Manager is responsible for managing hospital functions as they relate to Quality Improvement and performance improvement.# Also works collaboratively with executive leadership, physicians, staff, and other healthcare professionals. Responsibilities include: Assist in development and maintenance of Hospital policies and procedures. Attend and participate in scheduled and ad hoc quality improvement and peer review meetings. Coordinate quality assurance and improvement projects as requested; assure timely and adequate documentation regarding all QI activities. Develop and execute hospital quality plan under the direction of Chief Quality Officer. Identify opportunities for improvement of clinical practice in the organization based on aggregate data analysis. Assist with the development of the agency outcome measurement system as assigned. Oversee abstraction of charts and submission of data to various external regulatory agencies as directed by the hospital executive leadership. Participate on the Hospital Safety and Quality team and Patient Care Assessment Team. Helps to ensure continual compliance with all federal and state regulations and standards. Participate in supervision of other QI staff , accept feedback and offer feedback to others. Directs utilization of human, financial and physical resources within constraints of operating indicators. Ensures the timely, complete and accurate exchange of information (written and verbal) and ideas. Informs senior management of pertinent information. Serves as a communication link between management, staff, and outside agents as needed. Support in implementing strategies to improve patient satisfaction throughout the care continuum. Generate and provide satisfaction reports to hospital units. Assists with the coordination of medical departments/committees in presenting reports, taking minutes. REQUIREMENTS: Bachelor#s or Master#s degree with a healthcare related focus is required. Nursing background preferred. Strong Microsoft Office computer skills # word processing, spreadsheets, databases; electronic mail and on-line computer systems. Strong organization and time management skills. Familiar with CMS COPs Embraces change and able to handle multiple demands at one time. Previous leadership experience and a minimum of two years of experience in a quality role within a hospital environment is preferred.
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