Manager - Bone and Marrow Transplant Quality - FT - Days - MHW

Location Pembroke Pines, Florida Summary Establishes and maintains systems to review, modify and approve all standard operating procedures of the BMT Program to monitor performance and compliance with the Foundation of Accreditation of Cellular Therapy (FACT) and other industry standards. In collaboration with the BMT Program Manager, the BMT QAPI Coordinator will assist with attaining and retaining FACT accreditation, development and revision of transplant treatment plans, and assist in quality improvement initiatives. Responsibilities Assists with preparation of required records and reports for inspections. Serves as a resource to the BMT staff, nursing and ancillary departments. Performs a comprehensive quality audits quarterly and reports to appropriate parties and BMT Quarterly Management Committee on the overall performance against national targeted benchmarks. Identifies trends and deviations and helps to outline actions to provide optimal outcomes. Monitors Performance Improvement initiative. Demonstrates effective working relationships among departments to achieve desired outcomes as evidenced by facilitation of multidisciplinary approach to Quality Management. Works with BMT physicians, leadership and operational personnel to develop and implement best practice guidelines & protocols, and to ensure the electronic medical record supports the quality and best practice initiatives. Functions as the BMT Quality and PI Manager and establishes and maintains systems for reviewing, modifying, and approving all policies and procedures of the Bone and Marrow Transplant Program (BMT) ensuring compliance with all regulatory and accrediting agency requirements including Joint Commission, FACT, AABB and FDA. Performs scheduled and unscheduled quality audits, analyzes outcome and process indicators, generates quality improvement reports, reviews with appropriate management, and makes recommendations based on results. Participates in and guides data collection for analyses of effectiveness of BMT program and patient care delivered. Collaborates with the Office of Human Research to ensure accurate data submission to the Center of International Blood and Marrow Transplant Research (CIBMTR). Competencies

ACCOUNTABILITY

CLINICAL POLICIES AND STANDARDS

CUSTOMER SERVICE

EFFECTIVE COMMUNICATION

EVIDENCE-BASED PRACTICE

KNOWLEDGE OF DISEASE PROCESS

PATIENT AND FAMILY CENTERED CARE

PATIENT SAFETY - NURSING

RESPONDING TO CHANGE

STANDARDS OF BEHAVIOR

Education and Certification Requirements Bachelors (Required) Bone Marrow Transplant Certified Nurse (BMTCN) - Oncology Nursing Certification Corporation (ONCC) Oncology Nursing Certification (ONC) - Oncology Nursing Certification Corporation (ONCC) Registered Nurse License (RN LICENSE) - State of Florida (FL) Additional Job Information Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must have knowledge of all regulatory requirements related to Bone Marrow Transplant. Effective organizational skills and the ability to handle multiple projects. Required Work Experience: 3 years of experience in health care outcomes or quality. One year of experience with marrow and stem cell transplantation. Additional Education Info: Nursing or in a Related Field Working Conditions and Physical Requirements Bending and Stooping = 60% Climbing = 0% Keyboard Entry = 80% Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 60% Lifting or Carrying 0 - 25 lbs Non-Patient = 60% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 60% Pushing or Pulling 26 - 75 lbs Non-Patient = 0% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 0% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 80% Running = 0% Sitting = 80% Squatting = 0% Standing = 80% Walking = 80% Audible Speech = 80% Hearing Acuity = 80% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 80% Distinguish Color = 80% Seeing - Far = 80% Seeing - Near = 80% Bio hazardous Waste = 60% Biological Hazards - Respiratory = 60% Biological Hazards - Skin or Ingestion = 60% Blood and/or Bodily Fluids = 60% Communicable Diseases and/or Pathogens = 60% Asbestos = 0% Cytotoxic Chemicals = 60% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 60% Hazardous Medication = 60% Latex = 60% Computer Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 60% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 40% Shift Primarily for office workers - not eligible for shift differential Equal Opportunity Employer Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. Veteran’s Preference We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment Conditions Employment is subject to post offer, pre-placement assessment, including drug testing. Accommodation During Application Process If you need reasonable accommodation during the application process, please call View phone number on click.appcast.io (M-F, 8am-5pm) or email View email address on click.appcast.io #J-18808-Ljbffr Dormont Manufacturing Co