Manager Quality
Manager Quality
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Dignity Health Woodland Memorial Hospital is Yolo Countys largest health care provider serving the community since 1905. Woodland Memorial Hospital is a 108-bed acute care facility offering the most comprehensive range of health care services in Yolo County including inpatient and outpatient surgical services family birth center/labor and delivery emergency services home health services palliative care inpatient mental health services sleep disorders center and cancer care services. With strong ties to our community we believe in providing compassionate high-quality health care to you and your family close to home. Woodland Memorial Hospital is part of Dignity Health one of the nations largest health care systems with a 22-state network. For more information please visit our website here at Community. One Mission. One California
Responsibilities
Job Summary:
Responsible for the implementation and management of the Performance Improvement (PI) plan and maintaining compliance with Joint Commission and relevant State and Federal regulations related to quality monitoring and performance improvement. Oversees the day-to-day operations of the Quality Management staff.
Job Details:
Assists in the design planning implementation and coordination of Quality Management Patient Safety and Performance Improvement activities for the assigned hospital(s) and medical staff departments committees divisions service lines and functions.
Proactively coordinates and facilitates performance improvement teams to support key initiatives including but not limited to activities focused on clinical quality improvement.
Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP TJC Leapfrog etc. including data collection and reporting of process and outcome measures.
Maintains current knowledge of accreditation and licensing requirements and serves as a resource to staff on these regulations to improve outcomes management and ensure compliance.
Assists with regulatory readiness and survey preparation activities including mock survey tracers.
Provides consultation and assists physicians ancillary and nursing departments with regulatory compliance issues.
Supports implementation of regulatory initiatives.
Provides leadership to the Quality Management Department including hiring supervising and monitoring staff performance and productivity.
Contributes to the budgeting process.
Educates and trains staff and physicians in quality improvement including aggregation and analysis action planning and reporting of performance data.
Works in collaboration with hospital leadership and medical staff to meet goals established in the Performance Improvement plan.
Qualifications
Minimum Qualifications:
Required Education and Experience
Bachelors degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree
Minimum of three (3) years of progressive management responsibility in an acute care setting one (1) of which is related to managing an organizations Quality Improvement Program
Minimum of two (2) years of clinical patient care experience or equivalent
Experience with quality improvement methodology and data analysis
Experience developing and implementing clinical service and operational process improvement initiatives both small and large scale
Required Licensure and Certifications
Current state license in a clinical field; five (5) years experience in Quality Management can be used in lieu of state license
Certified Professional in Healthcare Quality (CPHQ) or Healthcare Quality and Management Certification (HCQM) or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required
Required Minimum Knowledge Skills Abilities and Training
Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma LEAN)
Current knowledge of data reporting and regulatory requirements for acute and ambulatory care services (e.g. state federal local regulations; Joint Commission etc.)
Understands the importance of striving toward a zero-defect goal and ability to establish methods and metrics that deliver targeted standards for products and services
Ability to manage collaboratively and coach others to achieve optimal performance; delegate effectively; praise/reward contributions; define clear roles and responsibilities; set goals and lead initiatives; adjust plans as necessary
Ability to anticipate recognize and deal effectively with existing or potential conflicts at the individual group or situation level; ability to apply this understanding appropriately to diverse situations
Supervisory and/or management experience
Ability to work well under pressure and respond to changing needs and complex environments
Excellent communication skills (oral and written) including presentation style and the ability to concisely present data to leaders clinicians and staff at all levels of the organization
Required Experience:
Manager
Employment Type
Unclear
