Welcome page Returning Candidate? Log back in! Manager Quality & Patient Safety - Fayette, AL Job Locations US-AL-Fayette ID 2024-9223 Category RN - Registered Nurse Position Type Regular Full-Time (72 to 80 hours bi-weekly) Overview

Under the direct supervision of the Corporate Director of Quality Management and dotted line to the FMC Administrator, this position will oversee the Quality Management Department activities in alignment with the Strategic Goals, Mission and Vision by providing for the following Scopes of Work:

Performance Improvement: Collection, analysis, data reporting and facilitation of PDSA/LEAN process for assigned Projects and Priority PI TeamsRegulatory Compliance: Serves as a resource to hospital and medical staff to assure compliance with TJC and other regulatory agency standardsOPPE/Peer Review: Management of metrics, profiles, and reports of ongoing provider performance and Peer Review; works collaboratively with multidisciplinary departments and physiciansQuality Projects: Abstraction, analysis, education and recommendations for CMS Core Measure ProjectsSafety: Responsible for the oversight of Midas and patient safety events. Conducts review of cases for Clinical Safety Committee and Root Cause Analysis investigations Responsibilities Collects and prepares data and reports for various committees in an appropriate and meaningful format.Reviews all Opportunities for Improvement (OFI) following core measure abstraction.Prepares annual Performance Improvement PlanCoordinates investigations of clinical quality issues, including Root Cause Analysis consistent with TJC standards and facility policy and maintains documentation of such Serves as the facility’s Joint Commission CoordinatorProvides direct oversight of regulatory readiness staff activitiesCoordinates the Medical Staff process for focused professional practice evaluations (FPPE) and ongoing professional practice evaluations (OPPE).Oversees the hospitals Patient Safety event reporting, data tracking, RCA investigations and follow up actions. Participates in disaster planning, drills & evaluations in collaboration with the Facility Disaster Coordinator Assist clinical leaders with ongoing competency assessment, as appropriate to scope of practice. Manages departmental budgetInterviews, selects, hires, and retains employee(s) within the departmentAssists in orientation and training for employees, including other management positionsExecutes progressive discipline up to and including terminationManages departmental productivity standardsProvides strategic leadership for department(s)Performs long range planning and overall direction setting at the departmental levelResponsible for development, implementation and interpretation of system policies within an organization as identified, requested or neededApproves payroll and is responsible for accurate payment of employeesAssures meeting/exceeding of DCH mission and vision and departmental goals

 

DCH Standards:

Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.Performs compliance requirements as outlined in the Employee HandbookMust adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.Requires use of electronic mail, time and attendance software, learning management software and intranet.Must adhere to all DCH Health System policies and procedures.All other duties as assigned. Qualifications Bachelor’s degree in Nursing required. Master’s degree in nursing, health administration, public health, or business administration preferred.  Minimum of 5 years clinical experience in a hospital setting. Quality Management experience desirable.Proficient in MS office products, MS Outlook, and Internet experience required.Must be able to read, write, and speak and comprehend English.Knowledge of regulatory standards and survey processes preferred

 

WORKING CONDITIONS

 

WORK CONTEXT

Interpersonal relationships:Frequent Physical Contact with others and communication by telephone and/or email.Frequently Lead/Work with other leaders and staff.Deal with external customers.Occasionally deal with Conflict Situations.

 

Physical work conditions:Office setting with occasional exposure to patient care units.Offsite travel for meetings.At least quarterly environment of care rounds which may require ladder use to examine above ceilings and entering central plant with exposure to loud noise.Potential for exposure to human body fluids, hazardous conditions, radiation.Potential use of PPE and/or Specialized Hazmat Equipment.

 

Structural job characteristics:Frequent timed deadlines for meeting requirements.

 

PHYSICAL FACTORS

Ability: Ability of oral and written expression of information to others and ability for oral and written comprehension.Ability to quickly and repeatedly bend, stretch, twist, or reach out with your body, arms, and/or legs.Knowledge in problem solving.

 

Activities: Significant use of computer.Average motor coordination, manual and finger dexterity. Ability to push/pull file drawers.Significant degree of sitting, walking and standing.

 

Requirements: Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.

 

Must be able to perform the duties with or without reasonable accommodation.Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential.

 

OTHER JOB FACTORS

Deductive Reasoning, Oral & Written Comprehension.Adaptability/Flexibility, Dependability, Initiative, Integrity, & Independence Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs

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