Quality Assurance Manager

2 weeks ago


Maryville, Tennessee, United States Blount Memorial Hospital Full time
Job Summary

The Quality Manager plays a pivotal role in ensuring Blount Memorial Hospital's compliance with CMS Hospital Conditions of Participation, Accrediting body requirements, and disease-specific certifications. This position oversees clinical data metrics and reporting requirements related to CMS IQR/OQR, HAC, HRRP, HVBP, and Star Rating. The Quality Manager works in coordination with Hospital Departments to ensure compliance and regulatory excellence.

Key Responsibilities
  • Coordinate interdisciplinary efforts to prepare for all accreditation and certification efforts managed by the Quality Services Department.
  • Manage the Survey Readiness Program for the organization, ensuring that all accreditation and certification standards, as well as all regulatory requirements, are met.
  • Coordinate the policy approval process for all policies in the Blount Memorial Systems Manual, ensuring alignment with regulatory requirements.
  • Develop and maintain processes that result in high-quality and safe patient care, achieving a consistent survey-ready status in the facility.
  • Manage the Health Equity Program for Blount Memorial Hospital, ensuring that patient care efforts consider social determinants of health across the organization.
  • Serve as the Title VI Coordinator for the organization, assessing facility resources and procedures, investigating and resolving discrimination complaints, coordinating required staff education, and responding to requests for data and records as needed.
Requirements
  • Current licensure to practice professional nursing in Tennessee.
  • Competent in BLS and/or other specialized life support requirements designated by work area or completion upon hire.
  • Three or more years of clinical healthcare experience in an acute care facility.
  • Knowledge of scope of the registered nurse, license practical nurse, and nursing assistants.
  • Knowledge of and appropriate application of nursing process, infection control procedures, safety precautions, and techniques involved in administering routine medications and/or treatment to patients.
  • Basic computer knowledge and skills in Microsoft Office.


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