES

Assists in the design, planning, implementation and coordination of quality management, patient safety and performance improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions.

Proactively coordinates and facilitates performance improvement teams to support key initiatives, including activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (e.g., case review for peer review, OPPE, FPPE).

Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures.

Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.

Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.

Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations to improve management of outcomes and ensure compliance.

Assists with regulatory readiness and survey preparation activities including mock survey tracers.

Job Requirements Minimum Qualifications

Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff with three (3) years clinical experience in an acute care setting.

Must be able to perform case reviews for medical staff peer review and medical and/or surgical registry abstraction.

One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.).

Required Licensure And Certifications

Current state license in a clinical field in state of practice.

Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within two years of employment.

Where You'll Work Dominican Hospital (a member of Dignity Health) is a 222-bed facility offering a wide range of services. It is a Certified Stroke Center and Chest Pain Center with high patient safety rankings.

Pay Range $62.58 - $93.09 per hour

Location Scotts Valley, CA

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