Manager (RN), Quality
Clyde, NC jobs
Manager (RN) - Quality Analyst
Schedule: Day Shift Your experience matters Haywood Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More about our team
Working in a Quality Department means being at the heart of how a hospital ensures patients receive the safest, most effective, and compassionate care possible. It's a dynamic environment where clinical excellence, data, and teamwork intersect every single day.
What You'll Experience
You'll collaborate with leaders, nurses, physicians, and frontline staff across every department. No two days look the same - one day you may be reviewing patient safety events or chart audits, and the next you're leading a root cause analysis, preparing for a regulatory survey, or helping develop a new process improvement plan.
Your work directly influences outcomes like infection prevention, readmission rates, and patient satisfaction. You'll often serve as a bridge between departments - translating data into action, identifying improvement opportunities, and helping staff understand why quality metrics matter.
How you'll contribute
A Registered Nurse (RN) who excels in this role:
-The Registered Nurse Quality Analyst assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments. May provide patient care when necessary.
-Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization.
-Assists the director in managing staff relations including performance management, staff satisfaction, and conflict management. Performs and oversees scheduling, staff development, recruitment, payroll, and student engagements.
-Assists the director by making presentations at various meetings including Quality and Safety Committee, New Employee Orientation, and others.
-May assist the director in monitoring departmental budgets, regulatory compliance, departmental contracts, and vendor relations. Determines and justifies needs for systems/equipment/supplies purchases, monitors usage, and oversees proper working order and/or stock supplies.
-Assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments. May provide patient care when necessary.
-Creates and fosters an environment that encourages professional growth.
Integrates evidence-based practices into operations and clinical protocols.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
-Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
-Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
-Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
-Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
-Professional Development: Ongoing learning and career advancement opportunities.
-Access to our 54,000 sq. ft. Health and Fitness Center **********************************************************************************
Connect with a Recruiter
Not ready to complete an application, or have questions? Please contact Adelaide by texting/calling ************ or via email at ************************.
More about Haywood Regional Medical Center
Haywood Regional Medical Center is a 156-bed acute care hospital that has been offering exceptional care to the Western North Carolina community for over 90 years. We are proud to be recognized for our accreditation in the American College of Cardiology - Chest Pain Center, The Joint Commission National Quality Approval, Addario Lung Cancer Foundation - Center of Excellence and Lung Cancer Alliance - Screening Center of Excellence.
What we're looking for
Applicants should have a current Registered Nurse licensure in the State of North Carolina or from a compact state. Additional requirements include:
-Baccalaureate degree in nursing (BSN) required.
-Master's degree in Nursing, Healthcare Management, or Quality strongly preferred.
-Three (3) to five (5) years diverse clinical practice in an acute care environment required.
-Previous performance improvement and/or large scale project management experience required.
-Demonstrated progressive leadership skills required.
-American Heart Association (AHA) Basic Life Support certification is required within 30 days of hire.
-AHA ACLS and PALS are required within six months of hire.
-Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
EEOC Statement
"Haywood Regional Medical Center is an Equal Opportunity Employer. Haywood Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Director Quality and Clinical Collaboration (Hiring Incentives Available)
Fort Myers, FL jobs
Department: Quality and Clinical Standard
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 5:00:00 PM
Minimum to Midpoint Pay Rate:$42.09 - $56.83 / hour
Summary:
Reporting to the System Director of Quality and Clinical Standardization, this dynamic leadership role drives the development and implementation of evidence-based clinical standards and practice guidelines across Lee Health. Working within the Clinical Collaboration Council (CCC/CCW) structure, the Clinical Standardization Leader plays a pivotal role in advancing systemwide excellence by reducing variation, improving outcomes, and enhancing the patient experience.
This position requires a strategic thinker with strong clinical insight, data-driven decision-making skills, and the ability to engage multidisciplinary teams in meaningful, sustainable change. The ideal candidate is a collaborative change agent who thrives in a culture of continuous improvement and innovation.
Key Responsibilities:
Lead the development and implementation of standardized clinical practices aligned with evidence-based medicine and best-practice consensus.
Partner with physicians, nursing, and operational leaders to promote systemwide collaboration and accountability.
Analyze and interpret clinical and financial data to identify improvement opportunities and measure outcomes.
Facilitate interdisciplinary teams to drive consensus, manage change, and deliver measurable results in quality, safety, and efficiency.
Promote a culture of continuous performance improvement through education, mentoring, and communication.
Requirements
Education:
Masters degree in Nursing or a related healthcare field required.
Experience:
Demonstrated experience in quality improvement, risk management, or process redesign required.
Proven ability to lead teams through change with positive, measurable outcomes.
Strong analytical, problem-solving, and facilitation skills.
Extensive clinical knowledge preferred; may be developed under mentorship of senior leaders.
Licensure:
Active Florida RN license or license in a healthcare-related field required.
Certifications:
Quality and safety certifications preferred (e.g., CPHQ, CPPS, DMAIC, Lean Six Sigma).
Skills & Attributes:
Visionary leader and effective communicator.
Creative, self-motivated, and results-oriented.
Skilled in data interpretation, performance measurement, and lateral integration of care.
Demonstrated ability to collaborate across disciplines and drive system-level improvements.
US:FL:Fort Myers
Senior Manager, Quality & Safety Oversight, Clinical Quality Oversight (KFHP/H)
San Diego, CA jobs
In addition to the responsibilities listed above, this position is also responsible for aligning and coordinating with the Board of Directors and facilitating the oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care; coordinating efforts to resolve complex issues in quality improvement systems; providing strategic guidance on issues related to the organization meeting the standards established by regulatory agencies and accreditation organizations and meeting public expectations; identifying and integrating best practices for maintaining the integrity of systems related to the selection, credentialing and competence of physicians and other health care practitioners; establishing and implementing systems for granting or terminating clinical privileges, professional staff or medical staff or clinical staff membership, proctoring and continuing education; developing and encouraging the use of standardized and established processes for reviewing and approving medical staff or provider staff Bylaws, Rules and Regulations and amendments; and serving as a liaison for the oversight of systems of all contracted entities including but not limited to the Permanente Medical Groups. This role is also responsible for facilitating and leading the peer review process, committees, and forums through leading the gathering of direct information on hospital or health system performance; aligning comprehensive feedback across sources; and developing and communicating a development plan to address needs and solve problems.
Essential Responsibilities:
Creates and advocates for developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works with leaders and employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; hires, trains, and develops talent for growth opportunities; strategically evaluates talent for succession planning; sets performance management guidelines and expectations across teams / units. Oversees implementation, adapts, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends; shares best practices within and across teams. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams; motivates teams to meet business objectives. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope; encourages development and consideration of options in decision making; fosters access to stakeholders.
Manages designated units or teams by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed; partners with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies. Aligns team efforts; builds accountability for and measuring progress in achieving results; assumes responsibility for decision making; fosters direct reports to resolve escalated issues as appropriate. Communicates goals and objectives; incorporates resources, costs, and forecasts into team and unit plans; ensures matrixed resources are fulfilling service or performance requirements across reporting lines. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams and units to operate in alignment with operational and business objectives.
Serves as the subject matter expert for clinical quality improvement processes and regulations for within departments, facilities, internal and external committees, and key stakeholders by: providing consultation on the interpretation and interaction of current policies and how they interact with the current climate, and potential changes to regulations and legislation; leading committees, projects to influence decisions on the enforcement, development of policies, or procedures of regulations and auditing processes and ensuring accountability for successful implementation of core priorities; fostering collaborative, results-oriented partnerships with practitioners, staff, and/or management across clinical and administrative roles to ensure and advise on organizational capability to remain compliant; empowering educational programs to raise awareness for current and changing regulation requirements, internal concerns, and system/database usage; and identifying systematic barriers which cause issues, and weighing practical, technical, and KP capability to develop corrective actions.
