Quality Manager (RN)

Location 822 W 4TH ST, Leadville, CO, 80461-3861, United States Base Pay $90,000.00 - $145,000.00 / Year Job Category Quality Employee Type FT Exempt Contact Information Phone View phone number on click.appcast.io Quality Manager (RN) Full‑time, onsite position. Benefits Medical, dental, vision, paid time off, paid sick time, 403(b) retirement program, life insurance plans, shift differentials, workers' compensation. Application Deadline July 31 2026 About St. Vincent Health St. Vincent General Hospital District—commonly known as St. Vincent Health—serves the Leadville community as a critical‑access hospital, offering 24/7 emergency and ambulance services, primary and family medicine, specialty care, rehabilitation, imaging, occupational health, and sleep studies. The organization values teamwork, community impact, and a strong work–life balance. Requirements Bachelor of Science in Nursing (BSN) required Master's degree in Nursing, Healthcare Administration, Public Health, Quality Management, or related field preferred Graduate degree may be substituted for some years of experience at the discretion of St. Vincent Health Two years of progressive clinical nursing experience in an acute care hospital setting required Three years of healthcare quality, patient safety, performance improvement, regulatory compliance, accreditation, or risk management experience preferred Experience with Critical Access Hospitals, Rural healthcare, or CMS Conditions of Participation preferred Current BLS, ACLS, PALS certifications Certified Professional in Healthcare Quality (CPHQ) preferred Knowledge of CMS Conditions of Participation and Critical Access Hospital regulations Knowledge of accreditation standards with CMS Strong understanding of quality improvement methodologies including PDSA, Lean Six Sigma, and Root Cause Analysis Experience with healthcare quality metrics and publicly reported measures Ability to analyze clinical, financial, and operational data Knowledge of patient safety, infection prevention, risk management, and regulatory compliance Excellent written and verbal communication abilities Proficiency with electronic health records, data abstraction tools, and Microsoft Office applications Ability to facilitate interdisciplinary teams and physician engagement Summary The Quality Manager is responsible for planning, coordinating, implementing, and evaluating the hospital's quality improvement, patient safety, risk management, regulatory compliance, and performance improvement programs. This position collaborates with clinical and administrative leadership to ensure compliance with federal, state, accreditation, and Critical Access Hospital requirements. The Quality Manager promotes a culture of patient safety and continuous improvement while supporting data‑driven decision‑making throughout the organization. The role reports to the Chief Executive Officer. Key Responsibilities Develop, implement, and evaluate the hospital-wide Quality Assessment and Performance Improvement (QAPI) program. Maintain and update the SVH QAPI Plan annually. Monitor quality indicators, patient safety measures, and regulatory compliance requirements. Coordinate data collection, analysis, reporting, and submission of required quality measures. Facilitate performance improvement initiatives to enhance patient outcomes and operational effectiveness. Lead Root Cause Analyses (RCA), Failure Mode and Effects Analyses (FEMA), and corrective action plans. Support accreditation readiness and regulatory surveys. Serve as a resource for quality improvement methodologies and evidence‑based practice. Prepare reports and presentations for medical staff committees, leadership teams, and the governing board. Collaborate with department leaders to identify opportunities for improvement and develop action plans. Assist with risk management activities, occurrence reporting, and patient safety investigations. Manage quality review to ensure patient quality and safety is maintained. Provide quality data to the leadership team and board of directors as directed by the CEO. Assist in Peer Review Program as applicable and in collaboration with CEO and Chief of Staff. Provide training in quality assurance and performance improvement processes. Perform quality review for isolated and systemic processes. Review and conduct follow‑up for all patient complaints when not resolved by the department leader or when received via written communication. Report any patient grievances to the appropriate governing body. Support infection prevention, patient experience, and employee engagement initiatives. Maintain current knowledge of healthcare regulations, accreditation standards, and best practices. Participate in strategic planning and organizational performance improvement activities. Promote a culture of safety, accountability, and continuous improvement throughout the organization. #J-18808-Ljbffr Kids for the Future