healthcare quality manager

Medical City Healthcare

<p></p><div><h5 class="jobSectionHeader"><b>Introduction</b></h5><p>
We are seeking a Nurse Manager of Quality with Medical City Alliance to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!</p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
Medical City Alliance, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing<br>
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)<br>
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock<br>
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.<br>
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more<br>
</li><li>
Consumer discounts through Abenity and Consumer Discounts<br>
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships<br>
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)<br>
</li><li>
Colleague recognition program<br>
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)<br>
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.<br>
</i></b><br>
</p><p>We are seeking Nurse Manager of Quality for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><p>
The Manager of Quality is responsible for assisting the Vice President of Quality Services with tasks and activities related to the facility&rsquo;s quality improvement and survey readiness programs. Activities include assisting with the hospital accreditation program, coordinating regulatory readiness activities through the Journey to Excellence program, assisting in state, federal, and regulatory hospital compliance and reporting requirements, such as TDH, Joint Commission, CMS, OSHA, etc. The position also includes actives to assist the VP of Quality in collecting and analyzing data, compiling hospital quality reports, conducting clinical quality reviews for hospital-wide performance improvement as well as assisting with education activities pertinent to performance improvement.
</p><p><b>PRINCIPAL DUTIES/RESPONSIBILITIES:
</b></p><p></p><ul><li>Coordinates regulatory readiness activities through the Division-wide Journey to Excellence program.
</li><li>Maintains oversight of data abstraction, data entry, and data analysis for the following: Joint Commission Core Measures, CHOIS, Leap Frog and Quality Net.
</li><li>Facilitates process improvement efforts among performance improvement teams, medical staff, and hospital departments.
</li><li>Supports hospitals accreditation program and provides education to key hospital staff related to federal, state and regulatory agency requirements such as Joint Commission, CMS, TDH, OSHA, etc.
</li><li>Assists with implementation of organizational Quality Improvement Plan and associated policies and procedures.
</li><li>Collects, analyzes, and reports data through the appropriate committees assigned. Assists the VP of Quality around oversight of Medical Staff quality activities and peer review program. Collaboratively works with hospital leadership to achieve compliance with the Joint Commission core measures initiatives.
</li><li>Participates in Serious Event Analysis.
</li><li>Creates reports and analyzes information to support the performance improvement program and the Department of Quality functions and activities.
</li><li>Performs special assignments as needed/requested.</li></ul><p></p><p>
</p><p></p><h6 class="jobSectionHeader"><b>What qualifications you will need:</b></h6><p></p><p><b>
Education:</b></p><p></p><ul><li>
Bachelor of Science in Nursing required.</li><li>
Advanced degree preferred.</li></ul><p></p><p><b>
Licensure/Certification:</b></p><p></p><ul><li>
Currently licensed as a Registered Nurse in the state(s) of practice according to Law and regulation.
</li><li>Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) preferred.</li></ul><p></p><p><b>
Experience:</b></p><p>
</p><p></p><ul><li>One year clinical experience in Risk Management/Quality or Clinical Leadership in an acute care facility.</li></ul><p>
Medical City Alliance serves families from Fort Worth, Keller, Haslet, Saginaw and Tarrant County. Our 99+ bed hospital offers 30+ specialties. We offer 2 convenient ER locations, including our off-campus ER in Saginaw. Our maternity floor includes labor and delivery suites and c-section ORs. We have a well-baby nursery, postpartum rooms, and a Level III NICU. We offer compassionate care with state-of-the-art surgical equipment. Our hospital offers robotic surgery to perform procedures. Our facility provides comprehensive cardiology services. We prioritize early detection and treatment of heart disease. Our advanced technology provides quick results to our patients. Our patient satisfaction scores rank in the top decile of hospitals nationwide. Our physicians rank Medical City Alliance as excellent in quality of care. We are a part of the Medical City network of hospitals. Patients are ensured access to medical experts and advanced healthcare innovations across the network.</p><p>
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><p></p><p><br>
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.</p><p><i>
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div>