Manages the quality of care complaints and review process by: directing the grievance meetings, cases, reviews, referrals, and other mechanisms by collaborating with key stakeholders, the ombudsman, and external regulatory services; responding to and directing the preparations of all documentation, records, and information requested for specific patient case reviews; managing the process flow of investigations and claims for red flags and areas of improvement; and monitoring critical quality improvement metrics, cases, quality care incidents, and near misses according to established protocols on a periodic basis.
Manages risk management efforts by: leading corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction surveys, and auditing surveys across departments and regions; enabling others to be compliant with internal and external polices, regulations, and legislation related to quality improvement by interpreting regulations into actionable actions; developing the processes for root cause analysis, failure mode and effect analysis, and other assessments in response to significant events, near misses, and good catches in order to identify areas of improvement and evaluate newly internalized processes and programs; and developing the process for escalating high-risk issues and trends to appropriate entity for resolutions.
Manages the development of new clinical quality improvement programs by: developing relationships with departments, key stakeholders, and senior management to identify and develop new programs with guidelines, metrics, and operational definitions of quality improvement through qualitative and quantitative program evaluation, analyzing program performance, performance reviews, and peer/department review groups; serving as a subject matter expert for a variety of
Vice President, Quality & Safety - Northwest Market
Portland, OR jobs
The person in this position will provide the strategic leadership for Kaiser Foundation Health Plan to compete as the quality leader in health care. On behalf of the Health Plan, the individual in this role has the overall responsibility for ensuring the quality, safety, and regulatory/accreditation compliance of programs and services provided to KP members and patients in all areas of the KP market care delivery system. This leader is responsible for effectively partnering with the market Permanente Medical Group to ensure care delivery strategies meet regulatory and accreditation compliance; align with national and market policies and programs related to quality and safety; and establish/oversee quality management systems and governance. This role functions on behalf of the KFHP/H Board of Directors to provide effective quality oversight of both facility and provider credentialing. This leader is also responsible for proactively collaborating with key Health Plan and physician leaders across the national system to support the delivery of high quality, cost-effective, integrated healthcare to members and patients. The leader in this position will partner with other KFHP/H and PMG executives to ensure the leveraging of capabilities and sharing of best practices across the market. Core work includes but is not limited to: the development and implementation of strategic quality and safety oversight objectives that are incorporated into national and regional business plans, development and implementation of quality oversight programs and corrective action plans to ensure continuous quality improvement, and the development and monitoring of appropriate measures for safe, timely, effective, efficient, equitable, and person-centered care that assess the impact on the health of our members and the communities we serve. This position consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to the applicable federal, state, and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanentes policies and procedures.
Essential Responsibilities:
Directs a high functioning team of quality and safety professionals who oversee quality, safety, infection prevention, and regulatory/accreditation compliance of programs and services provided to KP members and patients in all areas of the KP market care delivery system.
Partners with Permanente Quality to provide overall leadership of the KP market-s quality of care program for the delivery system including its ambulatory, inpatient, dental, continuing care services as well as contracted hospitals and network providers.
Partners with the Hospital Administrator(s) to provide leadership and oversight of the Hospital Quality program, ensuring that activities are in alignment with, approved, and directed by the Board of Directors (QHIC).
Drives, and when appropriate, partners with market PMG quality and / or operational leaders in the development of quality oversight programs and systems that position Kaiser Permanente as the quality leader in the marketplace through participation in relevant externally benchmarked measurement programs (e.g., HEDIS, CMS 5 Star, NCQA, Patient-Centered Medical Home, Leapfrog).
Identifies obstacles, barriers, and issues impacting the KP market-s ability to meet its quality, workplace safety, patient safety, clinical risk management and regulatory goals and objectives.
Represents the KP market in strategic matters locally and nationally, relating to issues of clinical quality, service quality, safety, and risk (e.g., market quality oversight committees, KPNQC, SERCIT, Board of Directors).
Collaborates with national functions for example the Care Management Institute (CMI), the Medicare Inter-regional Program Management Organization (IRPMO), and other functional units within the KP enterprise to obtain appropriate, on-going data on quality outcomes and member and community health status improvements.
Leads Quality Program Administration, (i.e., QHIC processes) including quality management oversight, health care delivery oversight, assessment, and intervention.
Supports Population Health Community of Practice to develop strategic prevention plan, implement program guidelines, and develop program evaluation and monitor outcomes for members- health using HEDIS targets and outcomes.
Partners with care delivery leaders by providing timely and accurate quality and regulatory advice, information, consultation and continually measures satisfaction of accountable services.
Collaborates with Compliance and operations to minimize clinical risk and maximize quality outcomes.
Ensures Accreditation, Regulatory Compliance and Licensing as appropriate.
Directs activities to ensure that the KP market obtains and maintains full NCQA accreditation, meets CMS, state and other regulatory requirements achieving the highest award recognition. (Examples: Medicare 5-star, Joint Commission, Det Norske Veritas, American Heart Association)
Ensures effective execution of business strategies by aligning human resource strategies with business needs, by recruiting and developing a high-performance team, and by creating a climate, which builds employee commitment and reinforces performance, customer service and quality, and service outcomes.
Director of Quality Improvement
Yonkers, NY jobs
Under the direction of the Vice President and Chief Quality Officer, the Director of Quality Improvement is responsible for developing and implementing the organization's Performance Improvement plan and priorities consistent with regulatory standards and evidence based best practices. As a member of the leadership team, serves as a role model and leader to colleagues and staff throughout the organization. Thoughtfully develops and implements initiatives to achieve improvements consistent with hospital strategic priorities. Promotes a culture that is positive, that values individual strengths, and is committed to optimal patient care, and compliance with regulatory standards. This position is responsible for direct supervision of the Quality Analyst and Quality Improvement Specialist and serves as the Stroke Coordinator.
Key responsibilities include:
• Strategic focus on improving quality. Responsible for goal setting and achievement using SJMC established Performance Improvement methodology and analytic tools. Defines measurable and actionable metrics and ongoing monitors to sustain performance.
• Identifies and drives analytic needs for improvement projects/initiatives. Supports leaders in development of problem charter and selection of the best tools for data analysis. Mastery of basic statistical concepts, tools and techniques and working knowledge of improvement tools and techniques. Teaches/mentors others on basic topics and able to assist others with advanced topics.
• Serves as Stroke Coordinator and supports the Stroke Program including defining and developing structure, process and outcome measures, policies, accreditation and facilitating and actively developing initiatives to meet and exceed evidence-based care metrics for stroke patients.
• Lead and/or facilitate complex multidisciplinary improvement teams as needed to achieve quality and performance improvement goals.
• Responsible for oversight of data collection, measurement, and data analysis for organizational, federal and state quality metrics.
• Coordinate mortality, patient complaint, and outcome reviews.
• Serve as a regulatory resource regarding state and federal regulations and standards, including but not limited to CMS, TJC, and NYS.
• Create and present data needed for evaluation and appropriate action by committees, leadership, and quality improvement teams.
• Represents the organization within and external to the community when required.
• Assist in improving patient experience through analysis of data and implementation of initiatives to improve performance.
Requirements:
• Bachelor's Degree or commensurate experience required.
• Registered Nurse in New York State required
• Master's Degree in Healthcare specialty preferred
• Current certification as CPHQ strongly preferred. Certification required within 3 years of hire date.
• Previous managerial experience preferred.
• Competence in Microsoft office products including PowerPoint and Microsoft Excel.
• Familiarity with health care clinical operations and processes in an acute care hospital setting.
• Familiarity with regulatory requirements as related to hospital setting.
Other Requirements:
• The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull less than 10 pounds, and occasionally lift, carry or push/pull up to 10 pounds.
• While performing the duties of this Job, the employee is regularly required to perform activities that require fine motor skills. The employee is frequently required to do repetitive motion, hear, reach, sit, and speak. The employee is occasionally required to walk.
• Specific vision abilities required by this job include color vision, far vision, and near vision.
• The noise level in the work environment is usually quiet.
Salary: $170K-$180K
Saint Joseph's Medical Center is an equal opportunity employer.
