Description

Methodist Specialty & Transplant Hospital

Manager Quality

Clinical Outcomes Department

Full Time - Exempt

Day Shift - Weekdays Only

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Quality Department. Submit your application today!

Benefits:

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program, and student loan repayment. We would love to talk to you about this fantastic opportunity.

Provides oversight for development and implementation of quality improvement and regulatory compliance. The position owns the analysis of quality and performance improvement data for the organization through coordination of information including data collection, analysis, and trending of data, compliance with required regulatory indicators, and external agency review and other select clinical outcomes measurement. Provides expertise and leadership in maintaining compliance with requirements of regulatory and accreditation agencies including The Joint Commission, CMS, TDSHS and other applicable agencies. This position serves to educate staff and physicians on regulatory/accrediting requirements to promote readiness and compliance.

What you will do In This Role:

• Coordinates the Quality Assessment/Performance Improvement (QAPI) program and oversees the collection, aggregation and analysis of data for the program.

• Coordinates Quality Council and CART Meetings in addition to serving Nursing Committees. Assists the Chair of the Quality Council, hospital leadership and staff to identify opportunities and develop action plans to drive improvement of patient care, treatment and services. Provides expertise and acts as a coach to PI teams chartered by the Quality Council.

• Measures, analyzes, generates and presents reports on healthcare processes and patient outcomes to identify and prioritize areas for improvement.

• Works in conjunction with Patient Safety/Risk Management in analyzing and responding to significant preventable adverse events (SPAEs) and unanticipated outcomes that occur. Assists with process improvement initiatives resulting from event analysis.

• Maintains knowledge of and expertise in requirements related to The Joint Commission, Medicare (CMS) Conditions of Participation, and Texas Department State Health Services. Develops and implements action plans in response to survey/review findings.

• Oversees all preparation and reporting activities related to regulatory requirements. Coordinates scheduling and activities of announced surveys/reviews and activities for unannounced surveys/reviews; acts as interface with regulatory agencies. Ensures continuous compliance with all requirements; oversees policy development, review and revisions necessary to maintain regulatory compliance

What Qualifications You Will Need:

• Education: Bachelor degree is required; Bachelor of Science degree in Nursing or other health related discipline is preferred. Graduate degree preferred such as an MBA, MSN or MHA.

• Experience: Three years of clinical, quality or regulatory experience required; clinical, quality or regulatory experience in transplant services preferred. Experience or training in principles of quality improvement and regulatory compliance preferred. Strong analytical and critical thinking skills and experience in utilizing work processing, spreadsheets, and clinical systems/databases required.

• Current Texas licensure as a registered nurse, other clinical discipline OR Certification as a Certified Six Sigma Professional (CSSC).

• Certification as a Certified Professional in Healthcare Quality (CPHQ) preferred

Methodist Hospital Specialty and Transplant has been nationally recognized for its record setting kidney, liver and pancreas transplant programs. It is home to the Texas Transplant Institute and is the largest living donor kidney transplant program in the US. According to the United Network of Organ Sharing database, the center reached a major milestone in 2019 by performing 231 living donor kidney transplants in a single year setting a new national record - that’s 65 more transplants than the second center on the list.

In addition to transplant care, Methodist Hospital Specialty and Transplant is a full service hospital with over 260 beds that provides specialized services for liver cancer care, emergency care, weight loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic and Bariatric Surgery Excellence by the American Society for Bariatric Surgery. Our Sexual Assault Response Team provides a compassionate environment for sexual assault survivors ages 13+, serving as a model for hospitals and agencies all over the world. Methodist Hospital Specialty and Transplant prides itself on providing the highest quality of patient care possible as proven by their consecutive Grade A scores from the Leapfrog’s Hospital Safety Grade survey and ranking in the nation’s top quartile for patient experience. For more information, please visit our website at www.sahealth.com and select Methodist Hospital Specialty and Transplant under Locations.

Be a part of an organization that invests in you. We are actively reviewing applications. Qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application today and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.