Quality-Patient Safety Program Manager

As our Program Manager of Quality and Patient Safety at CHI St Vincent,  you’ll oversee the facility Quality Management, Patient Safety, and Performance Improvement activities for the facility.  You will coordinate and facilitate teams to support the organization’s key initiatives and activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, and root cause analysis.  

To thrive in this role, you must be competent and confident. Utilizing your excellent communication skills one-on-one and in front of groups, you will tackle tough conversations and, above all, be an educator at heart. Every interaction is an opportunity to serve as a resource to employees, management, nursing directors, senior management, councils, physicians, and teams on quality management activities. Your knowledge of accreditation and licensing requirements will improve management outcomes and ensure compliance. Your strong analytical ability to identify data elements needed to complete appropriate measurement, perform data collection, and abstraction per specifications, and validate data prior to submission of reports prior to publication will ensure key findings, action plans, and implementation are shared with stakeholders to improve Quality Management, Patient Safety, and Performance Improvement within the organization. 

CHI St Vincent Infirmary is a 600 bed faith-based, non-profit, acute care facility providing quality health care to patients and communities from all over the State of Arkansas. Our level II trauma center is a regional referral center for cardiology, trauma, behavioral health, cancer care, neurosciences, and other specialties. We have been consistently named by US News & World Report as one of the State’s best hospitals, with high performance in heart care, colorectal surgery, and joint replacement. 

If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us. 

• 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.

• 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.

While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!