Quality Assurance Manager
Oklahoma City, OK jobs
Modular Services Company is a medical product design and manufacturing leader, specializing in advanced prefabricated products such as Medical Headwalls, Footwalls, Sinkwalls, Fixed/Rotating Columns, and Movable Boom Systems. Headquartered in Oklahoma City, Oklahoma, the company focuses on innovative solutions to enhance healthcare environments. Modular's products are engineered to improve medical facility efficiency and patient care. The company remains dedicated to delivering tailored solutions to meet the unique needs of healthcare providers.
Role Description
This is an on-site, full-time position located in Oklahoma City, OK. The Quality Assurance Manager will oversee quality control processes and ensure all products comply with company and industry standards. Responsibilities include developing and implementing quality assurance strategies, conducting audits, managing a team to monitor processes, and leading continuous improvement initiatives. The individual will collaborate across teams to enforce production quality standards and address any quality-related challenges.
Qualifications
Strong experience in Quality Assurance, Quality Control, and process improvement methodologies
Proficiency in conducting audits, managing teams, and implementing quality assurance strategies
Knowledge of medical product design or manufacturing processes is preferred
Excellent problem-solving, decision-making, and leadership skills
Strong verbal and written communication abilities to collaborate across teams and departments
Proficient in relevant quality assurance tools, metrics, and software
Ability to work on-site full-time in Oklahoma City, OK
Bachelor's degree in Quality Management, Engineering, Manufacturing, or a related field, with applicable certifications being a plus
RN Quality Program Manager - Oncology
Bellevue, WA jobs
Quality Program Manager RN - First Hill
Full time
Day shift
Fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you the chance to focus on what really matters - our patients.
This role is responsible for regulatory compliance and quality standards in accordance with Foundation for the Accreditation of Cellular Therapy (FACT) guidelines. Under the direction of operational and clinical leadership, the Supervisor leads the compliance audits, corrective action process, and other quality and compliance activities designated in the Quality Management Plan and Audit Calendar.
Ensures compliance with FACT, CIBMTR, and other applicable agencies by continually engaging agencies around updates, identifying and updating internal SOPs to reflect changes, and coordinating and documenting education to necessary parties. Regularly reviews status of annual competency requirements, identifies avenues to assist in meeting requirements, and notifies participants of any deficiencies throughout the year.
Partners with IS, Best Practice, Clinical Transformation, analytics, patient engagement, patient safety, risk management and other teams to coordinate improvements in education, workflow, Epic, and other areas identified by project teams. Will participate in Quality Management Committee meetings/Transplant CPC meetings and collaborate with various clinical departments for planning, coordination, implementation, and monitoring of all quality management activities throughout the service line.
Manages the Quality Calendar and performs associated audits. Shares audit results with leadership, proposes and implements corrective action plans.
Participates in the design, creation, validation, analysis, and communication of clinical quality data as it related to organizational priorities in partnership with analytics and other relevant teams. Works closely with Data Managers to ensure data integrity and quarterly CPI requirements are met.
Supports the evaluation and continual improvement of quality and safety at Swedish, as represented by the quality management system and/or other standardized practices across the enterprise. Uses standardized principles (i.e., document vetting and control) and processes (i.e., internal audits, preventative/corrective action, risk reduction, action planning) as appropriate.
Remains current and knowledgeable about regulatory requirements and payor/government programs such as FACT and CIBMTR. References that information to design effective systems and processes and meets or exceeds those standards.
Creates project summaries and reports, leads project committees/workgroups, and provides presentations and other communications to local and system-wide groups/teams in partnership with division leadership as needed.
Participates thoughtfully and constructively in team meetings. Assists with onboarding of new team members.
Maintains minimum 10 hours of cellular therapy education.
Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish First Hill and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree Nursing; graduation from an accredited school.
Upon hire: Washington Registered Nurse License.
Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.
3 years Direct patient care.
Experience with EHRs.
Experience developing clinical care policies, procedures and order sets.
Preferred Qualifications:
Master's Degree Healthcare.
1 year Experience in a supervisory role; delegating nursing responsibilities to licensed and unlicensed personnel within a medical setting (ambulatory or acute).
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
About the Team
Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we're dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.
Requsition ID: 384485
Company: Swedish Jobs
Job Category: Clinical Quality
Job Function: Quality/Process Improvements
Job Schedule: Part time
Job Shift: Day
Career Track: Nursing
Department: 3901 SFH HEM ONCOLOGY
Address: WA Seattle 1221 Madison
Work Location: Swedish First Hill 1221 Madison-Seattle
Workplace Type: On-site
Pay Range: $57.86 - $89.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Quality Management Coordinator / Full-time
Santa Fe, NM jobs
Ready to make your application Please do read through the description at least once before clicking on Apply.
In a High-Reliability Organization, the QM Coordinator, reporting to the Director of Quality, is responsible for coordinating and acquiring data from source systems specific to clinical quality management regulatory and performance improvement metrics using methods of audits, tracers, chronologies, root cause analysis and rounding skill validation activities. The QM Coordinator provides expertise and support for Quality Management functions, including abstracting, data aggregation and analysis, and medical record review for quality assessment. This individual will demonstrate their expertise in quality management and performance improvement through the coordination and maintenance of quality clinical initiatives to support performance improvement programs. Analyze and trends data for opportunities for improvement/process improvement. This role is expected to apply clinical knowledge and analytical skills to assist the Director of QM and leadership in implementing quality improvement strategies and change with a strong focus on improving quality outcomes and results.
Requirements
MINIMUM QUALIFICATIONS:
EDUCATION: Graduate of an accredited nursing school or practical certificate program is strongly preferred. An associate degree in another clinical discipline may be considered in lieu of a nursing program, provided the candidate has relevant experience in Quality Management.
CERTIFICATION/LICENSES: Current New Mexico Nursing license strongly preferred, BLS issued through American Heart Association strongly preferred. CPHQ (Certified Professional in Healthcare Quality) preferred
SKILLS:
· Excellent interpersonal skills
· Proficient in Microsoft Office Packages (Excel, Word, Outlook, and PowerPoint)
· Proficient knowledge in Midas
· Excellent oral and written communication
· Excellent attention to detail
· Ability to work under tight deadlines
· Ability to plan and prioritize workload
· Ability to work independently
· Excellent time management skills
· Good conflict resolution skills
· Project management skills, highly desired
· Ability to effectively evaluate medical records.
· Competence with word processing, spreadsheet, and data management computer applications.
EXPERIENCE: Minimum of 3 years of nursing experience of which a minimum of two years have been spent in an acute care setting; med/surg or critical care experience preferred. One year of quality management experience preferred. Experience with data collection and analysis preferred.
NATURE OF SUPERVISION:
-Responsible to: Director Quality Management III
ENVIRONMENT:
- Bloodborne pathogen A
Works in a clean, well-lighted, ventilated smoke-free environment.
PHYSICAL REQUIREMENTS: Ability to move throughout CSV facilities and to all hospital units/departments. Extensive use of a computer for required applications. Requires close work, good vision, and dexterity to write as well as type. xevrcyc Requires the ability to speak, listen, develop, and communicate written materials.
Sr. Quality Outcomes Specialist/RN - Willowbrook
Houston, TX jobs
At Houston Methodist, the Senior Quality Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care delivered is safe, effective, patient-centered, timely, efficient and equitable. This position identifies outcomes variances, taking initiative for timely resolution of potential concerns, and utilizes the ability to synthesize an analysis of complex systems, developing and implementing solutions to improve complex processes and goals. Other responsibilities include supporting and promoting the organization-wide clinical performance improvement/patient safety program and culture; and serving as departmental expert for areas of expertise, sharing knowledge, effective tools and educational materials as appropriate. Additionally, this position serves as a resource and expert in performance improvement methodologies to clinical staff; conducts educational offerings to support training, mentoring, and precepting of team members; and conducts review, analysis, and integration of data in workflow design to support team, departmental and organizational mission and goals.
PEOPLE ESSENTIAL FUNCTIONS
Promotes organization-wide understanding of overall quality and patient safety program and culture. Serves as an expert resource to all levels of the organization regarding quality improvement activities.
