Quality Patient Safety Program Manager

21 hours ago


San Bernardino, California, United States Unavailable Full time
Job Summary

The Quality Patient Safety Program Manager plays a key role in supporting and coordinating quality management, patient safety, and regulatory performance improvement activities within the hospital and medical staff.

Key Responsibilities:
  • Assist in the design, planning, and coordination of quality management, patient safety, and performance improvement activities across hospital departments, committees, and service lines.
  • Facilitate performance improvement teams focused on clinical quality improvement, patient safety, risk reduction, and medical staff improvement activities.
  • Ensure compliance with CMS HIQRP/HOQRP, The Joint Commission (TJC), Leapfrog, and other regulatory standards through effective data collection and reporting.
  • Develop and implement data collection tools and processes, ensuring accuracy and validation of data.
  • Present data findings, facilitate meetings, and support the creation and implementation of action plans.
  • Maintain up-to-date knowledge of accreditation and licensing requirements, supporting regulatory readiness and survey preparation activities, including mock survey tracers.
Requirements:
  • One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting.
  • Bachelor's degree or five (5) years of related job or industry experience in lieu of degree.
  • 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.


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