Program Manager, Clinical Quality

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.

Primary Purpose

Responsible for the coordination, implementation, and evaluation of Parkland's assigned quality management program (QMP). Will work with QMP's leadership to implement the Quality, Safety, and Performance Improvement Plan for the health system. Perform concurrent and retrospective medical record reviews, compiles and analyzes statistical reports relevant to monitoring, performance improvement, and achievement of applicable service area goals. Ensures compliance with standards established by professional quality organizations, national, state, and local regulatory agencies, and institutional policies and procedures.

Minimum Specifications

Education

• Must have a bachelor's degree in nursing or other clinical related field.

Experience

• Must have five (5) years of experience in a clinical setting within a complex multiple campus healthcare setting.
• Must have three (3) years of quality, safety, and/or performance improvement related experience within a clinical setting.
• Must have at least one (1) year of project management experience.

Equivalent Education and/or Experience

Certification/Registration/Licensure for RN:

• Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or valid compact RN license; or other healthcare license.

Required Tests for Placement Skills or Special Abilities

• Must be able to demonstrate a working knowledge of Project Management processes and methodologies.
• Must demonstrate knowledge of current trends in quality, quality reporting, patient safety, and other areas of responsibility.
• Must be able to analyze and process data in an analytical manner.
• Must have excellent verbal and written communication skills.
• Must be detail-oriented, self-motivated and have excellent organizational.
• Must be able to communicate effectively with all levels of internal and external personnel.
• Must have a strong working knowledge of MS Office (Word, Excel, VISIO, and SharePoint) software.
• Must work effectively as part of a team, and on an independent basis.
• Must have a high degree of flexibility and adaptability.
• Must be able to demonstrate ability to apply critical thinking and problem-solving skills.
• Must be able to demonstrate excellent professional etiquette, and adherence to the behavioral standards, dress code, attendance policy, and code of conduct at all times.
• Must have excellent presentation skills.
• Must have strong database management skills.
• Must be able to manage time and multiple projects to meet productivity standards.
• Must be able to build effective working relationships with a dynamic, professional team.
• Must be client focused, with a commitment to excellence.

Responsibilities

1. Abstract system-wide quality improvement (QI) data, interprets, then complies management level reports to communicate quality data results to nursing and physician leaders. Systematically facilitates and managers outcomes related to interdisciplinary working group efforts leading to improvements and applies improvements to achieve identified outcomes. Serves as a trainer, facilitator, and mentor to other teams and within an interdisciplinary team structure on quality data, methods, and processes.

2. Works independently to research and apply industry logic and governance within cross functional and interdisciplinary teams to include Physicians. Influences and communicates with all levels of clinical, financial, and operational management concerning team goals and progress, as well as related project results and shared learnings to all levels of the health system.

3. Collects and analyzes data for inclusion in easily digestible reports to key stakeholders across organization. Identifies and implements strategies to optimize opportunities related, but not limited to the following: PSIs, mortality rate, core measures, readmissions, etc. in order to maximize CMS reimbursement for the organization. Searches out best performance and quality improvement practices and identifies opportunities for implementation.

4. Serves as a subject matter expert for the QCPSC, PIC committee meetings, and other pertinent meetings to ensure the overall Quality, Safety, and PI plan implementation and compliance. Prepares appropriate documentation (presentations, demonstrations, and other reporting processes) to share information regarding quality program measures to identify trends, establish priorities, and recommend improvement activities.

5. Lead comprehensive, concurrent and retrospective reviews according to established guidelines at appropriate intervals in a timely manner for assigned patient population for Patient Safety and Quality of Care. Delivers, oversees controls, monitors training programs, and develops training materials for area specific training, soft skills training, and other topics as needed.

6. Consults and educates on behalf of Quality Management to meet the needs of patients, staff, and external agencies. Evaluates upcoming opportunities, forecasts trends, and provides best practices and standards for project and or task approach. Makes recommendations regarding action plans or summaries related to Quality data by working with leadership and departments throughout the organization.

7. Conducts data analysis to determine performance trends in order to proactively recommend improvements and/or corrective actions.

8. Manages and communicates the changes to measures, new measures, findings, and potential problems regarding the core measures, NSQIP data, or other pertinent data registries to managers and other appropriate personnel.

9. Establishes and maintains a collaborative working relationship with internal and external customers by embracing Service standards of behavior during all patient, visitor, and staff encounters.

10. Investigates, analyzes, and resolves routine customer project management and support issues.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.