Proactively and effectively develops and maintains collaborative relationships with physicians, hospital leaders and staff. Serves as operational liaison to physicians and staff to support Care Management Performance Improvement (CMPI)/Project goals.
Facilitates a multidisciplinary approach to improve clinical processes and outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes.
Serves as a lead resource and mentor for other Quality Outcome Specialists. May assist in creating and reviewing project designs.
SERVICE ESSENTIAL FUNCTIONS
Serves as a key quality contact with leadership, managers and staff responsible for the execution of corrective actions initiatives/projects and compliance with customer requirements.
Supports leadership with the development and implementation of patient safety and process improvement changes. Makes recommendations for unit-based process change initiatives.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Facilitates timely and effective resolutions of patient care process issues. Uses performance improvement methodologies in the development of performance improvement/patient safety initiatives and coordinates teams as needed to drive change towards desired outcomes. Monitors compliance with clinical protocols, pathways and evidence-based care along the continuum for various hospital patient populations.
Facilitates a multi-disciplinary approach to improve clinical process and outcomes. Monitors and evaluates clinical performance of CMPI and Project efforts using defined metrics and desired outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes.
Abstracts pertinent information and enters into department databases using standardized methods and processes. Routinely performs discrepancy management activities to maintain data integrity. Presents meaningful reports and analysis with measurement description, statistical information, and benchmarking information. Monitors trends and provides feedback. Creates and presents executive summaries as needed to various audiences to drive change.
Supports improvement efforts for potential or actual quality of care issues including participation/facilitation of Root Cause Analysis (RCA), Failure Modes Effects Analysis (FMEA), Critical Incident Review (CIR) or event review as needed. Supports leadership and staff with the development and implementation of process changes. Conducts evaluation of effectiveness of initiatives and presents findings as needed. Facilitates systems' design to hardwire patient safety processes.
FINANCE ESSENTIAL FUNCTIONS
Facilitates performance improvement projects/initiatives to improve outcomes, ultimately impacting hospital finances.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies and recommends opportunities for improvement in accordance with hospital leadership.
Assists in the development of long-term tactics and strategies to improve operational processes.
Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATION
Bachelor's degree in nursing
Master's degree preferred
WORK EXPERIENCE
Four years of experience in direct patient care activities in a hospital setting
Three years of experience in Hospital Quality Improvement
Two years of progressive leadership experience
LICENSES AND CERTIFICATIONS - REQUIRED
RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) AND
Certification: CPHQ, CPPS, or CPSO within 18 months
KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Demonstrates knowledge and application of process improvement tools and techniques (statistical process control tools and team tools)
Demonstrates knowledge of regulatory and accrediting standards as they apply to performance improvement
Skill in developing and maintaining interpersonal relationships with a wide variety of healthcare professionals and hospital leadership
Ability to define problems, collect data, establish facts and draw valid conclusions and evidence performance improvement via measurable results
Ability to enter and abstract data using personal computer, as well as the ability to utilize data to facilitate the improvement and change in processes
Computer skills to include Excel, Word, and PowerPoint
Ability to facilitate performance improvement teams, present data and promote a collaborative approach toward goal achievement
Ability to work independently and interdependently
Presentation skills and expertise in designing and implementing teams/educational offerings related to clinical quality
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women's services, neurology and neurosurgery, oncology, and primary and general medicine.
Houston Methodist is an Equal Opportunity Employer.
Inpatient Quality Program Manager
Remote
A bit about this role:
The IP Quality Program Manager for Inpatient is a high-impact, hands-on leader responsible for driving clinical quality, regulatory compliance, and operational efficiency across the Utilization Management (UM) department.
This role combines advanced UM expertise, AI/LLM integration, and data-driven decision-making to transform clinical review, audit, and workflow operations. The Program Manager will oversee all Quality activities within the Inpatient Team, lead AI-powered audit initiatives, and ensure all IP processes meet Regulatory and CMS Regulations.
This is a fast-paced, high-change environment requiring someone who thrives on operational challenges, can manage multiple priorities simultaneously, and is comfortable leading innovation at the intersection of clinical operations and technology
Your Responsibilities and Impact will include:
Lead New Hire Onboarding & Development - Build and maintain standardized training, assess learning milestones, and provide targeted re-education to support progression into more complex clinical reviews.
Monitor & Improve OD Compliance - Partner with Compliance, A&G, and UM leadership to track OD timeliness, accuracy, and overturns; use insights to mitigate risk and drive continuous improvement.
Integrate CMS Regulatory Updates - Stay current on OD-related CMS changes and embed updates into SOPs, training materials, and clinical review practices; proactively re-educate staff.
Drive Clinical Decision Quality - Evaluate clinical decision-making for accuracy, consistency, and adherence to evidence-based criteria; use audits to identify trends and direct interventions.
Lead Remediation & Quality Improvement - Develop and deliver corrective action plans, workflow refinements, and policy updates based on error patterns or emerging risks.
Provide SME Guidance & Real-Time Coaching - Serve as a clinical and operational resource; support staff with real-time problem solving and reinforce best practices.
Deliver Ongoing Education & IRR - Conduct in-services, case studies, and cross-functional learning sessions; manage IRR reviews and implement training based on results; maintain a comprehensive learning library.
Maintain Clinical Tools & SOP Alignment - Curate job aids, decision tools, and supplemental materials; support annual SOP reviews to ensure accuracy, consistency, and compliance.
Support Team Operations & Cross-Functional Work - Participate in weekly assignment planning, team meetings, committees, workflow changes, and partner-department initiatives; respond to interdepartmental questions.
Advance AI/LLM Adoption in Clinical Practice - Utilize AI/LLM models to strengthen decision quality and predictive analytics; implement AI-driven tools; train staff on effective use of AI in clinical workflows.
Required skills and experience:
Strong clinical expertise with an unrestricted RN license and 5+ years of nursing experience, including at least 4 years in health plan Utilization Management; prior provider-side clinical experience preferred.
Demonstrated leadership, collaboration, and coaching abilities, with experience training or teaching nurses/clinicians in complex clinical and regulatory topics.
Advanced analytical, strategic thinking, and problem-solving skills, with the ability to navigate complexity and balance multiple priorities in a fast-paced or startup environment.
In-depth knowledge of Medicare Advantage, CMS guidelines, and regulations governing claims, appeals, and grievances, with proven ability to apply compliance requirements in daily operations.
Experience with AI/LLM technologies, including applying AI tools to clinical decision-making, operational workflows, or reviewer support.
Member- and colleague-centric mindset, demonstrating empathy, service orientation, and commitment to high-quality, compliant care delivery.
Desired skills and experience:
Certified InterQual Trainer and/or Certified Coder
#LI-DS1
#LI-Remote
Salary Range: $80,000-$120,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Auto-ApplyClinical Quality Program Manager (RN)
Baltimore, MD jobs
YOU BELONG HERE What Awaits You? * Career growth and development * Employee and Dependent Tuition Assistance * Diverse and collaborative working environment * Affordable and comprehensive benefits package Our competitive benefit package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: Johns Hopkins Hospital | Your benefits virtually (mybenefitsjhhs.com)
Summary:
The Pediatric Surgery Quality Program manager manages the activities and operations of all Children's Surgery quality program(s) at the Johns Hopkins Children's Center (JHCC) as they relate to compliance with the American College of Surgeons (ACS) Children's Surgery Verification (CSV)standards. In collaboration with the Physician Director of Surgical Quality, the manager provides leadership and coordination of the quality program across the surgical care continuum. In this role, they support clinical and non-clinical programs, projects, and initiatives related to quality and process improvement, patient safety, and care delivery for the Department of Pediatric Surgery. The program manager promotes optimal patient care for infants and children with surgical needs by ensuring access to safe and effective surgical care that aligns with nationally published evidence-based standards and exploring new opportunities and ventures for growth.
The Pediatric Surgery Quality Program Manager reports to a member of the QI leadership team and is expected to operate with a high-level of autonomy and independent judgement.
