Job Summary: The Quality Manager plays a crucial role in supporting the operations of the quality department. This position involves managing the abstraction & reporting requirements for the organization, the service excellence program, & reportable events.  The Quality Manager reports directly to the Director of Quality & works within the organization to promote ongoing quality care & safety for patients & employees.

Job Duties & Responsibilities:

Oversee regulatory reporting including but not limited to: HCAHPS, STAR, NHSN/Infection Control, Inpatient & Outpatient Quality Measures, Leapfrog Hospital Safety Grade. Oversee collection & reporting of data to various programs to meet CMS requirements. Participate in all quality related committees and programs. Manage the staff & services provided by Quality Services. Monitor staff attendance & oversee resource allocation. Develop, implement, & enforce policies & procedures. Quality Council Committee: Meeting Facilitator, Scheduling, Minutes & Follow-up Develop & implement strategies to promote team morale & professional development. Identify, resolve & document issues timely. Remain informed of state & federal regulations related to healthcare, including nursing, & reporting requirements of & reporting schedule for various organizations. Function within RN scope of practice as outlined by the MS Board of Nursing, regulatory standards, & hospital policy & procedures. Collaborate with multidisciplinary teams throughout the organization to promote quality. Appropriately seeks help or guidance when needed from supervisor & other resources. Adapt to change & prioritizes work. Demonstrate reliable, timely attendance, with a willingness to be flexible as needed. Complete tasks & duties on time, willingly accept assignments & assist others as needed. Willing to be flexible with work schedule as needed. Establish a safe, supportive work environment that promotes teamwork. Assist in hiring, training, & evaluating staff. Ensure staff adherence to policies & procedures. Ensure that the staff follow local, state, & federal health regulations. May need to function as a bedside nurse in an emergency. Assist with other duties as assigned by the Director of Quality.

 

Essential Skill Competencies:     

Possess computer skills with applications of Microsoft Word, Excel, PowerPoint & web-based research. Effectively maneuvers the Electronic Health record to obtain information relevant to job duties. Possess ability to prioritize & carry out work duties independently & efficiently, self-directed & flexible. Process professional knowledge of health care services & complex hospital workflows & processes. Possess the ability to take direction & work well in groups & independently.

 

 

Education, Experience & Performance Requirements: 

Must have a current RN license from the Mississippi Board of Nursing. A minimum of three years of hospital acute care nursing experience is preferred. Must keep access to protected health information secure & confidential. Must have basic knowledge of Microsoft Excel, PowerPoint & Word. Must have diligence & the ability to multi-task in a fast-paced changing environment. Requirements that if not held at time of hire will be required after hire depending on class availability: TB Surveillance & Testing Certification (TBST) DOT Urine Drug Screening certification N95 Respirator Fit Test training

 

Exposure Classifications: Moderate exposure risk