Quality Improvement Manager

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Full-Time Benefit Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

8750 Quality & Patient SafetyThe Quality Improvement Manager, in collaboration with medical staff and leadership teams, identifies opportunities for process improvement and facilitates continuous quality improvement efforts by developing systems necessary to further assess, analyze and trend data in a manner consistent with industry standards of practice and to support a data-driven quality improvement program throughout the Kaweah Health.

QUALIFICATIONS

License /Certification
Required: CA RN license

Preferred: Certified Professional in Healthcare Quality (CPHQ)

Education
Required: BSN Lean Six Sigma Black Belt Certification within two and a half years of hire/transfer

Preferred: Master’s degree in Nursing, Public Health, or Business Administration

Experience
Required: Two years of quality improvement experience. Experience with quality initiatives and methodologies, such as: FOCUS PDCA, RCA, FMEA, CQI method and tools, group facilitation, working knowledge of Statistical Process Control methodology, Lean, and Six Sigma principles.

Preferred: Management experience

Knowledge/Skills/Abilities
Excellent oral and written communication skills.
A wide degree of creativity and latitude is expected.
Relies on experience and judgment to plan and accomplish goals.


JOB RESPONSIBILITIES
Essential

Drives improvements in patient safety and quality, and operational efficiency by identifying, planning and facilitating continuous improvement activities together with staff leadership and physicians.

Creates an avenue for transparency with leadership, physicians and staff in order to engage them in improvement efforts.

Manages collection and analysis of clinical outcomes data in order to develop clinical process improvement initiatives.

Manages staff who gather data on performance metrics and facilitates the review of program effectiveness. Manages Core Measure Abstraction Team, Sepsis Coordinator, and Rapid Response RN Clinical Analyst, holding each team member accountable for performance. Performs personnel functions including: hiring, training, mentoring, annual performance reviews, disciplinary actions/counseling.

Evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Performs analysis of data to identify potential opportunities for improvement in meeting core measures and public reportable metrics. Identifies and reports trends identified through monitoring the Quality Improvement and Patient Safety plan and develops action plans to improve. In collaboration with hospital and physician leadership, selects and implements solutions to develop appropriate monitor and control plans to ensure implementation and hard wiring of improvement/change.

Develops and implements an ongoing surveillance program to monitor new measures, standards or guidelines specifically for core measures and public reportable data.

Develops and performs physician and clinical education material and tools on evidence based practices surrounding quality initiative/projects, core measures and public reportable metrics.

Manages all aspects of major projects and/or multiple large scope, complex projects that support the organizational strategic goals. Creates and presents project status updates to senior leadership. Identifies and removes barriers to project success or escalates to leadership when appropriate. Demonstrates effective project management skills. Utilizes change management principals to get results. When facilitating quality teams, manages the work defined in the project charter/project plan/scope to ensure the project moves forward according to the project plan goals and timelines. Maintains project plans/records such that they serve as an archive of project results.

Provides quality and process improvement expertise and facilitates development of standardized approaches to creating performance improvement plans, defining appropriate tools, methodologies and metrics, analyzing and interpreting data, managing change and facilitating improvement teams.

Mentors individuals and teams in improvement methods, project management, change management, group dynamics and planning methods. Uses appropriate tools and processes for quality management (including but not limited to root cause analysis, failure modes and effects analysis, six sigma tools) and participates in the education of staff regarding these methods.

Assists the Director with interventions/data analysis of assigned ongoing quality improvement activities.

Maintains current knowledge of TJC, state and CMS standards and assists the unit/organization in maintaining compliance with all applicable standards.

Provides senior level leadership in project management and performance improvement methods at the organizational level as needed.



Additional

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.

Pay Range

$55.40 -$83.09

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.