Quality Manager- RN
South Central Regional Medical Center
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
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