Quality Patient Safety Program Manager Licensed

As the only not-for-profit, faith-based healthcare system in the area, Dignity Health Nevada, guided by the Adrian Dominican Sisters' vision for over 70 years, continues to serve the Henderson and Las Vegas communities. The Siena Campus, a 326-bed acute care hospital opened in 2000, expanded the services of the Rose de Lima Campus to meet growing healthcare needs. St. Rose Dominican is part of Dignity Health, one of the nation’s largest healthcare systems, with over 9,000 physicians, 60,000 team members, and 400 care centers across 22 states, including hospitals, urgent care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to compassionate, high-quality care, especially for the underserved.

As a Quality Patient Safety Professional, you will develop, implement, and monitor programs to enhance patient safety and drive continuous quality improvement.

Every day you will conduct risk assessments, analyze adverse events, identify root causes, and recommend evidence-based strategies. You will also collaborate with clinical teams and regulators, providing education and guidance on best practices.

To be successful, you will demonstrate a comprehensive understanding of patient safety principles, quality improvement, and healthcare regulations. Your analytical skills, attention to detail, and ability to influence change will be crucial for fostering a culture of safety and achieving exceptional patient outcomes.

• 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.
• *Reporting Structure may differ in Critical Access Hospitals

Required

• Three (3) years clinical experience in an acute care setting and
• One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
• Registered Nurse: NV, upon hire or
• Registered Nurse Practitioner: NV, upon hire or
• Dietitian: NV, upon hire or
• Pharmacist: NV, upon hire or
• Physical Therapist: NV, upon hire or
• Occupational Therapist: NV, upon hire or
• Speech Language Pathologist: NV, upon hire or
• Medical Radiographer: NV, upon hire or
• Respiratory Care Practitioner: NV, upon hire or
• Social Worker: NV, upon hire or
• Doctor of Medicine: NV, upon hire or
• Doctor Osteopathic Medicine: NV, upon hire and
• Certified Professional in Healthcare Quality, within 24 - months or
• Healthcare Quality Mgmt, within 24 - months or
• Cert Prof Healthcare Qual, within 24 - months