Nurse Manager of Quality

Southern Regional

<div>Overview:
<div>
The Performance Improvement Manager develops, manages and integrates a comprehensive Performance Improvement (PI) Program to achieve unprecedented results in quality, efficiency, safety, satisfaction and value with transparency.</div><div></div><p><b><br>
Shift&rsquo;s Available: </b>Days</p><p><b>
Employment Type:</b> Full Time</p><p><b>
Hours: </b>8 hours</p><p><b>
Location: </b>Southern Regional Medical Center - Riverdale, GA</p><p></p><p><b><i><br>
Here are some of the benefits of working at Prime Healthcare:</i></b></p><ul><li>
Health, dental, and vision insurance options</li><li>
Paid vacation, sick time and holidays</li><li>
Bereavement leave, FMLA and other leave options</li><li>
Employer 401K options</li><li>
Tuition reimbursement options
</li><li>Life, disability, and other insurance options</li><li>
Many other amazing benefits</li></ul><br>
<p></p>
Responsibilities:
<p><b><i>
Essential Duties and Responsibilities (includes, but not limited to):</i></b></p><div></div><div><br>
The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency; to develop/ maintain scorecards for all Service Lines with defining expected outcomes &amp; benchmarks based on Quality, Safety, Satisfaction and Value; to complete Clinical Assessment, Diagnosis and Treatment for the Service Lines. Responsible for coordinating and managing hospital wide performance improvement activities including continued survey readiness. Responsible for oversight of on going publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc. Work collaboratively with Administration and Leadership. Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees. The scope of activities in managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating &amp; sustaining a participatory environment; guiding the group to appropriate &amp; useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise &amp; patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care. Team facilitation and experience with hospital accreditation standards and survey process preferred. Knowledge of local regulatory standards &amp; OSHA regulations a plus.</div>
Qualifications:
<div>
Education and Work Experience</div><ul><li>
Bachelors Degree required, preferably in a healthcare related field.</li><li>
Masters Degree preferred.</li><li>
State RN licensure or a License in healthcare field preferred.</li><li>
4-5 years healthcare experience. 1-4 years quality improvement experience.</li><li>
Good computer skills.</li><li>
Experience in reviewing charts for quality care issues. Detail oriented organizational skills. Must be able to handle multiple cases, directions and follow-through.</li><li>
Good communication skills both verbally and written. Experience with Medical Staff communication.</li><li>
Coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards</li><li>
Certified professional in healthcare quality preferred.</li></ul><p>
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/</p><div></div><p><br>
#LI-HM1</p>
Employment Status: Full Time Shift: Days Equal Employment Opportunity:
<div><div><div><div>
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf</div></div></div></div></div><div></div>

Manager of Performance Improvement

Smart Research System

<p><b>Role Name: Sr. Manager/ Manager &ndash; Quality &amp; Safety</b></p><p><b>OBJECTIVES:</b></p><p><b>Responsible for providing strategic leadership and oversight of the organization&rsquo;s Quality Management and Patient Safety programs. Ensures continuous readiness for regulatory and accreditation requirements (JCIA, ISO, CAP, DHA/DoH) and drives a culture of quality excellence across all units. Leads organizational initiatives to strengthen performance, mitigate risks, and advance quality systems and patient safety outcomes</b></p><p><b>ACADEMIC/SKILLS REQUIREMENT:</b></p><p><b>Bachelor's degree or equivalent in relevant field such as quality, Occupational Health, Safety, Environment or Industrial Hygiene OR Diploma in relevant field with 3 years of additional experience</b></p><ul><li>R<b>ecognized certifications such as Professional in Healthcare Quality (CPHQ), Certified Quality Engineer (CQE), Certified Quality Analyst (CQA), Certified Quality Management (CQM) etc.</b></li></ul><p><b>EXPERIENCE REQUIREMENTS:</b></p><p>Required:</p><ul><li><b>10+ years of relevant progressive experience in a similar role with 3 years of leadership role.</b></li></ul><p><b>Desired:</b></p><p>Experience in a large healthcare facility, UAE experience will be preferred</p><p>KEY RESPONSIBILITIES&quot; Managerial:</p><p>Lead the development, execution, and periodic review of the enterprise-wide Quality &amp; Safety strategy in alignment with organizational goals and UAE healthcare regulatory requirements.</p><ul><li>Oversee the Quality Improvement Program, ensuring it remains responsive to organizational needs, industry changes, and evolving accreditation standards.</li></ul><ul><li>Provide strategic guidance to senior leadership on quality performance, patient safety risks, and systemic improvement priorities.</li></ul><ul><li>Govern quality committees and steering groups, ensuring timely action on high-impact issues and effective communication with leadership.</li></ul><ul><li>Oversee the design and implementation of customer experience strategies, including surveys, focus groups, mystery shopping, and research initiatives.</li></ul><ul><li>Lead the interpretation of customer experience and quality performance data, translating findings into actionable improvements</li></ul><p><b>Technical Key Responsibilities:</b></p><p>Provide senior-level oversight for proactive and reactive quality improvement initiatives using methodologies such as Lean, Six Sigma, PDSA, and FMEA.</p><ul><li>Ensure compliance with all regulatory reporting requirements, including adverse event reporting, sentinel events, mandatory indicators, and accreditation submissions.</li></ul><ul><li>Direct the ongoing development, implementation, and enhancement of the Quality Management System (QMS), including policies, SOPs, risk registers, incident reporting, and CAPA systems.</li></ul><ul><li>Lead organizational readiness activities for accreditation surveys, including gap assessments, mock surveys, tracer audits, and corrective action planning.</li></ul><ul><li>Oversee the collection, analysis, and reporting of performance metrics to support decision-making and organizational planning.</li></ul><ul><li>Ensure effective communication of improvement outcomes, innovation initiatives, and safety learnings across the organization.</li></ul><ul><li>Serve as the senior expert on all quality, safety, and risk matters in task forces, committees, and governance bodies.</li></ul><ul><li>Plan and manage the departmental budget, systems, quality tools, and technology requirements.</li></ul><ul><li>Provide specialized training and technical support to staff on patient safety, risk management, performance improvement, and regulatory standards.</li></ul><ul><li>Oversee interns, trainees, volunteers, and developees participating in Quality &amp; Safety programs, ensuring structured learning and meaningful contributions.</li></ul><ul><li>Experience in a large healthcare facility, UAE experience will be preferred</li></ul><p>Job Type: Full-time</p><p>Pay: AED17,000.00 - AED20,000.00 per month</p><p>Work Location: In person</p>

