Hello humankindness
Located conveniently in the heart of Phoenix, Arizona, St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a wide range of health, social and support services. Founded in 1895 by the Sisters of Mercy, St. Joseph's was the first hospital in the Phoenix area. More than 125 years later, St. Joseph's remains dedicated to its mission of caring for the poor and underserved.
U.S News & World Report routinely ranks St. Joseph's among the top hospitals in the United States for neurology and neurosurgery. In addition, St. Joseph's boasts the Creighton University School of Medicine at St. Joseph's, and a strategic alliance with Phoenix Children's Hospital.
St. Joseph's is consistently named an outstanding place to work and one of Arizona's healthiest employers. Come grow your career with one of Arizona's Most Admired Companies.
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For the health of our community ... we are proud to be a tobacco-free campus.
Responsibilities
As our new Quality and Patient Safety Program Manager (licensed), you will 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. Will handle patient sensitive and confidential hospital information.
- 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.
- Directs programs involving risk mitigation/management and initiatives related to providing safer care to patients. This position is responsible for providing information to various key stakeholders on the progress and status of described programs/initiatives.
- Oversees the implementation of compliance policies and procedures to ensure that they meet organizations compliance requirements. Has management responsibility and accountability for the hospital's overall compliance with regulations from The Joint Commission, Department of Health Services, CMS and other regulatory agencies.
- Oversees the events, reporting, process, root cause analysis, and event investigation/review. Participates in system office initiatives and programs to mitigate risks identified at other hospitals resulting in reduced costs and adverse patient outcomes.
- Receives and oversees responses to patient complaints and investigates to solve issues promptly. Acts as an intermediary between patients, staff and family to provide clear communication between all parties regarding any outstanding issues.
Qualifications
- Bachelors 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.).
- Three (3) years clinical experience in an acute care setting.
- 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.
- Medical/Dental/Vision Insurance (no premium option for employee benefits)
- Flexible spending accounts
- Matching 403(b) retirement program
- Fully Funded Pension Plan
- Paid Time Off (PTO)
- Tuition Reimbursement
- Mental Health Benefit
- Employee Life Insurance
- Annual Performance Bonus potential
Pay Range
$40.66 - $58.96 /hour