**Overview** Hello humankindness (https://hellohumankindness.org/) Located conveniently in the heart of Phoenix, Arizona, (http://phoenix.gov/visitors/index.html) 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. We are extremely proud to be a nationally recognized center for quality quaternary care, medical education and research. St. Joseph's includes the internationally renowned Barrow Neurological Institute (https://www.barrowneuro.org/) , Norton Thoracic Institute (https://www.dignityhealth.org/arizona/norton-thoracic-institute) , Cancer Center at St. Joseph's (https://www.dignityhealth.org/arizona/locations/stjosephs/services/university-of-arizona-cancer-center) , Ivy Brain Tumor Center (https://www.ivybraintumorcenter.org/) , and St. Joseph's Level I Trauma Center (https://www.supportstjosephs.org/traumacenter) (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics, neuro-rehabilitation, orthopedics, and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s. _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 (http://www.bestcompaniesaz.com/) . Look for us on Facebook (http://www.facebook.com/DignityHealthStJosephsHospitalMedicalCenter) and follow us on Twitter (https://twitter.com/DignityHealthAZ) . _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** **Minimum Education and Experience Required:** + 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. **Minimum Licensure Required:** + 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. **We offer great benefits to support you and your family, including:** + 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 + Eligible for annual incentive pay based on company performance + Relocation assistance if applicable + Dignity Health now offers an Education Benefit program for benefit-eligible employees in Arizona. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Advanced Practice Providers and Faculty Physicians can receive up to $90,000 if full-time and hired within a year of completing their residency or fellowship. Part-time providers can receive up to $45,000. Join our team at Dignity Health to take advantage of this amazing opportunity! \#LI-DH **Pay Range** $40.66 - $58.96 /hour We are an equal opportunity/affirmative action employer.