Manager, Quality Improvement (On-site FT, Days, Exempt) Monterey Park Hospital

Overview

Monterey Park Hospital, a 101-bed acute care facility in the San Gabriel Valley of Los Angeles County, is seeking a Full-Time Quality Improvement Manager for our Quality Assurance Department. This position reports to the Chief Operating Officer. This is not a remote position.

Responsibilities

The Quality Improvement Manager is responsible for overseeing and facilitating comprehensive quality, safety, and risk management operations across the hospital. Key duties include managing FPPE, OPPE, and medical staff peer review activities to maintain provider competence and clinical standards; leading cross-functional Performance Improvement teams to achieve measurable patient safety and operational goals; and ensuring complete compliance with regulatory and external reporting requirements, including TJC Core Measures, Leapfrog, eCQMs, and CMS initiatives. Additionally, the role provides ongoing staff education and training on quality protocols, collaborates with department leadership on incident reporting and Root Cause Analyses (RCA), and analyzes clinical data to identify trends, mitigate risk, and drive continuous improvement.

Qualifications

Education: BS Degree in a related field or current CA RN Nursing license

Experience: 2 years of supervisory/management experience in a healthcare setting. Experience in quality management or 3 years of clinical experience - acute care preferred.