Quality Patient Safety Program Manager Licensed

Where You’ll Work

Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 347-bed, acute care, nonprofit, community hospital located in San Bernardino, California. Known for its programs in maternity care and pediatrics, behavioral health and long-term subacute care for adults and children, the hospital also includes inpatient and outpatient surgery. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/san-bernardino for more information.

One Community. One Mission. One California 

Job Summary and Responsibilities

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.

Job Requirements

Requirements

• Clinical Experience: You must have at least three (3) years of clinical experience in an acute care setting.
• Quality Improvement Experience: You'll also need a minimum of one (1) year of experience in healthcare-related quality management or performance improvement. This could include activities like chart audits, being part of a quality improvement team, or similar roles.

Licenses & Certifications

You must hold ONE of the following active California licenses upon hire:

• Registered Nurse (RN:CA)
• Registered Nurse Practitioner (RNP:CA)
• Dietitian (DIETITIAN:CA)
• Pharmacist (PHARM:CA)
• Physical Therapist (PT:CA)
• Occupational Therapist (OT:CA)
• Speech Language Pathologist (SLP:CA)
• Medical Radiographer (MRAD:CA)
• Respiratory Care Practitioner (RESP-LIC:CA)
• Social Worker (SWORKER:CA)
• Doctor of Medicine (MD:CA)
• Doctor of Osteopathic Medicine (DO:CA)

AND

You must obtain ONE of the following certifications within 24 months of your start date:

• Certified Professional in Healthcare Quality (CPHQ)
• Healthcare Quality Management (HCQM)
• Certified Professional in Patient Safety (CPQPS)