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Quality and Patient Safety Program Manager

CHI St Alexius Bismarck Bismarck, North Dakota

The posted compensation range of $29.25 - $39.12 /hour is a reasonable estimate that extends from the lowest to the highest pay °ÄÃÅÁùºÐ±¦µä in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. °ÄÃÅÁùºÐ±¦µä may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-375304 Employment Type Full Time Department Quality Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday 8-4:30 Remote No Category Risk and Compliance
Overview

Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.

CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services.  CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.

CHI St. Alexius Health is part of °ÄÃÅÁùºÐ±¦µä, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. °ÄÃÅÁùºÐ±¦µä is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.

CHI St. Alexius also provides you with the quality care you provide to others. We care about our employees well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family: 

  • Care@Work program supporting any child care, pet care, or adult dependent needs 
  • Employee Assistance Program (EAP) for you and your family 
  • Health/Dental/Vision Insurance 
  • Flexible spending accounts 
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 
  • Adoption Assistance 
  • Paid Time Off (PTO) 
  • Tuition Assistance for career growth and development 
  • Matching Retirement Programs 
  • Wellness Program

Responsibilities

CHI ST. Alexius is looking for a Full Time Quality and Patient Safety Program Manager to join the team!

The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality  management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and  medical staff. This role also serves as a resource to employees, management, nursing directors, senior management,  councils, physicians and teams on quality management activities and will handle patient sensitive and confidential  hospital information.  

What You'll Do:

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, and root cause analyses and medical staff improvement (e.g. 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. 


Qualifications
  • Bachelor's degree or five (5) years of related job or industry  experience in lieu of degree. 
  • One (1) year healthcare-related quality management/performance improvement experience (e.g., chart  audit, PI team member, etc.) and three (3) years clinical  experience in an acute care setting.
  • Certified Professional in Healthcare Quality (CPHQ), or Healthcare  Quality and Management Certification (HCQM), or Certificate of  Professional Healthcare Quality and Patient Safety (CPQPS) within 2  years of employment is required.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. °ÄÃÅÁùºÐ±¦µä cannot anticipate the date by which a successful candidate may be identified.

Depending on the position offered, °ÄÃÅÁùºÐ±¦µä offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit /benefits.

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Equal Opportunity

°ÄÃÅÁùºÐ±¦µä™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please

°ÄÃÅÁùºÐ±¦µä™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). °ÄÃÅÁùºÐ±¦µä™ participates in E-Verify.