RN Quality Patient Safety Program Manager

Requisition ID: 2024-388606 Employment Type: Full Time Department: Quality Management Hours/Pay Period: 80 Shift: Day Weekly Schedule: Monday - Friday (8:00am - 5:00pm) Remote: No Category: Risk and Compliance Responsibilities SIGN-ON BONUS AND RELOCATION BONUS ELIGIBLE JOB SUMMARY / PURPOSE The primary function of the Quality/Patient Safety Program Manager Clinical License is to 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 and will handle patient sensitive and confidential hospital information. ESSENTIAL KEY JOB RESPONSIBILITIES + Assists in the design, planning, implementation and coordination of quality management, patient safety and performance Improvement 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, root cause analyses and medical staff improvement (e.g. case review for peer review, OPPE, FPPE). + 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. + Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation. + Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. + Assists with regulatory readiness and survey preparation activities including mock survey tracers. Qualifications MINIMUM QUALIFICATIONS: Required Education: + Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience in an acute care setting + Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction + One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.) Required Licensure and Certifications: + 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. Overview Dominican Hospital (a member of Dignity Health) is a 222-bed facility that offers a wide range of services to residents of Californiau2019s Central Coast. With 24/7 emergency care comprehensive care in cardiac orthopedics oncology womenu2019s and childrenu2019s services we continue to lead the region in medical innovation and excellence in healthcare. Comprehensive CareDominican offers emergency services and is a Certified Stroke Center and Chest Pain Center. Dominicanu2019s services include the only comprehensive Cancer Center in Santa Cruz County a Total Joint Replacement program and advanced neurological and endoscopic services. Dominican regularly receives u2018Au2019 grades for hospital safety from Leapfrog Group and has received national recognition for superior patient safety cardiac care and stroke treatment from Healthgrades a leading provider of comprehensive information about physicians and hospitals.As Santa Cruz Countyu2019s heart attack (STEMI) receiving center Dominican Hospital provides cutting edge cardiac care. The hospitalu2019s heart attack treatment times consistently beat the national average and the hospital offers two cardiac catheterization labs available 24 hours a day 7 days a week. Groundbreaking cardiac procedures at Dominican include the Transcatheter Aortic Valve Replacement (TAVR) procedure which allows for heart valve replacement without opening a patientu2019s chest.Dominican Hospital has forged significant partnerships with area hospitals to bring exceptional care to Santa Cruz County. The hospital offers a level III Neonatal Intensive Care Unit (NICU) through a partnership with Lucile Packard Childrenu2019s Hospital Stanford. Neurosurgery at Dominican is also offered through a partnership with Stanford Health Care.

Created: 2025-11-01