**Overview**

As our Quality-Patient Safety Program Manager, you'll lead ongoing quality improvement initiatives that collaborate with many healthcare professionals.

The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and will handle patient sensitive and confidential hospital information.

Each day you'll make data-driven decisions to ensure our patients continuously receive high-quality care resulting in positive outcomes. In this clinical leadership role, you'll analyze data and implement different strategies for performance improvements, quality outcomes, risk reduction/mitigation, patient safety, and infection control, to name a few.

To be successful in this role, you'll apply your experience in nursing, operations, data analysis, and/or technology to build on our culture of continuous improvement. Your project management skills will ensure our teams continue moving forward with current initiatives.

**Benefits:**

While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!

**About Us:**

CHI Mercy Health Valley City, part of CommonSpirit Health, has been a part of the Valley City community since 1928 when it was founded by the Sisters of Mercy. Their vision was to build healthier communities through a healing ministry. Over the years we’ve progressed to meet the needs of the community. We are always here for you to keep your medical needs close to home and convenient. We are always just down the road and have offered services for decades.

**Responsibilities**

+ Assists in the design, planning, implementation and coordination of Quality Mgmt., Patient Safety and Performance Improvement activities for assigned hospital 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, patient safety and risk reduction, patient experience, efficiency, FMEAS, and root cause analyses and medical staff improvement (e.g. OPPE, FPPE).

+ Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.

+ Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.

+ Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.

**Qualifications**

+ Bachelor's Degree or five (5) years of related job or industry experience in lieu of degree.

+ One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting.

+ Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within two (2) years of employment is required.

**Pay Range**

$26.51 - $38.44 /hour

We are an equal opportunity/affirmative action employer.