Under the direction of the Chief Quality, Safety, and Risk Officer, the Clinical Quality Manager implements and facilitates the ongoing, hospital-wide Quality Management System and Patient Safety Plan to assure compliance with healthcare accrediting standards in order to enhance the quality of patient care consistent with hospital policies for age appropriate patients.
ESSENTIAL DUTIES TO INCLUDE, BUT NOT LIMITED TO
- Gathers, disseminates, and documents information on clinical quality and patient safety to facilitate compliance with requirements of accrediting and regulatory agencies.
- Assists with data collection and preparation related to Root Cause Analyses, Healthcare Failure Mode Effects Analyses, Internal Audits, Ongoing Provider Performance Evaluation, Grievances, and Risk Assessments.
- Coordinates concurrent and retrospective medical record review studies and prepares resulting reports.
- Assists CQO with preparation for Performance Improvement Committee, Patient Safety Committee, Medical Executive Committee, Operations Review, and Grievance Committee. Documents meeting minutes for the Performance Improvement Committee and Patient Safety Committee.
- In conjunction with the CQO and CCO, utilizes available resources to help define and describe appropriate clinical standards of patient care.
- Participates in clinical rounds with the Chief Clinical Officer or designee.
- Registered Nurse with curent NJ license to practice
- Minimum of five years’ experience as a staff nurse or team lead in a critical care or LTAC setting
- Excellent communication skills
- Strong organizational skills
- Computer literate
- Ability to speak, read and write English
- Ability to work in high stress environment
- Ability to achieve CPHQ certification within one year of hire
- Previous experience in Quality Management, Risk Management, or Patient Safety
- Bachelors of Science in Nursing
- Proficiency with Microsoft Excel, PowerPoint, and Word