Overview

　　CHI Health Immanuel located in North Omaha just off of I-680 on 72nd Street offers a full-service hospital cancer center rehabilitation center specialty spine hospital and more. For well over a century our commitment to serve our community inspires our staff to provide the highest quality of care to all who we have the privilege to serve.

　　Responsibilities

　　The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality

　　management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and

　　medical staff. This role also serves as a resource to employees, management, nursing directors, senior management,

　　councils, physicians and teams on quality management activities and will handle patient sensitive and confidential

　　hospital information.

　　ESSENTIAL KEY JOB RESPONSIBILITIES

　　Assists in the design, planning, implementation and coordination of Quality Management, Patient Safety and

　　Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service

　　lines and functions. Proactively coordinates and facilitates performance improvement teams to support key initiatives,

　　including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient

　　experience, efficiency, FMEAS, root cause analyses and medical staff improvement (e.g. case review for peer review,

　　OPPE, FPPE).

　　Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and

　　reporting of process and outcome measures. Facilitates development and implementation of data collection tools and

　　processes including the ability to: identify data elements needed to complete appropriate measurement, perform data

　　collection and abstraction per specifications, and validate data prior to submission or preview reports prior to

　　publication.

　　Facilitates meetings, presents data and reports, identifies key findings and assists with action plans and implementation.

　　Maintains current knowledge of accreditation and licensing requirements and must be a resource to staff on these

　　regulations in order to improve management of outcomes and ensure compliance.

　　Assists with regulatory readiness and survey preparation activities including mock survey tracers.

　　Qualifications

　　Licensed Registered Nurse, Licensed Clinical Pharmacist, or

　　other Licensed Clinical Staff and three (3) years clinical

　　experience in an acute care setting

　　∙ Current state license in a clinical field in state of practice. ∙

　　Certified Professional in Healthcare Quality (CPHQ), or

　　Healthcare Quality and Management Certification (HCQM), or

　　Certificate of Professional Healthcare Quality and Patient

　　Safety (CPQPS) within 2 years of employment is required.

　　∙ Must be able to perform case reviews for medical staff peer

　　review and medical and/or surgical Registry Abstraction

　　∙ One (1) year healthcare‐related quality

　　management/performance improvement experience (e.g.,

　　chart audit, PI team member, etc.)

　　Pay Range

　　$30.47 - $44.19 /hour

　　We are an equal opportunity/affirmative action employer.