Manager – Quality & Safety Arabic Speaker Only

DocGo

<p></p><div><p><b>Job Title: </b>Manager, Quality and Safety</p><p><b>
Location: </b>Remote</p><p><b>
Employment Type: </b>Full-time</p><p><b>
Salary: </b>$80,000- $85,000</p><p><b>
Benefits: </b>Eligible for medical, dental, vision, 401k and PTO</p><p></p><p><b>
Key Responsibilities:</b></p><p><b>
Quality &amp; Safety Program Management</b></p><ul><li>
Lead end-to-end execution of quality and safety initiatives, including planning, stakeholder alignment, timelines, and reporting.</li><li>
Develop and maintain program plans for clinical audits, quality metrics, incident reporting, and risk mitigation efforts.</li><li>
Track progress, risks, and outcomes to ensure initiatives are delivered on time and with measurable impact.</li></ul><p><b>
Data Management &amp; Reporting</b></p><ul><li>
Prepare monthly quality reports, dashboards, and partner-facing reporting deliverables.</li><li>
Generate clinician scorecards, chart review summaries, and tracking lists for clinicians under review.</li><li>
Support internal and external quality meetings by preparing materials, summaries, and performance reporting</li></ul><p><b>
Chart Review Operations</b></p><ul><li>
Identify, pull, and categorize charts for routine, priority, and focused chart reviews using established rubrics.</li><li>
Track and support chart review workflows for new and existing clinicians.</li><li>
Ensure timely completion of chart reviews and provide status updates to clinical leadership.</li></ul><p><b>
Operational &amp; Administrative Support</b></p><ul><li>
Maintain accurate quality and clinician tracking documentation across systems (including JIRA or similar tools).</li><li>
Support onboarding workflows by ensuring clinician records, quality tracking, and supervision details are up to date.</li><li>
Assist with implementation calls and provide support related to clinical quality and NP supervision requirements.</li></ul><p><b>
Tool Development &amp; Process Improvement</b></p><ul><li>
Support the development and implementation of tools to streamline quality reporting, chart review operations, and supervision tracking. Identify opportunities to automate manual processes and improve reporting efficiency.</li><li>
Partner with internal teams to enhance visibility and access to quality and supervision data.</li></ul><p><b>
Cross-Functional &amp; Partner Collaboration</b></p><ul><li>
Work closely with clinical leadership and partner-facing teams to meet ongoing reporting needs and respond to ad-hoc requests.</li><li>
Ensure partner quality requirements are supported through accurate reporting and operational execution.</li></ul><p></p><p><b>
Requirements</b></p><ul><li>
Bachelor&rsquo;s degree in Healthcare Administration, Public Health, Data Analytics, or a related field (Master&rsquo;s degree preferred).</li><li>
Minimum of 2 years of experience in clinical quality reporting and analysis, data management, or healthcare program management.</li><li>
Experience working in a healthcare environment with a focus on clinical quality, compliance, process or performance improvement.</li><li>
Excellent written and verbal communication skills, with the ability to interact effectively with clinicians, leadership teams, and external partners.</li><li>
Proven ability to work cross-functionally, partnering with clinical leadership, operations, and IT teams.</li><li>
Experience working directly with external partners and stakeholders to meet contractual obligations and reporting requirements.</li><li>
Ability to manage complex projects, including the development and implementation of new processes or systems.</li><li>
Knowledge of patient safety, adverse event reporting, and strategies to improve clinical outcomes.</li><li>
Demonstrated ability to adapt to new systems and tools quickly.</li><li>
Strong problem-solving skills with a continuous improvement mindset.</li><li>
Ability to work independently while managing multiple priorities and deadlines.</li><li>
Experience with JIRA and Looker preferred.</li></ul><p></p><p>
EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.</p><p></p><p><i>
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.</i></p></div>

