Hello Humankindness

Chandler, Arizona, has a stable suburban population with an economy anchored by many large financial and high tech companies. Located southeast of Phoenix, Chandler is a skillfully developed community of friendly, diverse neighborhoods with expansive parks, great schools, convenient shopping, and excellent career opportunities.

For more than 50 years, Dignity Health’s Chandler Regional Medical Center has focused on quality patient care and service to the community. As the longest established hospital in the southeast valley, Chandler Regional has provided care for the Chandler community since 1961. The hospital recently added a new five-story tower with 96 patient beds, increasing the acute-care bed count to 496. This expansion increased emergency and trauma services, as well as the surgical unit and intensive care offerings. 

The word “dignity” perfectly defines what our organization stands for: showing respect for all people by providing excellent care. At Chandler Regional, our employees are the heart and soul of our organization. They are the reason we are able to live out our healing ministry within the communities we serve. Our doctors, nurses and allied health professionals are a regular self-contained support system for each other. This unique working culture is one of the reasons why a career with us is so rewarding. Now is the perfect time to come grow your career with one of Arizona's Most Admired Companies. For more information visit: https://www.dignityhealth.org/arizona/locations/chandlerregional

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As our new Quality and Patient Safety Program Manager (licensed), you will 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. Will handle patient sensitive and confidential hospital information.

• Assists in the design, planning, implementation and coordination of QM, PS and PI 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, and root cause analyses and medical staff improvement (e.g. peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review.
• 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.
• Directs programs involving risk mitigation/management and initiatives related to providing safer care to patients. This position is responsible for providing information to various key stakeholders on the progress and status of described programs/initiatives.
• Oversees the implementation of compliance policies and procedures to ensure that they meet organizations compliance requirements. Has management responsibility and accountability for the hospital's overall compliance with regulations from The Joint Commission, Department of Health Services, CMS and other regulatory agencies.
• Oversees the events, reporting, process, root cause analysis, and event investigation/review. Participates in system office initiatives and programs to mitigate risks identified at other hospitals resulting in reduced costs and adverse patient outcomes.
• Receives and oversees responses to patient complaints and investigates to solve issues promptly. Acts as an intermediary between patients, staff and family to provide clear communication between all parties regarding any outstanding issues.

• Bachelors degree or five (5) years of related job or industry experience in lieu of degree.
• One (1) year healthcare-related quality management/performance improvement experience (e.g. chart audits, PI team member, etc.).
• 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.

We offer great benefits to support you and your family, including:

• Medical/Dental/Vision Insurance (no premium option for employee benefits)
• Flexible spending accounts
• Matching 403(b) retirement program
• Fully Funded Pension Plan
• Paid Time Off (PTO)
• Tuition Reimbursement
• Mental Health Benefit
• Employee Life Insurance
• Annual Performance Bonus potential