Quality Manager

1 month ago

Altoona, Pennsylvania, United States tapwage Full time
Job Details

Description

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 nonclinical 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 oncall 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 facilitywide 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 decisionmaking capability.
  • Ability to think quickly, maintain selfcontrol, and adapt to stressful situations.
  • Ability to use a factbased 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

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