Give your leadership true impact with Presence Health.
Combine your professional skills and leadership abilities to inspire excellence and enhance the lives of others. Build a career of substance and significant impact with Presence Health, the largest Catholic health system based in Illinois. Offering an environment where passionate, committed individuals make a meaningful difference, we are seeking an individual with the professional leadership skills, versatility, and clinical expertise to step into this important role:
MANAGER, QUALITY ASSURANCE Holy Family Medical Center - Des Plaines, IL
Direct, coordinate and facilitate activities of the Quality Improvement Department. Assist with leading and facilitating performance improvement activities of the Medical Center to support the implementation of the Quality and Patient Safety Plan Ensures compliance with regulatory agencies including publicly reported quality initiatives and standards.
Serves as an internal Performance Improvement consultant to the medical center departments and the medical staff by staying appraised of the most current PI practices and standards. Provide consultation to departments and multidisciplinary teams; facilitate PI teams including the Failure Mode and Effects Analysis Team. Work closely with teams and physician leaders to ensure quality processes are followed and quality tools are utilized in activities.
Review, collect and analyze data to track and identify opportunities for clinical performance improvement including Hospital Acquired Conditions and AHRQ Quality and Patient Safety Indicators. Share information with appropriate committees and Medical Center Departments for action plan development.
Serve as a resource for the Medical Staff, Nursing and Ancillary department for developing and implementing continuous quality improvement monitors.
Participate in RCA/Sentinel event teams and process review teams by assisting with development of timelines, frameworks and action planning.
Support the Medical Staff Quality Committee and peer review activities. Collaborate with chair for meeting agenda and follow-up. Perform chart review activities to support peer review and other Committee activities. Identifies issues and develop action plans.
Manage and oversee the Medical Center's core measures and hospital quality alliance initiatives including identification of patient populations, abstraction, validation and submission of data. Serve as QNet Administrator for the Medical Center.
Assist with preparation of the Medical Center for standards compliance and participates in regulatory surveys.
Assist with ensuring cost effective daily operations and management of the department including development of goals, budget, policy and procedures and oversight of daily operations. Assist with identification of information needs to effectively plan, forecast, monitor and plan for departmental needs and operations.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
RN required. Education and experience equivalent to a Bachelor's Degree in Nursing, Hospital Administration or related healthcare field. Master's Degree preferred.
Three to five progressively responsible experience in a hospital environment to ensure thorough working knowledge of hospital operations and regulatory requirements. Previous experience in hospital based quality program preferred.
Demonstrated proficiency in principles and tools of performance improvement including team facilitation, techniques for idea generation, problem solving and statistical process control.
Ability to maintain confidentiality according to Medical Center policies and procedures
Created in November 2011 through the merger of Provena Health and Resurrection Health Care, Presence Health is the largest Catholic health system based in Illinois. We offer more than 150 locations around the state, in communities large and small, so health care access is convenient. With 12 hospitals, 27 long-term care and senior living facilities, dozens of physician offices and health centers, home care, hospice, behavioral health services and more, we care for people in all stages of life.