QUALITY MANAGER

Job Summary:

• **This position is eligible for a Retention and Relocation Incentive of up to $20,000***
• **New compensation updated to 110K-132K***

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. If supporting the Primary Stroke Center (PSC) Program: Serves as the DNV PSC subject matter expert Coordinates and facilitates the DNV PCS Survey Facilitates the PSC committee and drives program performance improvement Abstracts chart data or validates third party abstraction and maintains stroke registry Collaborates with education or others to provide stroke-related education Collaborates with the stroke program medical director for community education Maintains nursing competencies, as appropriate. If supporting the Hip and Knee Replacement Program (HKRP): Serves as the DNV HKRP Certification subject matter expert Coordinates and facilitates the DNV Hip HKRC Survey Collaborates Ortho Nurse Navigator to coordinate the HKRP committee Abstracts chart data or validates third party abstraction and maintains HKRP registry Collaborates with education or others to provide HKRP-related education 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 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 Integrity Collaboration Excellence 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 - $109,521.76 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! #J-18808-Ljbffr St. Joseph Hospital