Manager, Quality and Safety

Upward Health

<div><p><b>Company Overview:</b></p>
<p>
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurse practitioners, LCSW's, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs &ndash; everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals &ndash; because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!</p>
<p><b>
Job Title &amp; Role Description:</b></p>
<p>
The <b>Manager, Quality Assurance </b>is responsible for defining and evaluating care delivery standards and ensuring consistentcyso across the organization through standardized documentation and audit practices. This role leads the organizational audit program and establishes expectations for documentation quality and patient experience across all patient-facing roles.</p>
<p>
This role evaluates clinical documentation, care delivery, workflows, and patient interactions to ensure alignment with clinical standards, regulatory requirements, and organizational expectations. Through audit insights, patient experience data, and cross-functional collaboration, the Manager identifies opportunities to strengthen care quality, improve consistency in care delivery, and enhance patient experience.</p>
<p>
The <b>Manager, Quality Assurance</b> serves as a key partner to operational and clinical leadership by translating findings into actionable recommendations that improve care delivery practices, documentation accuracy, and overall patient outcomes.</p>
<p><b>
Care Standards &amp; Quality Oversight</b>:</p>
<ul>
<li>Define and maintain standards for high-quality care delivery across all patient-facing roles</li>
<li>Establish expectations for clinical documentation, care planning, and care coordination practices</li>
<li>Evaluate appropriateness of care delivery, not just completeness of documentation</li>
<li>Promote consistency in clinical workflows and care delivery across markets and teams</li>
<li>Partner with Clinical Services Team leaders to align on best practices and standards of care</li>
</ul>
<p><b>Primary Responsibilities</b>:</p>
<p>
Audit Program Management</p>
<ul>
<li>Lead the design and management of the organizational audit program for all patient facing roles across clinical and non-clinical teams</li>
<li>Develop and maintain standardized audit tools for each role within the organization</li>
<li>Coordinate annual audit review and updates to ensure alignment with clinical standards, operational expectations, and client requirements</li>
<li>Develop new audit tools when new roles, clients, or programs are introduced</li>
<li>Maintain a centralized and organized repository for all audit tools, audit results, and historical audit documentation</li>
</ul>
<p>Chart Audits and Documentation Review</p>
<ul>
<li>Conduct routine and targeted audits of patient records and role specific documentation</li>
<li>Evaluate assessments, care plans, interventions, coordination activities, and follow up documentation for quality and compliance</li>
<li>Ensure documentation supports regulatory requirements, payer expectations, and internal care standards</li>
<li>Evaluate workflow adherence across patient facing roles to confirm alignment with established processes</li>
<li>Evaluate both quality and appropriateness of care delivery, not soley documentation completeness</li>
<li>Identify missed clinical opportunities (e.g., gaps in care planning, follow-up escalation)</li>
<li>Assess alignment between care delivered, documentation, and patient needs</li>
</ul>
<p>Audit Analysis and Reporting</p>
<ul>
<li>Track and analyze audit results across roles, programs, and markets</li>
<li>Identify patterns, risks, and opportunities for operational improvement</li>
<li>Prepare a monthly audit analysis report summarizing findings by role and program</li>
<li>Present audit findings, trends, and recommendations to senior leadership</li>
<li>Share audit outcomes directly with operational leaders responsible for the teams reviewed</li>
<li>Quality impact of documentation and workflow gaps on care quality and patient outcomes</li>
<li>Identify trends related to clinical performance, care consistency, and patient experience</li>
</ul>
<p>Training Gap Identification</p>
<ul>
<li>Identify trends that indicate knowledge gaps, workflow misunderstandings, or documentation deficiencies</li>
<li>Report training gaps and performance trends directly to employee leaders responsible for the teams reviewed</li>
<li>Provide recommendations to operational leaders on areas where additional training, guidance, or reinforcement is needed</li>
<li>Partner with leadership and training teams to support improvements in documentation practices and workflow execution</li>
