RN Manager Quality Patient Safety

As our RN Quality Patient Safety Program Manager, you will help patients, caregivers, and clinical leaders improve the quality and safety of care so they can achieve the best possible outcomes.

Every day you will lead quality improvement initiatives, analyze clinical performance data, and collaborate with interdisciplinary teams to identify opportunities for safer, more effective care. You will be expected to manage patient safety and regulatory programs, facilitate performance improvement projects, ensure compliance with accreditation standards, and support a culture of continuous quality improvement across the organization.

To be successful in this role, you will have strong knowledge of quality and patient safety principles, experience with performance improvement methodologies and regulatory standards, excellent analytical and project management skills, and the ability to build collaborative relationships with leaders and frontline staff.

• Assists in the design, planning, implementation and coordination of Quality Management, Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (e.g. case review for peer review, OPPE, FPPE).
• Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication.
• Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.
• Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these regulations in order to improve management of outcomes and ensure compliance. Assists with regulatory readiness and survey preparation activities including mock survey tracers.

We are offering up to 10k sign on incentve bonus to new hires who meet the eligibility requirements.

• Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.
• Minimum of three (3) years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization’s Quality Improvement Program including quality improvement methodology and data analysis
• Minimum of three (3) years of risk management, patient safety and/or other related professional experience
• Experience developing and implementing clinical, service and operational process improvement initiatives,
• Minimum of two (2) years of clinical, patient care experience or equivalent.
• Registered Nurse: CA, upon hire
• Current state license in a clinical field; 5 (five) years’ experience in Quality Management can be used in lieu of state license.
• 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.
• Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN).
• Current knowledge of data reporting and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).
• Understands the importance of striving toward a zero defect goal and ability to establish methods and metrics that deliver targeted standards for products and services.

Dominican Hospital (a member of Dignity Health) is a 222-bed facility that offers a wide range of services to residents of California’s Central Coast. With 24/7 emergency care, comprehensive care in cardiac, orthopedics, oncology, women’s and children’s services, we continue to lead the region in medical innovation and excellence in healthcare.

Comprehensive Care
Dominican offers emergency services and is a Certified Stroke Center and Chest Pain Center. Dominican’s services include the only comprehensive Cancer Center in Santa Cruz County, a Total Joint Replacement program, and advanced neurological and endoscopic services. Dominican regularly receives ‘A’ grades for hospital safety from Leapfrog Group, and has received national recognition for superior patient safety, cardiac care, and stroke treatment from Healthgrades, a leading provider of comprehensive information about physicians and hospitals.

As Santa Cruz County’s heart attack (STEMI) receiving center, Dominican Hospital provides cutting edge cardiac care. The hospital’s heart attack treatment times consistently beat the national average, and the hospital offers two cardiac catheterization labs available 24 hours a day, 7 days a week. Groundbreaking cardiac procedures at Dominican include the Transcatheter Aortic Valve Replacement (TAVR) procedure, which allows for heart valve replacement without opening a patient’s chest.
Dominican Hospital has forged significant partnerships with area hospitals to bring exceptional care to Santa Cruz County. The hospital offers a level III Neonatal Intensive Care Unit (NICU) through a partnership with Lucile Packard Children’s Hospital Stanford. Neurosurgery at Dominican is also offered through a partnership with Stanford Health Care.

One Community. One Mission. One California 

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.