We are currently looking for a Full Time Sr. Manager, Healthcare Quality Assurance to join our Healthcare Quality Assurance team located at the Newcastle Medical Center working 8:00AM-5:00PM - Mo Tu We Th Fr.
Summary:
The Sr. Manager, Healthcare Quality Assurance is responsible for evaluating healthcare facilities, clinical operations, equipment, and support services to ensure compliance with federal, state, accreditation, and organizational standards. This position will conduct inspections, audits, investigations, and quality assessments to improve patient safety, regulatory compliance, operational efficiency, and healthcare outcomes. The role works closely with clinical leadership, facilities management, infection prevention, biomedical engineering, environment of care, and regulatory agencies to identify deficiencies and implement corrective actions.
Responsibilities:
* Conducts comprehensive inspections and quality assurance audits of healthcare facilities, departments, and operations
* Evaluates compliance with standards established by organizations such as: The Joint Commission, Centers for Medicare and Medicaid, OSHA, NFPA, and FGI
* Inspects patient care areas, utility systems, medical equipment, life safety systems, infection control practices, and environmental conditions
* Reviews policies, procedures, maintenance records, inspection reports, and regulatory documentation
* Identifies deficiencies, risks, and non-compliance issues and prepares detailed corrective action recommendations
* Leads or assists with mock surveys, accreditation readiness activities, and regulatory inspections
* Monitors performance improvement initiatives and verifies corrective actions are completed effectively
* Prepares detailed written reports, inspection summaries, and compliance documentation
* Provides guidance and training to staff regarding healthcare regulations, safety standards, and quality improvement practices
* Maintains current knowledge of healthcare regulations, accreditation standards, and industry best practices
* Assists leadership in continuous quality improvement and patient safety initiatives
* Performs all other duties as assigned
Competencies:
Essential:
* Ability to prepare clear and concise role-specific reports
* Ability to read, understand and interpret architectural, electrical, mechanical, plumbing, civil and structural drawings
* Excellent interpersonal, verbal, and written communication skills
* Knowledge of mechanical, electrical, plumbing and general building construction trades
* Knowledge of international fire codes (IFC), international building codes (IBC), electrical codes (NEC), and international plumbing codes (IPC)
* Knowledge of infection control procedures
* Knowledge of all applicable regulatory and accrediting agency requirements
* Problem-solving and analytical skills with attention to detail
* Organizational and time-management abilities
Skills:
Essential:
* Basic Computer skills
* Must be familiar with the Microsoft Office Suite of products
* Advanced project management skills
* Proficient in compliance tracking software and building automation systems
Experience:
Essential:
* 3 years directly related supervisory experience
* 10 years directly related experience
Education:
Essential:
* High School, GED or Equivalent
Credentials:
Essential:
* CN Core Leadership Level 2
* Pass general background check
* Standard Driver's License
* Building Inspection Certification
* Certified Healthcare Safety Professional
Essential:
* This position requires completion of level two Core Leadership Training within 18 months of the hire or promotion date
* Ability to obtain Building Inspection Certification within 6 months of hire date
Working Conditions:
Essential:
* Works in a hospital or clinic environment
* Frequently lift and or carry up to 25 lbs
* Sometimes lift and or carry up to 50 lbs
* Subject to traveling and working at other locations or in other environments
* May be required to work after hours or on weekends as needed
* Pass pre-employment drug test
Training
*It is the responsibility of each employee to attend required training for their position or profession as determined by their line of support (LOS) or the leadership of the Chickasaw Nation. It is the responsibility of those who supervise, manage or otherwise lead employees or teams to ensure each employee has access to and receives all required training.