Education/ Work Experience:
* Master's degree or master's candidate required in a healthcare-related field such as Healthcare Quality, Nursing, Public Health, Health Policy, Business Administration, Health Administration, Physical Sciences, or Technology.
* Completion of an accredited Nursing, Pharmacy, Medical Doctor, Doctor of Osteopathy or Physician's Assistant program is preferred.
* Must attain certification from the National Association for Healthcare Quality (NAHQ) as a Certified Professional in Healthcare Quality (CPHQ), or an approved equivalent, within two years of employment in the role. Must then maintain the certification.
* Licensed as a Registered Nurse (RN), Medical Doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA), or Pharmacist in the State of Maryland optional.
* Five (5) years in process/quality improvement, consulting or leadership role with a focus on healthcare, involving the application of quality improvement, change management and project management methods in the workplace
Salary Range: Minimum 44.61/hour - Maximum 73.66/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Senior Clinical Quality Program Manager
Baltimore, MD jobs
YOU BELONG HERE What Awaits You? * Career growth and development * Employee and Dependent Tuition Assistance * Diverse and collaborative working environment * Affordable and comprehensive benefits package Our competitive benefit package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: Johns Hopkins Hospital | Your benefits virtually (mybenefitsjhhs.com)
SUMMARY
The Senior Clinical Quality Program Manager is responsible for the overall integrity and coherence of the clinical quality program(s) in a department that has large enterprise-wide programs that contain several interconnected project work streams. The Senior Clinical Quality Program Manager will develop and maintain an environment that supports all clinical quality improvement projects and related regulatory requirements within the department. The Senior Clinical Quality Program Manager is responsible for the effective coordination of the program's clinical quality improvement projects and management of their inter-dependencies including oversight of any risks and issues arising. This will include the coordination of resources to enable effective change and realization of projected benefits and risk mitigation.
Education:
Masters degree or Masters candidate required in a healthcare related field such as Healthcare Quality, Nursing, Public Health, Health Policy, Business Administration, Health Administration, Physical Sciences, or Technology. Completion of an accredited Nursing, Pharmacy, Medical Doctor, Doctor of Osteopathy or Physician's Assistant program is preferred
Required Licensure, Certification, On-going Training:
* Licensed as a Registered Nurse (RN), Medical Doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA), or Pharmacist in the State of Maryland optional.
* Must attain certification from the National Association for Healthcare Quality (NAHQ) as a Certified Professional in Healthcare Quality (CPHQ), or an approved equivalent, within two years of employment in the role. Must then maintain the certification.
* Professional (PMP) or equivalent project/program management certification strongly preferred
Work Experience:
Five (5) years in process/quality improvement, consulting or leadership role with a focus on healthcare, involving the application of quality improvement, change management and project management methods in the workplace
* leading or actively participating in quality improvement projects/activities using quality tools to analyze problems (e.g. fish-bone diagrams, root cause analysis, fault tree analysis, failure mode and effect analysis, flow-charting, pareto analyses), and applying six sigma, lean, Toyota production System, or PDSA/PDCA for the overall project.
* applying quality measurement methods in projects such as sampling, frequency/distributional analysis, reliability analysis, and statistical process control.
* executing small tests of change, building small tests of change into implementation, spreading changes across the larger organization, and sustaining change over-time.
* working with front-line staff (people who touch the work process) to analyze problems, test changes, efficiently measure results, and implement changes.
Salary Range: Minimum 47.68/hour - Maximum 78.74/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Senior Clinical Quality Program Manager
Baltimore, MD jobs
YOU BELONG HERE
What Awaits You?
Career growth and development
Employee and Dependent Tuition Assistance
Diverse and collaborative working environment
Affordable and comprehensive benefits package
Our competitive benefit package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: Johns Hopkins Hospital | Your benefits virtually (mybenefitsjhhs.com)
SUMMARY
The Senior Clinical Quality Program Manager is responsible for the overall integrity and coherence of the clinical quality program(s) in a department that has large enterprise-wide programs that contain several interconnected project work streams. The Senior Clinical Quality Program Manager will develop and maintain an environment that supports all clinical quality improvement projects and related regulatory requirements within the department. The Senior Clinical Quality Program Manager is responsible for the effective coordination of the program's clinical quality improvement projects and management of their inter-dependencies including oversight of any risks and issues arising. This will include the coordination of resources to enable effective change and realization of projected benefits and risk mitigation.
Education:
Masters degree or Masters candidate required in a healthcare related field such as Healthcare Quality, Nursing, Public Health, Health Policy, Business Administration, Health Administration, Physical Sciences, or Technology. Completion of an accredited Nursing, Pharmacy, Medical Doctor, Doctor of Osteopathy or Physician's Assistant program is preferred
Required Licensure, Certification, On-going Training:
Licensed as a Registered Nurse (RN), Medical Doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA), or Pharmacist in the State of Maryland optional.
Must attain certification from the National Association for Healthcare Quality (NAHQ) as a Certified Professional in Healthcare Quality (CPHQ), or an approved equivalent, within two years of employment in the role. Must then maintain the certification.
Professional (PMP) or equivalent project/program management certification strongly preferred
Work Experience:
Five (5) years in process/quality improvement, consulting or leadership role with a focus on healthcare, involving the application of quality improvement, change management and project management methods in the workplace
leading or actively participating in quality improvement projects/activities using quality tools to analyze problems (e.g. fish-bone diagrams, root cause analysis, fault tree analysis, failure mode and effect analysis, flow-charting, pareto analyses), and applying six sigma, lean, Toyota production System, or PDSA/PDCA for the overall project.
applying quality measurement methods in projects such as sampling, frequency/distributional analysis, reliability analysis, and statistical process control.
executing small tests of change, building small tests of change into implementation, spreading changes across the larger organization, and sustaining change over-time.
working with front-line staff (people who touch the work process) to analyze problems, test changes, efficiently measure results, and implement changes.
Salary Range: Minimum 47.68/hour - Maximum 78.74/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Clinical Quality Program Manager (RN)
Baltimore, MD jobs
YOU BELONG HERE
What Awaits You?
Career growth and development
Employee and Dependent Tuition Assistance
Diverse and collaborative working environment
Affordable and comprehensive benefits package
Our competitive benefit package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: Johns Hopkins Hospital | Your benefits virtually (mybenefitsjhhs.com)
Summary:
The Pediatric Surgery Quality Program manager manages the activities and operations of all Children's Surgery quality program(s) at the Johns Hopkins Children's Center (JHCC) as they relate to compliance with the American College of Surgeons (ACS) Children's Surgery Verification (CSV)standards. In collaboration with the Physician Director of Surgical Quality, the manager provides leadership and coordination of the quality program across the surgical care continuum. In this role, they support clinical and non-clinical programs, projects, and initiatives related to quality and process improvement, patient safety, and care delivery for the Department of Pediatric Surgery. The program manager promotes optimal patient care for infants and children with surgical needs by ensuring access to safe and effective surgical care that aligns with nationally published evidence-based standards and exploring new opportunities and ventures for growth.
The Pediatric Surgery Quality Program Manager reports to a member of the QI leadership team and is expected to operate with a high-level of autonomy and independent judgement.
Education/ Work Experience:
Master's degree or master's candidate required in a healthcare-related field such as Healthcare Quality, Nursing, Public Health, Health Policy, Business Administration, Health Administration, Physical Sciences, or Technology.
Completion of an accredited Nursing, Pharmacy, Medical Doctor, Doctor of Osteopathy or Physician's Assistant program is preferred.
Must attain certification from the National Association for Healthcare Quality (NAHQ) as a Certified Professional in Healthcare Quality (CPHQ), or an approved equivalent, within two years of employment in the role. Must then maintain the certification.
Licensed as a Registered Nurse (RN), Medical Doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA), or Pharmacist in the State of Maryland optional.
Five (5) years in process/quality improvement, consulting or leadership role with a focus on healthcare, involving the application of quality improvement, change management and project management methods in the workplace
Salary Range: Minimum 44.61/hour - Maximum 73.66/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
RN Quality Program Manager - Oncology
Renton, WA jobs
Quality Program Manager RN - Oncology @ Swedish First Hill
Full time
Day shift
Fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you the chance to focus on what really matters - our patients.
