Quality Manager

Job Summary Essential Duties and Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.
• Supports and leads team in the accreditation and certification programs.
• Applies time management and flexibility to meet the needs of the organization.
• Analyzes and reports quality data internally and externally.
• Uses analytical data management skills to promote patient safety and performance improvements.
• Facilitates meetings and multidisciplinary teams to ensure participation of team facilitation skills and change management processes to engage others in support of the changes required to achieve performance improvement outcomes.
• Identifies and mitigates barriers that impede sustainable change.
• Demonstrates and teaches others the principles of performance improvement.
• Uses a range of quality improvement tools and techniques to evaluate and successfully redesign processes toward improved performance.
• Accesses and uses resources to demonstrate current / best practice, identify opportunities for improvement, and leads efforts toward improved outcomes.
• Advises on future data and information needs and resources to support performance and process improvement initiatives.
• Participates in DNV Hospital Accreditation, other regulatory surveys, and the hospital’s survey readiness program
• Serves as a partner, teacher, and coach with assigned customer base.
• Other duties as consistent with this role.

• Experience with Regulatory and Accrediting bodies.
• Current computer skills, graphics, spreadsheets, and presentation software.
• Quantitative and analytic skills relevant to the role.
• Current knowledge of clinical processes and operations in a health care system
• Critical thinking and communication skills
• Project management knowledge and skills

• NH Registered Nurse license preferred
• Hospital Quality / Performance Improvement / Patient Safety experience required
• Five years of clinical experience preferred
• BS or BA strongly preferred
• CPHQ certification preferred, or eligible to obtain within 1 year

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

• Quality management or Quality Improvement experience preferred.
• Supports and promotes the mission and values of Covenant Health and the Catholic Health Ministry
• Serves as the DNV Primary Stroke Certification (PSC) subject matter expert
• Coordinates and facilitates the DNV Primary Stroke Certification Survey
• Ensures successful recertification surveys and accurate, timely post-survey activities.
• Facilitates the PSC committee and drives program performance improvement to meet the requirements of the certification program
• Abstracts chart data or validates third party abstraction and maintains stroke registry
• Uses data management skills and the use of analytical and statistical tools to promote patient safety and process improvements
• Utilizes resources to ensure policies and procedures related to the stroke program are evidence-based and demonstrate best-practice
• Develops, facilitates, or collaborates with education or others to provide stroke-related education to staff, providers and others to meet the PSC education requirements
• Participates in the formal orientation and training of new staff members and providers related to the stroke program
• Collaborates with the stroke program medical director and/or stroke team to provide stroke-related community education to meet or exceed the PSC requirements
• Demonstrates critical thinking and problem-solving skills related to tele-stroke
• Maintains nursing competencies, as appropriate, to meet or exceed PSC requirements and to support the patient care team

• Quality management or Quality Improvement experience preferred.
• Supports and promotes the mission and values of Covenant Health and the Catholic Health Ministry
• Serves as the DNV Hip and Knee Replacement Program Certification (HKRPC) subject matter expert
• Coordinates and facilitates the DNV Hip and Knee Replacement Certification (HKRC)…