Quality Patient Safety Program Manager Licensed

Where You'll Work

Hello Humankindness

Join Siena Hospital: Impacting Lives, Locally and Nationally

At Siena Hospital, you'll become an integral part of Dignity Health Nevada, the only not-for-profit, faith-based healthcare system in the region. For over 70 years, guided by the Adrian Dominican Sisters' inspiring vision, we have proudly delivered compassionate, high-quality care to the Henderson and Las Vegas communities, always prioritizing the needs of the underserved.

Our modern Siena Campus, a 326-bed acute care hospital, opened in 2000. It significantly expanded the vital services initially established by our Rose de Lima Campus, effectively meeting the evolving healthcare needs of our growing community.

Your impact, however, extends far beyond our local communities. We are also a proud member of CommonSpirit Health, a national leader operating over 2,200 care sites across 24 states. This vast network provides unparalleled opportunities for professional growth, continuous learning, and making a profound difference on a grander scale, collectively impacting nearly 1 in 4 U.S. residents.

If you are driven by an unwavering commitment to social justice, passionate about achieving health equity for all, and eager to contribute your talents to new, innovative ways of delivering compassionate care within a deeply collaborative and supportive environment, then your search ends here. Welcome to Siena - and welcome to a career of meaningful impact.

Job Summary and Responsibilities

As our Quality Patient Safety Professional, you will develop, implement, and monitor programs to enhance patient safety and drive continuous quality improvement.

Every day you will conduct risk assessments, analyze adverse events, identify root causes, and recommend evidence-based strategies. You will also collaborate with clinical teams and regulators, providing education and guidance on best practices.

To be successful in this role, you must demonstrate a comprehensive understanding of patient safety principles, quality improvement, and healthcare regulations. Your analytical skills, attention to detail, and ability to influence change will be crucial for fostering a culture of safety and achieving exceptional patient outcomes.

• Assists in the design, planning, implementation and coordination of Quality Management, 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, root cause analyses and medical staff improvement (e.g. case review for peer review, 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.
• *Reporting Structure may differ in Critical Access Hospitals,

Job Requirements

Required

• Three (3) years clinical experience in an acute care setting and
• One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
• Active RN license in good standing with the Nevada State Board of Nursing
• Active Nurse Practitioner license in good standing with the Nevada State Board of Nursing
• Dietitian: Nevada,or
• Pharmacist: Nevada,or
• Physical Therapist: Nevada, or
• Occupational Therapist: Nevada, or
• Speech Language Pathologist: Nevada, or
• Medical Radiographer: Nevada, or
• Respiratory Care Practitioner: Nevada, or
• Social Worker: Nevada, or
• Doctor of Medicine: Nevada, or
• Doctor Osteopathic Medicine: Nevada, and
• Certified Professional in Healthcare Quality, within 24 - months or
• Healthcare Quality Mgmt, within 24 - months or
• Cert Prof Healthcare Qual, within 24 - months