This role is responsible for regulatory compliance and quality standards in accordance with Foundation for the Accreditation of Cellular Therapy (FACT) guidelines. Under the direction of operational and clinical leadership, the Supervisor leads the compliance audits, corrective action process, and other quality and compliance activities designated in the Quality Management Plan and Audit Calendar.
Ensures compliance with FACT, CIBMTR, and other applicable agencies by continually engaging agencies around updates, identifying and updating internal SOPs to reflect changes, and coordinating and documenting education to necessary parties. Regularly reviews status of annual competency requirements, identifies avenues to assist in meeting requirements, and notifies participants of any deficiencies throughout the year.
Partners with IS, Best Practice, Clinical Transformation, analytics, patient engagement, patient safety, risk management and other teams to coordinate improvements in education, workflow, Epic, and other areas identified by project teams. Will participate in Quality Management Committee meetings/Transplant CPC meetings and collaborate with various clinical departments for planning, coordination, implementation, and monitoring of all quality management activities throughout the service line.
Manages the Quality Calendar and performs associated audits. Shares audit results with leadership, proposes and implements corrective action plans.
Participates in the design, creation, validation, analysis, and communication of clinical quality data as it related to organizational priorities in partnership with analytics and other relevant teams. Works closely with Data Managers to ensure data integrity and quarterly CPI requirements are met.
Supports the evaluation and continual improvement of quality and safety at Swedish, as represented by the quality management system and/or other standardized practices across the enterprise. Uses standardized principles (i.e., document vetting and control) and processes (i.e., internal audits, preventative/corrective action, risk reduction, action planning) as appropriate.
Remains current and knowledgeable about regulatory requirements and payor/government programs such as FACT and CIBMTR. References that information to design effective systems and processes and meets or exceeds those standards.
Creates project summaries and reports, leads project committees/workgroups, and provides presentations and other communications to local and system-wide groups/teams in partnership with division leadership as needed.
Participates thoughtfully and constructively in team meetings. Assists with onboarding of new team members.
Maintains minimum 10 hours of cellular therapy education.
Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish First Hill and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Bachelor's Degree Nursing; graduation from an accredited school.
Upon hire: Washington Registered Nurse License.
Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.
3 years Direct patient care.
Experience with EHRs.
Experience developing clinical care policies, procedures and order sets.
Preferred Qualifications:
Master's Degree Healthcare.
1 year Experience in a supervisory role; delegating nursing responsibilities to licensed and unlicensed personnel within a medical setting (ambulatory or acute).
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
About the Team
Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we're dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.
Requsition ID: 384485
Company: Swedish Jobs
Job Category: Clinical Quality
Job Function: Quality/Process Improvements
Job Schedule: Part time
Job Shift: Day
Career Track: Nursing
Department: 3901 SFH HEM ONCOLOGY
Address: WA Seattle 1221 Madison
Work Location: Swedish First Hill 1221 Madison-Seattle
Workplace Type: On-site
Pay Range: $57.86 - $89.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Quality Control, Keywords:Quality Control / Quality Assurance Manager, Location:Renton, WA-98055
RN Quality Program Manager - Oncology
Seattle, WA jobs
Quality Program Manager RN - Oncology @ Swedish First Hill Full time Day shift Fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Join us, and find out how many ways we offer you the chance to focus on what really matters - our patients.
This role is responsible for regulatory compliance and quality standards in accordance with Foundation for the Accreditation of Cellular Therapy (FACT) guidelines. Under the direction of operational and clinical leadership, the Supervisor leads the compliance audits, corrective action process, and other quality and compliance activities designated in the Quality Management Plan and Audit Calendar.
+ Ensures compliance with FACT, CIBMTR, and other applicable agencies by continually engaging agencies around updates, identifying and updating internal SOPs to reflect changes, and coordinating and documenting education to necessary parties. Regularly reviews status of annual competency requirements, identifies avenues to assist in meeting requirements, and notifies participants of any deficiencies throughout the year.
+ Partners with IS, Best Practice, Clinical Transformation, analytics, patient engagement, patient safety, risk management and other teams to coordinate improvements in education, workflow, Epic, and other areas identified by project teams. Will participate in Quality Management Committee meetings/Transplant CPC meetings and collaborate with various clinical departments for planning, coordination, implementation, and monitoring of all quality management activities throughout the service line.
+ Manages the Quality Calendar and performs associated audits. Shares audit results with leadership, proposes and implements corrective action plans.
+ Participates in the design, creation, validation, analysis, and communication of clinical quality data as it related to organizational priorities in partnership with analytics and other relevant teams. Works closely with Data Managers to ensure data integrity and quarterly CPI requirements are met.
+ Supports the evaluation and continual improvement of quality and safety at Swedish, as represented by the quality management system and/or other standardized practices across the enterprise. Uses standardized principles (i.e., document vetting and control) and processes (i.e., internal audits, preventative/corrective action, risk reduction, action planning) as appropriate.
+ Remains current and knowledgeable about regulatory requirements and payor/government programs such as FACT and CIBMTR. References that information to design effective systems and processes and meets or exceeds those standards.
+ Creates project summaries and reports, leads project committees/workgroups, and provides presentations and other communications to local and system-wide groups/teams in partnership with division leadership as needed.
+ Participates thoughtfully and constructively in team meetings. Assists with onboarding of new team members.
+ Maintains minimum 10 hours of cellular therapy education.
Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish First Hill and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
+ Bachelor's Degree Nursing; graduation from an accredited school.
+ Upon hire: Washington Registered Nurse License.
+ Upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.
+ 3 years Direct patient care.
+ Experience with EHRs.
+ Experience developing clinical care policies, procedures and order sets.
Preferred Qualifications:
+ Master's Degree Healthcare.
+ 1 year Experience in a supervisory role; delegating nursing responsibilities to licensed and unlicensed personnel within a medical setting (ambulatory or acute).
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
About the Team
Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we're dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.
Requsition ID: 384485
Company: Swedish Jobs
Job Category: Clinical Quality
Job Function: Quality/Process Improvements
Job Schedule: Part time
Job Shift: Day
Career Track: Nursing
Department: 3901 SFH HEM ONCOLOGY
Address: WA Seattle 1221 Madison
Work Location: Swedish First Hill 1221 Madison-Seattle
Workplace Type: On-site
Pay Range: $57.86 - $89.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Auto-ApplyProvider Network Quality Strategy Program Manager
Boston, MA jobs
011230 CA-Provider Engagement & Performance The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network, with a focus on value-based arrangements and network-wide engagement strategies.
The program manager is responsible for managing and implementing key population health and network quality initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid-Medicare Plan withhold measures, quality performance metrics incorporated into other CCA contracts, health equity, Culturally and Linguistically Appropriate Services, Consumer Assessment of Healthcare Providers and Systems (CAHPS), and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align contracting efforts for efficiency and effectives with alternative payment models. The Program
This role serves as a critical bridge between Provider Engagement, Network Performance, Analytics, Clinical and Quality Teams to drive improvement in clinical outcomes, health equity, and member and provider experience.
**Supervision Exercised**
+ No direct reports currently; however, one to three program consultants with future expansion.
**Essential Duties & Responsibilities:**
**Provider Quality Performance and Value-Based Care**
+ Lead implementation and monitoring of quality initiatives tied to value-based payment programs and contractual performance metrics.
+ Partner with Provider Engagement, Network, Clinical and Quality teams to evaluate provider performance, identify opportunities for improvement, and facilitate data-driven action plans.
+ Collaborate with Contracting, Quality Analytics, and Population Health to align provider quality measures with value-based contracts and incentive programs.
+ Translate quality performance data into actionable insights and communicate findings to provider partners to drive improvement.
+ Support the development and oversight of provider pay-for-performance programs, including metric tracking, financial reconciliation, and performance reporting.
