Quality Manager
hace 1 mes
Altoona
Job Summary: The Quality Manager is responsible for leading and overseeing all aspects of quality management and performance improvement initiatives at OakLeaf Surgical. This position plays a crucial role in ensuring the delivery of high-quality patient care, compliance with regulatory standards, and continuous improvement of processes and outcomes. Essential Job Functions Strategic Functions: • Develop, implement, and manage a comprehensive quality management program tailored to the unique needs of OakLeaf Surgical., • Collaborate with departmental leaders to establish and maintain quality indicators, benchmarks, and performance metrics., • Facilitate performance improvement initiatives to enhance patient outcomes, patient safety, and overall efficiency., • Implement benchmarking activities to compare the hospital’s performance with industry standards. Operational Functions: • Monitor and evaluate clinical and non-clinical processes to identify opportunities for improvement., • Lead efforts to prepare for and participate in accreditation surveys, certification surveys, and regulatory audits., • Conduct root cause analyses, high priority reviews, and proactive risk assessments., • Build relationships with providers to ensure patient safety and regulatory compliance are followed., • Implement corrective action plans to address identified issues., • Utilize data analytics to assess and report on key performance indicators, trends, and areas for improvement., • Develop and present regular reports to hospital leadership, medical staff, and relevant committees., • Lead the education department to design and deliver training programs related to quality improvement, patient safety, and regulatory compliance., • Lead risk management to identify, assess, and mitigate potential risks to patient safety and quality of care., • Participate in the development and implementation of risk reduction strategies., • Foster collaboration and communication among various departments, medical staff, and other stakeholders to achieve quality improvement goals., • Chair and participate in Performance Improvement and Safety Committee., • Chair and participate in Administrative Policy Committee., • Chair and participate in Health Equity Committee., • Participate in the following committees: Emergency Management, Total Joint Certification, Educational Council, Antibiotic Stewardship, Utilization Management, and Water Management committees., • Oversee Infection Control and Employee Health program to ensure compliance with regulatory bodies., • Serves as a member of the Internal Review Board and the Medical Executive Committee, • Develops and implements solutions to meet the ongoing documentation requirements of the hospital while maintaining patient safety., • Stay informed about industry best practices and trends in quality management for surgical hospitals., • Completes annual review of assigned policies. Leadership Functions: • Direct, administer and manage the operations of assigned functions., • Assign tasks and review work of direct reports., • Monitor direct reports adherence to Hospital protocols and procedures., • Provide performance management directive including annual evaluations, coaching, development and corrective action., • Engage in staff development through education and training., • Ensure direct reports have adequate equipment and resources to carry out high quality patient care., • Ability to perform as administrator on-call rotation., • Ability to attend meetings outside of normal business hours as needed. Other duties as assigned. Knowledge Skills and Abilities: • Ability to take control of situations and dictate subordinate activities in a responsible manner., • Ability to instruct and train in policies and procedures., • Ability to prepare performance evaluations and make recommendations regarding unsatisfactory employees., • Ability to assign work, add or delete, plan work and establish priorities., • Ability to comprehend, retain and apply the requirements of any governmental or regulatory body., • Ability to exhibit strong communication, presentation and listening skills to ensure facility-wide collaboration and coordination., • Ability to build consensus and commitment among various stakeholders., • Ability to understand and address complex issues in the critical areas of healthcare, including but not limited to regulatory/legislative changes and physician partnerships., • Ability to maintain high ethical standards, integrity, and professionalism consistent with OakLeaf’s Customer Service Standards, • Ability to relate and work effectively with others. Equipment Knowledge Required: • Ability to operate various types of equipment – standard office equipment, computers, and intermediate knowledge of Microsoft Office and other programs as assigned., • Ability to use Electronic Medical Record system., • Other equipment could be required. Reasoning Ability: • Ability to define problems and deal with a variety of situations., • Ability to make decisions independently with strong decision-making capability., • Ability to think quickly, maintain self-control, and adapt to stressful situations., • Ability to use a fact-based approach to assessing and designing solutions. Language Skills: • Ability to exhibit excellent communication, presentation, and listening skills., • Ability to communicate effectively with other members of the staff, physicians, patients, and corporate partner., • Ability to develop, interpret and implement local policies and procedures; general correspondence; and Federal, State, and local regulations., • Ability to communicate in English in both written and verbal format. Mathematical Skills: Ability to perform intermediate mathematical calculations. Qualifications: • Demonstrates eligibility for employment in the U.S., • Bachelor’s degree in Nursing required., • Master’s degree in business, healthcare administration is preferred., • Five (5) or more years of healthcare experience required., • Registered Nurse licensure in the state of Wisconsin required., • Leadership experience preferred., • Intermediate experience in Microsoft Office required., • Certified Professional in Healthcare Quality (CPHQ) required within 24 months of hire date. Benefits: • Comprehensive health, dental, and vision insurance, • Health Savings Account with an employer contribution, • Company paid life insurance, • Free meals, • PTO, • 401(k) retirement plan with 4% company match, • Tuition reimbursement, • Wellness reimbursement Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the ___ notice from the Department of Labor.