Overview

Saint Francis Hospital - Bartlett Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Saint Francis Hospital - Bartlett, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

The Manager, Quality is responsible for leading quality improvement initiatives, performance improvement activities, patient safety programs, and regulatory readiness efforts under the direction of the Director of Quality. This role collaborates with physicians, nursing leadership, operational leaders, and frontline staff to improve clinical outcomes, enhance patient safety, ensure regulatory compliance, and support a culture of continuous improvement.

Responsibilities

Facilitates quality improvement projects using evidence-based methodologies and performance improvement tools. Monitors organizational quality metrics and identify opportunities for improvement. Facilitates development, implementation, and evaluation of corrective action plans. Supports Quality Assessment and Performance Improvement (QAPI) activities. Assists departments in achieving quality and patient safety goals. Analyzes clinical performance data and identify trends, risks, and improvement opportunities. Develops and maintains quality dashboards and scorecards. Collaborates with operational leaders to improve outcomes related to mortality, readmissions, hospital-acquired conditions, and patient experience. Ensures timely and accurate reporting of quality measures. Promotes a culture of safety and high reliability. Supports ongoing readiness for CMS, state, and accreditation surveys. Monitors compliance with regulatory and accreditation standards. Facilitates survey preparation, mock surveys, and corrective action plan development. Provides education regarding regulatory and accreditation requirements. Presents quality and patient safety data to committees and leadership teams. Facilitates interdisciplinary teams focused on quality improvement initiatives. Supports medical staff quality and peer review activities.

Qualifications

Education:

Required: Bachelor�s degree or higher in a patient care-related field.
Preferred: Bachelor's or master's degree in nursing.

Experience:

Required: 3 years of combined experience in hospital clinical practice and Quality Management. 1 year of experience in hospital Quality Management. Experience with regulatory and accreditation standards. Extensive experience in concepts associated with RCA�s and developing, implementing, and monitoring robust quality and process improvement activities.

Preferred: 1 year as a hospital Quality Manager

Certification(s):

Preferred: Registered Nurse. CPHQ, CPPS, HACP-CMS

Physical Demands:

Not Applicable

Organization Description

Saint Francis Hospital-Bartlett is a 196-bed full service hospital located at 2986 Kate Bond Rd in Bartlett. Opened in 2004, the hospital provides an extensive offering of medical services including a 24-hour emergency room, critical care, cardiac care, oncology, urology, physical therapy and a 16-bed orthopedic/spine unit. Saint Francis Hospital-Bartlett has been honored with the American Heart Associations Get With The GuidelinesStroke Gold Plus Achievement Award, Leapfrog Groups “A” Hospital Safety Score, and has received Chest Pain Center Accreditation from the Society of Cardiovascular Patient Care. At Saint Francis Healthcare, you can grow your career skills and be a vital member of our team where we strive to be No. 1 in quality, safety and service excellence. Join our team!

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