<li>Support enterprise initiatives aimed at improving clinical quality, safety, and patient experience</li>
</ul>
<p>Quality Improvement Collaboration</p>
<ul>
<li>Partner with operational leaders to address audit findings and strengthen care delivery processes</li>
<li>Support development of documentation standards, job aids, and guidance when trends are identified</li>
<li>Collaborate with compliance, training, and operational teams to improve consistency in patient care practices</li>
</ul>
<p>Patient Experience &amp; Satisfaction</p>
<ul>
<li>Monitor and analyze patient satisfaction data, feedback, and experience trends across programs and markets</li>
<li>Identify themes related to patient engagement, communication, access, and care experience</li>
<li>Partner with operational and clinical leaders to address patient experience gaps and improve satisfaction outcomes</li>
<li>Incorporate patient experience insights into audit findings and clinical excellence initiatives</li>
<li>Support development of best practices for patient-centered care and engagement across roles</li>
</ul>
<p>Patient Complaints &amp; Grievance Oversight</p>
<ul>
<li>Monitor, analyze, and trend patient complaints to identify patterns related to care delivery, communication and patient experience</li>
<li>Partner with the Manager of Compliance in review, investigation, and resolution of grievances related to quality, safety, and quality of care</li>
<li>Ensure complaints and grievance insights are incorporated into audit findings, quality improvement efforts, and operational recommendations</li>
<li>Identify system issues and escalate trends that may indicate risks in care delivery, documentations practices, or patient experience</li>
<li>Collaborate with operational and clinical leadership to address root causes and drive improvements based on complaint and grievance data</li>
</ul>
<p><b>Required Qualifications:</b></p>
<ul>
<li>Active RN license required</li>
<li>BSN preferred</li>
<li>Minimum to 5 years' experience in healthcare operations, care coordination, utilization management, population health or quality improvement programs.</li>
<li>Advanced proficiency in Microsoft Excel and data tracking tools required</li>
<li>Experience conducting clinical documentation reviews or chart audits</li>
<li>Strong understanding of interdisciplinary care teams and patient care workflows</li>
<li>Experience working with electronic health records and documentation systems</li>
</ul>
<p><b>Competencies:</b></p>
<p>
Clinical Judgment:</p>
<ul>
<li>Applies clinical and operational knowledge to evaluate documentation, care delivery activities, and role performance against established standards, regulatory requirements, and organizational expectations.</li>
<li>Identifies documentation deficiencies, workflow breakdowns, and potential quality or patient safety risks through audit findings and collaborates with leadership to support corrective actions.</li>
</ul>
<p>Communication</p>
<ul>
<li>Communicates audit findings clearly with operational leaders, clinical leaders, and cross functional partners to ensure understanding of results, expectations, and improvement priorities.</li>
<li>Escalates significant audit findings or compliance risks proactively with supporting data and clear recommendations for resolution.</li>
</ul>
<p>Accountability:</p>
<ul>
<li>Takes ownership of the organizational audit program including audit tool development, audit completion, reporting timelines, and centralized documentation management.</li>
<li>Follows through on identified gaps by reporting results to employee leaders, recommending training opportunities, and monitoring improvement trends over time.</li>
</ul>
<p>Collaboration:</p>
<ul>
<li>Works closely within the Clinical Services team, Quality, Compliance, Provider Operations, Client services and leaders to ensure alignment on audit standards and improvement priorities.</li>
<li>Supports a team-based approach to strengthening documentation practices and workflow adherence by engaging leaders early when trends or training needs are identified.</li>
</ul>
<p>Operational Discipline and Organization</p>
<ul>
<li>Maintains strong attention to detail when conducting chart audits, managing audit tools, and maintaining centralized audit documentation and results.</li>
<li>Demonstrates strong prioritization and organization skills while managing multiple audit cycles, reporting deadlines, and analysis of responsibilities across roles and programs.</li>
</ul>
<p>Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.</p><p></p><div><p><br>
Upward Health Benefits</p>
<p>
Upward Health Core Values</p>
<p>
Upward Health YouTube Channel</p></div></div><p></p>

