Quality Performance Improvement Manager

Overview

Carondelet Holy Cross Hospital 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 Carondelet Holy Cross Hospital, 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 of Quality Improvement assists the DCQI in the operations of the hospital's Quality / Performance improvement program. Supports quality and process improvement efforts identified in the hospital. Responsible for data tracking/collection and trending. Coordinates, assists and advises on a variety of meetings, seminars, services and/or programs related to the overall Quality / Performance Improvement program. Coordinates hospital wide performance improvement activities under the direction of the DCQI.

Responsibilities

• Coordinating integration and management of the Quality / Performance Improvement Program with the guidance of the DCQI to meet regulatory requirements including Joint Commission and state statutes, to identify performance improvement opportunities so as to enhance the organization's outcomes. 
• Carries out assignments as delegated by the DCQI, coordinates reports, correspondence  and information as needed. 
• Collaborates with the department directors to compile and generate reports for the purpose of analysis and interpretation for the Quality / Performance Improvement department / Committee. 
• Lead infection prevention and quality improvement initiatives by monitoring compliance with regulatory standards, analyzing infection-related data, implementing corrective action plans, and collaborating with interdisciplinary teams to promote patient safety and reduce healthcare-associated infections.
• Other duties as assigned.

Qualifications

Minimum Requirements

• Education:  Registered Professional Nurse (RN) with Bachelor’s degree or higher in a patient care related field.
• Experience: 3 years experience in QA/PI
• Certifications: Must be currently licensed, certified or registered to practice profession as required by law, regulation in state of practice or policy.

• Certifications: CPHQ or other certification in Healthcare Quality
• CIC

Organization Description

Holy Cross Hospital is a cornerstone of Nogales, providing emergency care, general surgery, labor and delivery services and important health and wellness education for residents across Santa Cruz County. This 25-bed, critical-access hospital has been a part of Carondelet Health Network since the Sisters of St. Joseph of Carondelet began managing the hospital in the early 1980s. The hospital is committed to high quality care and customer service for all who enter their doors. Join our team!

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