**Health Equity and CLAS Integration**
+ Partner with the Health Equity team to incorporate CLAS (Culturally and Linguistically Appropriate Services) standards into provider education and engagement activities.
+ Lead or support the development and dissemination of provider-facing resources that advance equitable care delivery.
+ Coordinate provider training and communication initiatives focused on social drivers of health, cultural competence, and equity-focused performance improvement.
**CAHPS Strategy and Performance**
+ Oversee implementation of provider-focused initiatives that support CAHPS performance improvement.
+ Analyze CAHPS results to identify trends and collaborate with Provider Network, Clinical and Quality teams to address performance gaps.
+ Develop and disseminate provider education and best practices to improve member satisfaction with access, communication, and care coordination.
+ Track and report provider performance metrics related to CAHPS domains such as Getting Needed Care, Getting Care Quickly, Rating of Health Care, and Customer Service.
+ Collaborates with Communications to design provider materials and newsletters reinforcing CAHPS-related expectations and improvement goals.
+ Partners with network leadership to recognize high-performing providers and share improvement strategies.
**Provider Education and Engagement**
+ Manage the design, scheduling, and delivery of provider quality education, including webinars, learning sessions, and quality performance updates in collaboration with Quality team.
+ Develop materials and presentations that clearly communicate quality goals, contractual expectations, and best practices to the provider network.
+ Serve as a trusted liaison to provider partners, responding to quality-related inquiries and facilitating collaborative discussions on improvement opportunities.
**Performance Reporting & Data Management**
+ Partner with Quality Analytics and Business Intelligence to ensure timely, accurate, and meaningful quality performance reporting to internal teams and providers.
+ Monitor performance trends and support the creation of dashboards, summaries, and progress reports for internal and external audiences.
+ Maintain documentation, SOPs, and reporting schedules to support consistent quality operations.
**Cross-Functional Collaboration & Strategic Support**
+ Collaborate closely with Provider Engagement, Contracting, Quality, and Clinical to ensure alignment on provider quality goals.
+ Participate in cross-functional workgroups focused on quality improvement, network performance, and member and provider experience.
+ Support strategic initiatives that promote continuous improvement and operational efficiency across the provider network.
**Working Conditions**
+ Remote or hybrid working conditions. Position requires occasional travel in Massachusetts and the surrounding area.
**Required Education** :
+ Bachelor's degree in healthcare administration, public health, business or health care related field
**Desired Education:**
+ Master's degree
+ Certified Professional in Healthcare Quality (CPHQ) or equivalent certification
**Required Experience:**
+ 5-7 years of experience in healthcare quality improvement, provider network performance and management, population health, or related area
+ Demonstrated experience interpreting and applying quality measures (HEDIS, CAHPS, HOS) and value-based contract performance metrics
+ Experience with Medicare Advantage, Medicaid; and dually eligible populations
**Desired Experience**
+ Experience managing or supporting pay-for-performance or value-based care programs.
+ Experience leading provider education or training sessions.
+ Exposure to health equity initiatives and/or CLAS standards integration in provider settings.
**Required Knowledge, Skills & Abilities:**
+ Strong understanding of provider quality performance frameworks and value-based care principles.
+ Working knowledge of claims data, quality measurement, and performance incentive methodologies.
+ Excellent verbal and written communication skills, including the ability to synthesize and present data effectively to providers and internal stakeholders.
+ Strong relationship management and interpersonal skills; ability to engage diverse provider partners diplomatically.
+ Proficiency with Microsoft Office Suite (Excel, PowerPoint, Word) and comfort working with dashboards and analytics tools.
+ Proven project management skills and ability to manage multiple priorities and deadlines.
+ Self-directed, detail-oriented, and able to work effectively in a fast-paced, matrixed environment.
**Desired Knowledge, Skills & Abilities:**
+ Familiarity with quality analytics platforms, provider portals, or data visualization tools.
+ Working knowledge of health plan claims and payment policies, including provider reimbursement methodologies.
+ Experience applying CLAS standards or health equity frameworks within provider engagement or quality improvement initiatives.
**Language(s)**
+ English
**Compensation Range/Target: $99,600 - $149,400**
Commonwealth Care Alliance takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
Provider Network Quality Strategy Program Manager
Boston, MA jobs
011230 CA-Provider Engagement & Performance
The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network, with a focus on value-based arrangements and network-wide engagement strategies.
The program manager is responsible for managing and implementing key population health and network quality initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid-Medicare Plan withhold measures, quality performance metrics incorporated into other CCA contracts, health equity, Culturally and Linguistically Appropriate Services, Consumer Assessment of Healthcare Providers and Systems (CAHPS), and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align contracting efforts for efficiency and effectives with alternative payment models. The Program
This role serves as a critical bridge between Provider Engagement, Network Performance, Analytics, Clinical and Quality Teams to drive improvement in clinical outcomes, health equity, and member and provider experience.
Supervision Exercised
No direct reports currently; however, one to three program consultants with future expansion.
Essential Duties & Responsibilities:
Provider Quality Performance and Value-Based Care
Lead implementation and monitoring of quality initiatives tied to value-based payment programs and contractual performance metrics.
Partner with Provider Engagement, Network, Clinical and Quality teams to evaluate provider performance, identify opportunities for improvement, and facilitate data-driven action plans.
Collaborate with Contracting, Quality Analytics, and Population Health to align provider quality measures with value-based contracts and incentive programs.
Translate quality performance data into actionable insights and communicate findings to provider partners to drive improvement.
Support the development and oversight of provider pay-for-performance programs, including metric tracking, financial reconciliation, and performance reporting.
Health Equity and CLAS Integration
Partner with the Health Equity team to incorporate CLAS (Culturally and Linguistically Appropriate Services) standards into provider education and engagement activities.
Lead or support the development and dissemination of provider-facing resources that advance equitable care delivery.
Coordinate provider training and communication initiatives focused on social drivers of health, cultural competence, and equity-focused performance improvement.
CAHPS Strategy and Performance
Oversee implementation of provider-focused initiatives that support CAHPS performance improvement.
Analyze CAHPS results to identify trends and collaborate with Provider Network, Clinical and Quality teams to address performance gaps.
Develop and disseminate provider education and best practices to improve member satisfaction with access, communication, and care coordination.
Track and report provider performance metrics related to CAHPS domains such as Getting Needed Care, Getting Care Quickly, Rating of Health Care, and Customer Service.
Collaborates with Communications to design provider materials and newsletters reinforcing CAHPS-related expectations and improvement goals.
Partners with network leadership to recognize high-performing providers and share improvement strategies.
Provider Education and Engagement
Manage the design, scheduling, and delivery of provider quality education, including webinars, learning sessions, and quality performance updates in collaboration with Quality team.
Develop materials and presentations that clearly communicate quality goals, contractual expectations, and best practices to the provider network.
Serve as a trusted liaison to provider partners, responding to quality-related inquiries and facilitating collaborative discussions on improvement opportunities.
Performance Reporting & Data Management
Partner with Quality Analytics and Business Intelligence to ensure timely, accurate, and meaningful quality performance reporting to internal teams and providers.
Monitor performance trends and support the creation of dashboards, summaries, and progress reports for internal and external audiences.
Maintain documentation, SOPs, and reporting schedules to support consistent quality operations.
Cross-Functional Collaboration & Strategic Support
Collaborate closely with Provider Engagement, Contracting, Quality, and Clinical to ensure alignment on provider quality goals.
Participate in cross-functional workgroups focused on quality improvement, network performance, and member and provider experience.
Support strategic initiatives that promote continuous improvement and operational efficiency across the provider network.
Working Conditions
Remote or hybrid working conditions. Position requires occasional travel in Massachusetts and the surrounding area.
Required Education:
Bachelor's degree in healthcare administration, public health, business or health care related field
Desired Education:
Master's degree
Certified Professional in Healthcare Quality (CPHQ) or equivalent certification
Required Experience:
5-7 years of experience in healthcare quality improvement, provider network performance and management, population health, or related area
Demonstrated experience interpreting and applying quality measures (HEDIS, CAHPS, HOS) and value-based contract performance metrics
Experience with Medicare Advantage, Medicaid; and dually eligible populations
Desired Experience
Experience managing or supporting pay-for-performance or value-based care programs.
