Clinical Quality Manager

Position Summary
The Quality Manager provides a critical leadership role within National Jewish Health managing the development and implementation of comprehensive quality and safety programs across the continuum of care within the NJH institution and services. This position ensures the development implementation and evaluation of quality related policies practices and programs and is accountable for the management and implementation of quality programs including reporting of quality and patient safety metrics reporting of clinical and outcome data regulatory compliance and education and training on best practices.

Essential Duties

1. Manages and develops an effective staff: providing effective communication leadership guidance and resources. Determines staff qualifications and competency: recruits interviews selects hires trains orients mentors evaluates coaches counsels disciplines and rewards. Establishes and monitors staff safety and regulatory compliance.
2. Ensures implementation maintenance and evaluation of efficient integrated hospital-wide quality improvement regulatory readiness and patient safety programs engaging stakeholders of all types to improve organizational performance and using evidence-based practice based on available data.
3. Functions as a resource for leadership and medical staff in regards to improving hospital performance. Provides leadership for and reporting of board leadership medical staff nursing and employees in planning design implementation and maintenance of systems that enable the hospital to meet new and/or mandated regulations related to quality public reporting CMS and others.
4. Coordinates and monitors efforts of various departments related to compliance with mandated regulations such as never events. Develops and maintains dashboards for ongoing monitoring of quality and patient safety.
5. Coordinates Patient Safety activities with Risk Management activities including data collection analysis reporting improvement activities and follow-up related to quality and patient safety adverse events. Oversees Patient Advocates and complaints and grievances process. Ensures peer review completed for sentinel and adverse events. Develops annual patient safety plan and key performance indicators for the Board Quality Committee and the Operating Plan.
6. Reviews and utilizes information from internal and external reporting programs. Participates in the development of performance metrics internally and as requested by external agencies. Develops and maintains a mechanism for internal and external communication of quality and patient safety related information.
7. Reports to the governing body the hospitals performance on key quality indicators that include patient safety clinical excellence patient satisfaction regulatory readiness etc.

Competencies

1. Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
2. Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures processes requirements or cultures.
3. Business Acumen: Using economic financial market and industry data to understand and improve business results; using ones understanding of major business functions industry trends and own organizations position to contribute to effective business strategies and tactics.
4. Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
5. Managing Work and Time/Project Management: Effectively managing ones time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities resource availability and other project requirements (i.e. budget); effectively evaluates planned approaches determines feasibility and makes adjustments when needed.
6. Peer Relationships: Interacts with others in a constructive positive and respectful manner regardless of individual differences. Assists team members or co-workers in achieving personal goals and completing assignments.
7. Talent Management for Leaders: Clearly establishes and communicates expectations and accountabilities; monitors and evaluates performance; provides effective feedback and coaching; identifies development needs and helps employees address them to achieve optimal performance.

Supervisory or Managerial Responsibility
Manages 1-10 employees

Travel
None

Core Values

1. Be available to work as scheduled and report to work on time.
2. Be willing to accept supervision and work well with others.
3. Be well groomed appropriately for your role and wear ID Badge visibly.
4. Be in compliance with all departmental and institutional policies the Employee Handbook Code of Conduct and completes NetLearning by due date annually.
5. Promotes a workplace culture based on mutual respect and merit where all individuals are treated fairly and provided with equal opportunity to contribute to the mission and goals of the institution.
6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
7. Wears appropriate PPE as outlined by the infection control policies and procedures.
8. Demonstrates compliance with all state federal and all other regulatory agency requirements.

Minimum Qualifications

1. Education: Bachelors degree in a health-care-related field or science is required.
2. Work Experience: A minimum of 5 years of recent and relevant experience in the QI/PI or medical field required and 1 year of leadership experience required.
3. Special Training Certification or Licensure: National Quality and Safety Certifications are preferred.

Salary Range: $95000 - $115000

Benefits
At National Jewish Health we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care our employees are our greatest asset. With that in mind we have designed a valuable comprehensive benefits package to meet the needs of our employees and their families.

• Comprehensive Medical Coverage:Multiple Cigna health plans for Colorado regional office and remote employees. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) available to pair with some plans.
• Paid Time Off:Generous PTO accruals to use for vacation and sick days and six paid holidays all compliant with Colorado state sick leave regulations.
• Dental & Vision Plans:Coverage effective the first of the month after hire.
• Retirement Savings:403(b) plan with employer contributions after two years.
• Wellness Incentives:Earn up to $200 annually for preventive health activities.
• Tuition Reimbursement:Up to $5250 annually for full-time and part-time employees.
• Child Care Assistance:Childcare Flex Spending Account (FSA) with annual employer contribution.
• Loan Forgiveness:Public Service Loan Forgiveness (PSLF) eligible employer.
• Disability & Life Insurance:Employer-paid plans and optional buy-up choices.
• Voluntary Benefits:Full suite of coverage options such as Accident Hospital Indemnity and Legal Plan
• Exclusive Discounts:Savings on local services insurance and RTD bus passes.

Application Deadline:This position will be open for a minimum of three days and until a top applicant is identified.