Clinical Quality Improvement Manager Full Time Days BHS

POSITION SUMMARY

Coordinates and manages the development, implementation, and maintenance of system and facility quality improvement analytics and reporting. Responsible for coordination of processes for data capture and reporting (to include presenting) related to various service lines as assigned. Coordinates and manages just-in-time education and facilitation of quality improvement projects. Activities are coordinated in conjunction with regulatory compliance and patient safety efforts. Completes established competencies for the position within designated introductory period. Other related duties as assigned.

POSITION QUALIFICATIONS

MINIMUM EDUCATION: Bachelor’s degree from an accredited college or university in Business, Information Systems or Management, or Healthcare related field and/or equivalent experience in hospital quality improvement activities.

PREFERRED EDUCATION: Master’s degree from an accredited college or university in Business, Information Systems or Management, or Healthcare related field and/or equivalent experience in hospital quality improvement.

MINIMUM EXPERIENCE: 3 years in the healthcare industry with minimum of 1 year working with automated systems to extract and analyze data as it specifically relates to quality improvement and outcomes. Demonstrates a working ability with common healthcare terminology. Possesses or develops ability with specific tools and software needed to perform assigned tasks. Able to apply analytical skills in the development of reporting and data extracts using Microsoft Office products. Possesses working knowledge of project management concepts.

PREFERRED EXPERIENCE: 5 years in the healthcare industry with a minimum of 2 years working with automated systems to extract and analyze data. Knowledge of patient care environment and in-depth knowledge of hospital processes as they relate to quality improvement and care redesign. Has working knowledge of Unix and SQL.

 

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. 

This individual's responsibilities include the following activities:
a) Coordinating integration and management of the Quality / Performance Improvement Program with the guidance of the DCQI to meet regulatory requirements including Joint Commission and state statutes, to identify performance improvement opportunities to enhance the organization's outcomes.
b) Carries out assignments as delegated by the DCQI, and coordinates reports, correspondence, and information as needed.
c) Collaborates with the department directors to compile and generate reports for analysis and interpretation for the Quality / Performance Improvement department / Committee.
d) other duties as assigned.

Education:

Required: Registered Professional Nurse (RN) with a bachelor’s degree or higher in a patient care-related field.

Experience:

Required: 3 years of experience in QA/PI

Certifications:

Required: Must be currently licensed, certified, or registered to practice profession as required by law, regulation in the state of practice, or policy.
Preferred: CPHQ or other certification in Healthcare Quality

Physical Demands:

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We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
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