Experience leading provider education or training sessions.
Exposure to health equity initiatives and/or CLAS standards integration in provider settings.
Required Knowledge, Skills & Abilities:
Strong understanding of provider quality performance frameworks and value-based care principles.
Working knowledge of claims data, quality measurement, and performance incentive methodologies.
Excellent verbal and written communication skills, including the ability to synthesize and present data effectively to providers and internal stakeholders.
Strong relationship management and interpersonal skills; ability to engage diverse provider partners diplomatically.
Proficiency with Microsoft Office Suite (Excel, PowerPoint, Word) and comfort working with dashboards and analytics tools.
Proven project management skills and ability to manage multiple priorities and deadlines.
Self-directed, detail-oriented, and able to work effectively in a fast-paced, matrixed environment.
Desired Knowledge, Skills & Abilities:
Familiarity with quality analytics platforms, provider portals, or data visualization tools.
Working knowledge of health plan claims and payment policies, including provider reimbursement methodologies.
Experience applying CLAS standards or health equity frameworks within provider engagement or quality improvement initiatives.
Language(s)
English
Compensation Range/Target: $99,600 - $149,400
Commonwealth Care Alliance takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Auto-ApplyProgram Manager-Quality
Chicago, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
The Program Manager, Quality reflects the mission, vision, and values of Northwestern Medicine, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Program Manager, Quality is responsible for planning and coordinating all or a portion of the Quality program for Northwestern Memorial Hospital the direction of the Director of Quality. This role coordinates and leads the quality endeavor, coordinates with peers, and is responsible for implementation and follow up as outlined in the annual quality plan, ongoing priorities of leadership and quality committees, and compliance with relevant standards monitored by The Joint Commission (TJC) and other agencies. This position will advance the use of quality evaluation and improvement strategies to achieve key organizational goals in quality and patient safety. The Program Manager partners with administrative, physician, nursing, ancillary leadership and other system function teams to advance the quality agenda through the development and implementation of plans and strategies that facilitate the achievement of strategic organizational goals.
Responsibilities:
Provide leadership and operational implementation of assigned Clinical Quality activities
Conduct detailed, sophisticated, accurate and creative analyses of data at NMHC and outside NMHC (e.g. benchmarks, comparative data) to identify quality opportunities.
Advance performance compared to appropriate external benchmarks and optimize process and outcome metrics.
Develop, conduct, implement and improve process improvement activities to improve high quality & high-reliability healthcare.
Identify and utilize appropriate quality metrics to evaluate project or performance success based on stated purpose and needed outcomes.
Implement effective quality planning
Design quality plans, programs and policies, peer review, and best practices in partnership with senior medical and operational leaders.
Lead the department to identify quality opportunities and concerns, in collaboration with the Director of Quality.
Facilitate the implementation of systems and processes that promote a fair and just culture, and improve patient care.
Support effective department operations and growth, and personal development
Support, coach, teach, mentor, monitor and evaluate the work of others conducting quality work (as directed) and personally conduct, coordinate, facilitate, and participate in quality assessments, improvement efforts, committees, etc.
Oversee effective use of budget and other resources as delegated. Will supervise projects with organizational impact, and intermittent staff assignments.
Responsible for self-development and professional engagement, including knowledge of the literature and attendance at professional meetings, preparation of manuscripts, posters and presentations, involvement of with local and national task forces as relevant.
Additional/Clarified Essential Functions:
Under the leadership of the Quality Director:
SME on external rankings methodology and overall impact to hospital ranking, specialties, and procedures and conditions.
External Methodology Vizient expert including changes in annual release and advocate for changes when possible
Analyze and interpret data, develop reports and dashboards, identify performance challenges and opportunities to improve care; monitor progress
Create and lead action plans of multiple workstreams to improve patient outcomes and lead improvement projects in targeted areas.
Advocate and collaborate with Vizient for improved and transparent methods.
Identify emerging needs for NM strategic priorities, monitoring external measurement and performance and emerging literature.
Exhibits confidence, credibility, and professionalism to influence decision-making for NMHC senior leadership
Delivers clear, concise, and persuasive messages tailored to executive audiences, ensuring alignment and engagement across teams.
Qualifications
Required:
Bachelor's degree in Nursing or Allied Health Profession or a Master's degree in a healthcare related field
5+ years of work experience, with 4+ years in a healthcare setting, and 3+ years of quality, patient safety, or relevant experience
Highly effective and experienced at facilitation of teams including complex multi-disciplinary projects
Expert knowledge of quality measures and measurement, mastery of performance improvement methodologies (i.e. DMAIC), analytic tools and methods, including implementation with measurable results
Advanced competence with Excel and data analysis
Excellent writing and presentation skill
Preferred:
Master's degree
Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) or other evidence of advanced commitment to profession.
Familiarity with major sources of measures, literature, and quality- and patient-safety-related federal and state policy.
Experience with clinical outcomes, safety, and patient satisfaction data
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Manager, Quality & Value-Based Programs
Nashville, TN jobs
Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
The Manager, Quality and Value-Based Programs leads cross-functional efforts to drive innovative, efficient, and patient-centered care delivery through the integration of quality improvement, regulatory compliance, and value-based care initiatives. This role collaborates across departments and with executive leadership to develop, implement, and optimize best-practice models that support care transformation, regulatory reporting, and strategic program outcomes.
ESSENTIAL FUNCTIONS:
* Works in a collaborative, cross-departmental fashion to facilitate patient-centric care that is innovative, efficient, scalable, patient-safety focused and of high quality.
* Works as part of a cross-functional team to establish methods for design, development, and implementation of care transformation activities, care management applications/systems, and regulatory/outcomes reporting.
* Builds and leads effective strategies to support the effective delivery and management of key projects.
* Responsible for integration and implementation of best practice models that support VBC, Quality, and Regulatory programs.
* Collaborates with leaders within the organization to develop strategic plans/approaches for achieving specific program goals.
* Develops, implements, and maintains tracking methods to monitor progress related to identified key outcomes continually.
* Proactively provides strategic consultation and coordination for the prioritization of major areas of opportunity, incorporating both internal best practices as well as external developments.
* Evaluates VBC and Regulatory program changes and impact on program service delivery or model design suggesting modifications as needed to ensure successful patient outcomes as well as meet organizational financial goals/targets.
* Works closely with executives and directors to develop and implement standard processes and procedures that assure readiness and achieve initiative(s) success.
* Leads the identification and oversight of standard data collection, analysis, reporting and monitoring of essential operational and clinical areas of focus related regulatory issues and recommends methods for process improvement based on performance results. Creates a durable infrastructure model and tools for continuous improvement.
* Serves as the organizational expert for regulations, rules, and best practices regarding regulatory requirements.
* Works in collaboration with CAO, CMO, Executive/Director Leadership, Compliance Office and Physician Leadership teams to develop specific program goals and infrastructure to align with organizational goals.
* Manages programs through creating project plans, management tools, and reporting capabilities.
* Develops and initiates a plan to educate departments on relevant regulatory program requirements.
* Creates and evaluates policies and procedures as they relate to federal, state, and local regulations as well as regulations regarding organization accreditations.
* Assists in organization-wide accreditation application and renewal processes.
* Identifies potential regulatory adherence risks and develop strategies to mitigate them.
* QPP portal management and annual MIPS reporting.
EDUCATION & EXPERIENCE:
* Bachelor's degree required.
* Master's degree in relevant field preferred.
* Registered Nurse with Oncology experience preferred.
* QPP/MIPS reporting experience required.
* Certification in Oncology Nursing or Quality Management preferred if Registered nurse or obtain within one year of hire date.
* If Non-RN, Quality Management certification preferred, or obtain within one year of hire date.
* Minimum of 3 years management experience in healthcare setting or 3 years Quality Management experience with Quality Management Certification.
* Strong organizational and communication skills are essential.
Auto-Apply