Plans, coordinates and implements the quality management and improvement programs for the hospital. Monitors and provides assistance with quality assurance and compliance functions. Provides direction to ensure programs and services are implemented at the highest standards with emphasis on quality assurance. To be responsible for the day-to-day operation of the Medical Staff Quality Assessment Program. Ensures policies and procedures are monitored and updated to include regulatory changes.

Bachelor's degree in nursing, Statistics, Healthcare, Business, or a related field. Masters Degree in Nursing Preferred. Registered Professional Nurse Required. Lean Six Sigma Green Belt or other health care quality or patient safety certifications preferred.

Minimum of 2 years of experience in accreditation, process improvement, quality management and/or project management in a clinical environment.

SCHEDULE:

• Screen, review, abstracting and analyze service line metrics
• Data requests, assist with report builds 
• Managing ongoing professional practice evaluation  (OPPE)
• Manage Quality and performance improvement data 

• Facilitate and coordinate Peer Review meetings

• Participate in regular Quality Assurance (QA), Performance Improvement (PI), and Peer Review meetings

• Conduct weekly environmental and safety rounds with your service line
• Assist with RCA, DOH or TJC Site Surveys,

• Coordinate multidisciplinary meetings and support project implementation

• Collaborate closely with leadership, physicians, nurses, informatics and other stakeholders to drive quality and patient safety initiatives

Knowledge of regulatory standards and survey processes. Knowledge of quality improvement tools and techniques, excellent oral and written communication skills, the ability to gather, analyze and communicate technical and clinical data. Microcomputer skills preferred. Proven interaction and communication (oral, writing, presentation) skills to effectively communicate (oral and written) with hospital staff, physicians, and regulatory agents and work cooperatively with same. Demonstrated competence, clinical expertise, and sound professional judgement. Ability to use effective time management to set priorities, perform job related responsibilities, and respond to changing workloads and work environment. Demonstrated ability to use effective analytical and critical thinking skills to problem-solve, make critical decisions, and meet departmental and organizational needs. Attention to details and the ability to perform work accurately, often changing from one task to another without loss of efficiency or composure.

Job Location

Kraft Center

Shift

Day (United States of America)

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D(Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
• Retirement Plan
• Tuition Assistance 
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

Salary

Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.

Pay Range: $104,374.40 - $130,478.40

The posted pay range reflects the compensation for a full-time equivalent (1.0 FTE)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.