Manager, Quality Assurance

Johns Hopkins Aramco Healthcare

<div></div><div><div><div><div><div><div><div><div><h2 class="jobSectionHeader"><b>Job Title</b></h2>
</div><div>SENIOR ERM AND PATIENT SAFETY PROFESSIONAL.</div></div><div><div><h2 class="jobSectionHeader"><b>
Job Family</b></h2>
</div></div><div></div><div><div><h2 class="jobSectionHeader"><b>Function</b></h2>
</div><div>CQPSO</div></div><div><div><h2 class="jobSectionHeader"><b>
Job Code</b></h2>
</div><div>30009295</div></div><div><div><h2 class="jobSectionHeader"><b>
Reports to Job</b></h2>
</div><div>ERM Director</div></div><div><div><h2 class="jobSectionHeader"><b>
Job Description Summary</b></h2>
</div><div>The Senior ERM AND Patient Safety Professional collaborate in managing an effective occurrence reporting process within the healthcare organization, ensuring all reported events are thoroughly reviewed, investigated, and actioned. The senior Professional is responsible for conducting proactive risk assessments, identifying potential hazards in the process, and completing Failure Mode AND Effect Analysis and Root Cause Analyses. The senior Professional ensures compliance with risk management and patient safety.-related standards and participates in relevant committees&rsquo; task forces.</div></div><div><div><h2 class="jobSectionHeader"><b>
Strategic Roles &amp; Responsibilities %</b></h2>
</div><div>00</div></div><div><div><h2 class="jobSectionHeader"><b>
Strategic Roles &amp; Responsibilities</b></h2>
</div></div><div></div><div><div><h2 class="jobSectionHeader"><b>Operational Roles &amp; Responsibilities %</b></h2>
</div><div>100</div></div><div><div><h2 class="jobSectionHeader"><b>
Operational Roles &amp; Responsibilities</b></h2>
</div><div><ul><li>Conduct proactive risk assessment and identifies potential hazards on all newhighrisk processes and systems within the hospital and recommends risk prevention strategies</li><li>
Conduct Failure Mode and Effect Analysis FMEA based on the risk prevention priorities identified</li><li>
Responsible for all Root Cause Analyses RCA as per the hospital policy</li><li>
Perform the duties necessary to support and achieve risk management and patient safety needs and standards and ensure that the facility is in compliance with all government and local laws and accreditation standards</li><li>
Follow all hospital policies and procedures and perform other assigned tasks and duties</li><li>
Facilitates hospital compliance with patient safetyrelated accreditation standards
</li><li>Document monitor and analyze patient safety events and put an action plan to prevent reoccurrence
</li><li>Manage the event reporting process as designed within the hospital Ensure all reported events are analyzed reviewed corrected and actioned</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Education Required</b></h2>
</div><div>Bachelor's degree in healthcare management, nursing, or any healthcare science/ allied health.</div></div><div><div><h2 class="jobSectionHeader"><b>
Professional Certifications Required</b></h2>
</div><div>REQUIRED: Certified Professional Healthcare Quality (CPHQ). PREFERRED: Certified Professional in Patient Safety (CPPS) / Certified Professional in Health Care Risk Management (CPHRM).</div></div><div><div><h2 class="jobSectionHeader"><b>
Years of Experience</b></h2>
</div><div>Minimum 6 years of clinical working experience within an accredited healthcare facility, with a minimum of 3 years focused on quality improvement and patient safety within the quality department and a minimum of 1 year in risk management.</div></div><div><div><h2 class="jobSectionHeader"><b>
Languages</b></h2>
</div><div>English:Advanced ; Arabic:Advanced</div></div><div><div><h2 class="jobSectionHeader"><b>
Functional Competencies</b></h2>
</div><div><ul><li>Due Diligence</li><li>
Audit Reporting</li><li>
Data Collection</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Core Competencies</b></h2>
</div><div><ul><li>Excellence</li><li>
Integrity</li><li>
Accountability</li><li>
Cybersecurity</li><li>
Person-Centered Care</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Acknowledgement</b></h2>
</div><div>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.</div></div><div><div><h2 class="jobSectionHeader"><b>
Addendum Title</b></h2>
</div><div>No</div></div><div><div><h2 class="jobSectionHeader"><b>
Supplemental Work/Experience/Education Information</b></h2>
</div><div>N/A</div></div><div><div><h2 class="jobSectionHeader"><b>
Addendum Description</b></h2>
</div><div>N/A</div></div></div></div></div></div></div></div><p></p>

SENIOR ERM & PATIENT SAFETY PROFESSIONAL.

