QUALITY MANAGER

Job Summary:

Essential Duties and Responsibilities

Supports and promotes the mission and values of Covenant Health Ministry.

Supports and leads team in the accreditation and certification programs.

Applies time management and flexibility to meet the needs of the organization.

Analyzes and reports quality data internally and externally.

Uses analytical data management skills to promote patient safety and performance improvements.

Facilitates meetings and multidisciplinary teams to ensure participation of team facilitation skills and change management processes to engage others in support of the changes required to achieve performance improvement outcomes.

Identifies and mitigates barriers that impede sustainable change.

Demonstrates and teaches others the principles of performance improvement.

Uses a range of quality improvement tools and techniques to evaluate and successfully redesign processes toward improved performance.

Accesses and uses resources to demonstrate current / best practice, identify opportunities for improvement, and leads efforts toward improved outcomes.

Advises on future data and information needs and resources to support performance and process improvement initiatives.

Participates in DNV Hospital Accreditation, other regulatory surveys, and the hospital’s survey readiness program

Serves as a partner, teacher, and coach with assigned customer base.

Other duties as consistent with this role.

Job Requirements

Job Knowledge and Skills

Experience with Regulatory and Accrediting bodies.

Current computer skills, graphics, spreadsheets, and presentation software.

Quantitative and analytic skills relevant to the role.

Current knowledge of clinical processes and operations in a health care system

Critical thinking and communication skills

Project management knowledge and skills

Education and Experience

NH Registered Nurse license preferred

Hospital Quality / Performance Improvement / Patient Safety experience required

Five years of clinical experience preferred

BS or BA strongly preferred

CPHQ certification preferred, or eligible to obtain within 1 year

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

** DNV Stroke Coordinator requirements

Quality management or Quality Improvement experience preferred.

Supports and promotes the mission and values of Covenant Health and the Catholic Health Ministry

Serves as the DNV Primary Stroke Certification (PSC) subject matter expert

Coordinates and facilitates the DNV Primary Stroke Certification Survey

Ensures successful recertification surveys and accurate, timely post-survey activities.

Facilitates the PSC committee and drives program performance improvement to meet the requirements of the certification program

Abstracts chart data or validates third party abstraction and maintains stroke registry

Uses data management skills and the use of analytical and statistical tools to promote patient safety and process improvements

Utilizes resources to ensure policies and procedures related to the stroke program are evidence-based and demonstrate best-practice

Develops, facilitates, or collaborates with education or others to provide stroke-related education to staff, providers and others to meet the PSC education requirements

Participates in the formal orientation and training of new staff members and providers related to the stroke program

Collaborates with the stroke program medical director and/or stroke team to provide stroke-related community education to meet or exceed the PSC requirements

Demonstrates critical thinking and problem-solving skills related to tele-stroke

Maintains nursing competencies, as appropriate, to meet or exceed PSC requirements and to support the patient care team

** DNV Hip & Knee Coordinator requirements

Quality management or Quality Improvement experience preferred.

Supports and promotes the mission and values of Covenant Health and the Catholic Health Ministry

Serves as the DNV Hip and Knee Replacement Program Certification (HKRPC) subject matter expert

Coordinates and facilitates the DNV Hip and Knee Replacement Certification (HKRC) Survey

Ensures successful recertification surveys and accurate, timely post-survey activities.

Collaborates with Surgical Services Director or designee to ensure the HKRP committee meets routinely, and HKRP performance improvement indicators meet the requirements of the certification program

Abstracts chart data or validates third party abstraction and maintains HKRP registry

Uses data management skills and the use of analytical and statistical tools to promote patient safety related to the Hip and Knee Replacement Program (HKRP) and process improvements

Utilizes resources to ensure policies and procedures related to the HKRP are evidence-based and demonstrate best-practice

Develops, facilitates, or collaborates with education or others to provide HKRP-related education to staff, providers and others to meet the HKRC education requirements

Participates in the formal orientation and training of new staff members and providers related to the HKRC

Collaborates with the HKRP team to provide stroke-related community education to meet or exceed the HKRC requirements

Demonstrates critical thinking and problem-solving skills related HKRC

Maintains nursing competencies, as appropriate, to meet or exceed HKPC requirements and to support the patient care team

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values:

•Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

•Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

•Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

•Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).

Comp Range: $73,014.51 - $100,552.37 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.

Our people make the difference. See firsthand what makes our employees and culture shine!