Director, Quality Management-UPMC York Memorial

UPMC Senior Communities$117K — $177K *
York, PA 17403In-Person
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Master's Degree required
  • 7-10 years Healthcare Related Experience required
  • 5-7 years Supervisor Experience preferred
  • Certification in related area of expertise preferred
  • Quality management experience preferred
  • Familiarity with PDSA and DMAIC processes required
  • Registered Nurse licensure in Pennsylvania required

Responsibilities

  • Analyze healthcare acquired conditions and identify improvement opportunities
  • Develop and implement individual quality plans aligned with strategic goals
  • Drive and implement performance improvement projects across departments
  • Maintain all quality reporting standards for reimbursement and ratings
  • Promote patient safety and cultivate a robust safety culture
  • Ensure compliance with regulatory guidelines and prepare for audits
  • Chair Environment of Care Committees and ensure survey readiness
  • Develop and maintain the Patient Safety Plan and analyze event reports
  • Coordinate patient experience reporting and improvement plans
  • Manage the budget for the Quality Department

Benefits

  • Health and wellness programs
  • Continuing education opportunities
  • Collaboration with interdisciplinary teams
  • Direct influence on improving healthcare quality
  • Leadership opportunities in patient safety and quality initiatives
Full Job Description
The salary range for this position is $56.66-$85/hr based on experience.

Directs the functions of the Quality Department to ensure high value, safety and quality of care and to drive continuous process improvement. Accountable for all matters pertaining to the quality program at assigned facility.

Responsibilities:

  • Serves as a resource and support for healthcare acquired conditions, readmissions and patient safety indicators. Analyzes the events to identify opportunities for improvement. Organizes, reports and maintains the peer review process.
  • Develops and implements the individual quality plan and ensures that this plan integrates and supports the strategic plan, working collaboratively with the Quality Department.
  • Drives performance improvement measures and collaborates with departments to develop and implement performance improvement projects. Develops and implements creative solutions to address events.
  • Supervises and maintains all quality reporting related to reimbursement and quality ratings.
  • Serves as the Patient Safety Officer. Maintains and cultivates a robust culture of safety and develops and conducts safety related activities.
  • Ensures that regulatory guidelines are met regarding Joint Commission standards, Department of Health regulations and CMS Conditions of Participation. Plans and coordinates survey activities, audits and improvement activities.
  • Chairs entity level Environment of Care (EOC) Committee, co-chairs system level EOC Committee and is responsible for continued survey readiness related to EOC.
  • Develops and maintains the Patient Safety Plan. Analyzes event reports for patterns and trends to drive change and improvement in the patient safety program.
  • Coordinates patient experience reporting by analyzing data and driving implementation of improvement plans.
  • Accountable for the budget of the Quality Department; has direct responsibility for producing revenue and/or managing costs.


Qualifications:

Master's Degree required7-10 years Healthcare Related Experience required, with 5-7 years Supervisor Experience preferred. Certification in related area of expertise preferred. Quality management experience preferred. Familiarity with PDSA (Plan-Do-Study-Act) and DMAIC (Define-Measure-Analyze-Improve-Control) processes.

Licensure, Certifications, and Clearances:
Registered Nurse licensure in the Commonwealth of Pennsylvania Required

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