Mayers Memorial Hospital District

<div><p><b>Reports To</b>: Chief People Officer</p><p><b>
</b></p><p><b>Employee Type</b>: X EXEMPT NON-EXEMPT</p><p>
</p><p><b>POSITION SUMMARY:</b></p><p>
</p><p>The Director of Quality, Risk, and Compliance is responsible for ensuring the successful day-to-day operations of the Quality, Risk, and Compliance Departments. The Director will be primarily responsible for overseeing the operational efficiency and quality of services within the Quality Department, including direct supervision of support staff. They will make efforts to improve quality outcomes and operations in a way that contributes to enhanced experience for both staff and patients. The Director will also oversee the functioning of key systems vital to departmental operations and lead and facilitate process improvements in patient access measures, department workflow, population based quality improvement, and patient experience. This leadership role also encompasses leading the hospital&rsquo;s initiatives to maintain the highest standards of patient safety, clinical quality, and regulatory compliance. The Director will oversee risk management strategies, ensure adherence to legal and accreditation requirements, manage contract processes, and address patient complaints. The ideal candidate will foster a culture of continuous improvement, accountability, and transparency across all hospital operations.</p><p>
</p><p><b><i>This job description is intended to identify some of the primary duties and responsibilities. </i></b><b><i>MAYERS MEMORIAL HOSPITAL DISTRICT</i></b><b><i> reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at MAYERS MEMORIAL HOSPITAL DISTRICT&rsquo;S sole and absolute discretion.</i></b></p><p>
</p><p><b>POSITION QUALIFICATIONS:</b></p><p>
</p><ul><li>Bachelor&rsquo;s degree in Healthcare Administration or related field required, Master&rsquo;s Degree in Healthcare Administration or related field preferred.</li><li>
Ability to plan and execute large scale administrative programs including preparing budgets, establish and maintain cooperative relationships with the general public, and other professional groups, with other public agencies and departments of government, communicate effectively in oral and written form.</li><li>
Must possess the ability to make independent decisions when necessary and demonstrate aptitude under stressful situations.</li><li>
Skilled in examining current practices/policies and recommending proven improvements.</li><li>
Strong knowledge of healthcare regulations, accreditation standards, and legal issues.</li><li>
Minimum of 5 years of experience in healthcare quality, risk management, or compliance.</li><li>
Experience with hospital informatics and data analytics.</li><li>
Certification such as Certified Professional in Healthcare Quality (CPHQ) or Risk Management Certification is preferred.</li><li>
Management experience required.</li></ul><p>
</p><p></p><p><b>POSITION RESPONSIBILITIES:</b></p><p>
</p><p></p><p>General Competencies:</p><p>
</p><ul><li>Professional behavior is demonstrated, both when on duty and as a representative of MMHD outside of normal work hours.</li><li>
Ability to work with others, at all levels within the organization, and collaborate effectively.</li><li>
Above-average interpersonal, problem-solving, and written and oral communication skills.</li><li>
A positive working relationship with patients, visitors, and facility staff is demonstrated.</li><li>
Organizational ability and time management are demonstrated.</li><li>
Produces deliverable products on time, within budget with minimal direction.</li><li>
Demonstrates the ability to compile and organize data using Microsoft Office Applications. Ability to make appropriate recommendations or conclusions, given the data obtained.</li><li>
Maintains an organized set of records, upon request, for the functions that are performed within the scope of this job.</li><li>
Communicates appropriately and clearly to directors, managers, and coworkers.</li><li>
Performs all assigned tasks accurately, to include proper spelling and grammar, reference materials, and minimal mathematical calculation.</li><li>
Takes direction from others to include those employees of other departments with which he/she works on a temporary basis in accordance with the chain of command.</li><li>
Maintains all information as confidential as appropriate, to include payroll, personnel information, and other information obtained during the course of performing job duties that is confidential.</li><li>
Demonstrates ability to effectively use office machines in the performance of job functions.</li><li>
Answers phone calls, assists public, and forwards appropriately if necessary and in a professional and friendly manner.</li><li>
Other duties as assigned.</li></ul><p>
</p><p>Specific Competencies:</p><p>
</p><p><b>Quality Improvement &amp; Patient Safety:</b></p><ul><li>
Develop, implement, and monitor hospital-wide quality improvement initiatives.</li><li>
Lead efforts to enhance patient safety and clinical outcomes.</li><li>
Analyze data from EHRs and other informatics systems to identify trends and areas for improvement.</li><li>
Ensure the continuous Quality Improvement process is accomplished on an ongoing basis.</li><li>
Implement, develop and run reports to improve transparency across departments.</li></ul><p><b>
Risk Management:</b></p><ul><li>
Identify, assess, and mitigate risks related to patient care, staff, and hospital operations.</li><li>
Oversee investigation and resolution of adverse events, patient complaints, and malpractice claims.</li><li>
Review and monitor Risk Event Reports and Concerns/Complaints, directing appropriate actions and reporting pertinent information to the Executive Leadership team.</li><li>
