QUALITY MANAGER

Job Summary

Summary

The Quality Manager supports the Quality team in the identification, planning and implementation of clinical quality and performance improvement efforts . U tilizes performance improvement me thodology , data analysis , care facilitation, and project management skills. In addition, serves as a team facilitator and consultative resource for clinical and departmental leadership and staff responsible for quality and performance improvement activities.

This position partners closely with Surgical Services leadership, providers, and staff to support quality improvement, patient safety, performance improvement, and regulatory compliance initiatives across the surgical service line. Essential Duties and

Responsibilities

Supports and promotes the mission and values of Covenant Health and the Catholic Health Ministry. Able to apply the princi ples of project management and performance improvement. A bstracts and report s quality data .

Accesses and uses information resources to demonstrate current practice, identify opportunities for improvement, and works toward improved outcomes. Advise on future data and information needs and resources to better support performance and process improvement initiatives. Use team facilitation skills and change management processes to engage others in support of the changes required to achieve performance improvement outcomes.

Demonstrates data management skills and the use of analytical and statistical tools . Uses a range of quality improvement tools and techniques to evaluate and successfully redesign processes toward improved performance. Patient Safety and Quality Accountability Actively participates in the hospital’s patient safety program, ensuring alignment with organizational safety priorities and regulatory expectations.

Holds direct responsibility for identifying , reporting, and mitigating safety risks within assigned areas. Ensures frontline staff understand and adhere to safe practices, including routine monitoring and coaching for compliance with protocols. Collaborates with senior leadership and interdisciplinary teams to develop and implement safety initiatives that improve patient outcomes.

Maintains documentation of safety performance within their area, including tracking progress toward safety goals. Participates in performance reviews and/or compensation programs that consider safety performance metrics and staff engagement in safety improvement activities. Facilitates regular team communications regarding patient safety goals, progress updates, and staff education opportunities.

Promotes a culture of safety by encouraging event reporting, supporting just culture principles, and addressing system-level issues proactively. . Job

Requirements

Job knowledge and skills Current computer skills , graphics, spreadsheets, and presentation software (Mi crosoft Word, Excel, PowerPoint, Access) Able to use standard office equipment and database systems as pertinent Q uantitative and analytic skills relevant to the role. K nowledge of clinical processes and operations in a health care system Identifies and mitigates barriers that impede sustainable change C ritical thinking and communication skills P roject management knowledge and skills CPHQ certification , or eligible to obtain within 2 year Education & Experience RN with m inimum five years of clinical experience. BS or BA required. Quality management/QI experience preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values:

• Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.
• Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.
• Collaboration We work in partnership, dialogue and shared purpose to create healthy communities.
• Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $73,014.51 - $100,552.37 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!