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OverviewMarian Regional Medical Center , located in Santa Maria, CA, is nationally ranked among the top 10% in the nation for safety core measures in Cardiac Services and has the only comprehensive Cancer treatment and resource program from Los Angeles to San Francisco. In April 2012, Marian opened its doors to a brand new state-of-the-art facility which houses the latest technology to support excellent physicians and caregivers who deliver compassionate care each and every day. Marian's new hospital includes 191 beds, expanded and enhanced Emergency Department, Critical Care Unit, NICU and women's services.Marian is a Dignity Health member of the Central Coast, which also includes Arroyo Grande Community Hospital in Arroyo Grande, CA and French Hospital Medical Center in San Luis Obispo, CA. Dignity Health of the Central Coast is recognized for the highest quality hospitals, physicians from the top medical schools in the country, primary care offices to ensure access for all patients, premier ambulatory surgery centers, technologically advanced imaging centers, outpatient services and a comprehensive home health service; all recognized for quality, safety and service. Each hospital is supported by an active philanthropic Foundation to provide additional funding to support new programs and services, as well as to advance the community's access to health care.ResponsibilitiesPosition Summary: 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.Principal Duties and Accountabilities:
Assists in the design, planning, implementation and coordination of QM, PS and PI 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. peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review.
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.
QualificationsEducation and Experience:
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.
Licensure:
Current state license in a clinical field in state of practice. Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
Connect With Us!Not ready to apply, or can't find a relevant opportunity?to learn more about a career at Dignity Health and experience #humankindness.Equal OpportunityDignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, pleaseDignity Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request . We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).Dignity Health participates in E-verify. Employment Type Full TimeDepartment Quality ManagementHours / Pay Period 80Facility Marian Regional Medical CenterShift DayLocation SANTA MARIAState/Province CAStandard Hours 8:00 - 5:00Work Schedule 8 Hour