Develop and implement risk management strategies in coordination with hospital leadership.</li></ul><p><b>
Regulatory Compliance &amp; Accreditation:</b></p><ul><li>
Ensure hospital adherence to all federal, state, and local regulations, including CMS, ACHC, Compliance Team and other standards.</li><li>
Develop policies, procedures, and protocols aligned with regulatory requirements.</li><li>
Coordinate information for regulatory agency reviews and participate in all facility surveys, including plans of correction.</li><li>
Develop, report, and implement a plan of correction (POC) when necessary.</li><li>
Develop relationships with CDPH, ACHC, and other accreditation and regulatory agencies to ensure smooth communication.
</li></ul><p><b>Contract Management:</b></p><ul><li>
Oversee the review and management of hospital contracts with vendors, payers, and partners.</li><li>
Ensure contractual obligations are met and risks are minimized.</li><li>
Develop and maintain a comprehensive contract management system to ensure all contractual obligations are met, deadlines are tracked, and compliance is maintained, thereby preventing automatic renewals without proper review and approval. This system will also facilitate timely renegotiation or termination of contracts as needed.</li></ul><p><b>
Informatics &amp; Data Management:</b></p><ul><li>
Supervise hospital informatics personnel.
</li><li>Leverage data analytics to inform decision-making and performance improvement.</li><li>
Coordinate and oversee process and workflow enhancements within the Electronic Health Record (EHR) systems to optimize efficiency, ensure seamless clinical operations, enhance patient satisfaction, and improve charge capture accuracy.</li></ul><p><b>
Patient Complaints and Malpractice Management:</b></p><ul><li>
Oversee the process for managing and responding to patient complaints.</li><li>
Manage malpractice claims, coordinate legal responses, and work with legal counsel and insurance broker as needed.</li></ul><p><b>
Financial &amp; Administrative Oversight:</b></p><ul><li>
Help plan, develop, implement, and manage the annual budget for the Quality Department.</li><li>
Review financial reports as required.</li><li>
Review and monitor work schedules, duties, and productivity of Quality Department personnel; effect changes as needed.</li><li>
Conduct annual reviews and approve timecards for Quality Department personnel.
</li></ul><p><b>Operational &amp; Strategic Planning:</b></p><ul><li>
Develop short- and long-term goals in collaboration with hospital administration, aligning with the Districts Strategic Plan.</li><li>
Participate in facility projects, public relations, and strategic planning processes.</li><li>
Contribute to the development of the hospital&rsquo;s strategic goals and overall management.</li></ul><p><b>
Clinical &amp; Departmental Oversight:</b></p><ul><li>
Collaborate with the Provider Relations Coordinator and Medical Staff regarding quality and patient/resident care.</li><li>
Conduct regular department and patient rounds, keeping informed about patient/resident census and acuity.</li><li>
Analyze and evaluate department services to ensure quality care and appropriate productivity.</li></ul><p><b>
Policy &amp; Disciplinary Actions:</b></p><ul><li>
Investigate irregularities and policy violations, taking corrective actions per facility policy.</li><li>
Follow disciplinary procedures, document actions, and report to administration as needed.</li></ul><p><b>
Facilities &amp; Safety:</b></p><ul><li>
Participate in all State and Federal surveys, including acute hospital, skilled nursing, fire/life safety surveys.</li><li>
Develop, report, and implement plans of correction (POC) for survey deficiencies.</li><li>
Contribute to safety and emergency preparedness initiatives.</li></ul><p><b>
Board Reporting &amp; Executive Engagement:
</b></p><ul><li>Report on quality, risk, and compliance metrics to the hospital&rsquo;s Board Quality Committee on a monthly basis.</li><li>
Engage with executive leadership to communicate performance, challenges, and improvement initiatives.</li></ul><p><b>
Team &amp; Community Engagement:</b></p><ul><li>
Actively participate in hospital meetings and serve as a consultant to other departments regarding quality, risk, compliance, informatics, and contract management.
</li><li>Engage in public relations and community outreach as appropriate.
</li></ul><p></p><p>Professional Requirements:</p><p>
</p><ul><li>Adheres to dress code; appearance is neat and professional.</li><li>
Completes annual education requirements if applicable.</li><li>
Maintains regulatory requirements.</li><li>
Wears identification while on duty.</li><li>
Attends annual evaluation and participates actively in this process.</li><li>
Reports to work on time and as scheduled; completes work in designated time.</li><li>
Attends all meetings as appropriate.</li><li>
Exhibits the mission, ethics and goals of Mayers Memorial Hospital District in the performance of job duties.</li></ul><p>
</p><p><b>WORKING CONDITIONS:</b></p><p>
</p><ul><li>Willingness to work beyond normal working hours and in other positions temporarily when necessary.</li><li>
Is involved with personnel, visitors and government agencies, etc., when necessary.</li><li>
Must function independently, have personal integrity, have flexibility and the ability to work effectively with other personnel, clients and support agencies.</li></ul><p>
</p><p></p><p><b>PHYSICAL REQUIREMENTS:</b></p><p>
</p><ul><li>Sits, stands, bends, lifts, walks and moves intermittently during working hours.</li><li>
Able to lift 20 lbs.</li></ul></div><p></p>

DIRECTOR OF QUALITY

Search 10000+ Healthcare quality manager jobs near you this April. New roles added regularly across leading industries. Apply today.