Quality-Patient Safety Program Manager
Company: CommonSpirit Health
Location: Valley City
Posted on: March 27, 2026
|
|
|
Job Description:
As our Quality-Patient Safety Program Manager, youll lead
ongoing quality improvement initiatives that collaborate with many
healthcare professionals. The primary function of the
Quality/Patient Safety Program Manager is to 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 and
will handle patient sensitive and confidential hospital
information. Each day youll make data-driven decisions to ensure
our patients continuously receive high-quality care resulting in
positive outcomes. In this clinical leadership role, youll analyze
data and implement different strategies for performance
improvements, quality outcomes, risk reduction/mitigation, patient
safety, and infection control, to name a few. To be successful in
this role, youll apply your experience in nursing, operations, data
analysis, and/or technology to build on our culture of continuous
improvement. Your project management skills will ensure our teams
continue moving forward with current initiatives. What youll do •
Designs, plans, implements, and coordinates Quality Management,
Patient Safety, and Performance Improvement (QI, PS, PI) activities
for assigned hospital and medical staff departments, committees,
and service lines. • Proactively coordinates and facilitates
performance improvement teams across various initiatives,
including: o Clinical quality improvement o Patient safety and risk
reduction o Patient experience o Efficiency (e.g., FMEAs, root
cause analyses) o Medical staff improvement (e.g., case review for
peer review, OPPE, FPPE) • Ensures compliance with regulatory
requirements (e.g., CMS HIQRP/HOQRP, TJC, Leapfrog) regarding data
collection and reporting of process and outcome measures. •
Facilitates development and implementation of data collection tools
and processes, including: o Identifying necessary data elements. o
Performing data collection and abstraction. o Validating data for
submission or reporting. • Facilitates meetings, presents data and
reports, identifies key findings, and assists with action plans and
implementation. • Maintains current knowledge of accreditation and
licensing requirements and serves as a resource for staff on these
regulations. • Assists with regulatory readiness and survey
preparation activities, including mock survey tracers. Job
Requirements • Licensed Registered Nurse, Licensed Clinical
Pharmacist, or other Licensed Clinical Staff and three (3) years
clinical experience in an acute care setting • Current state
license in a clinical field in state of practice. • One (1) year
healthcare-related quality management/performance improvement
experience (e.g., chart audit, PI team member, etc.) • Certified
Professional in Healthcare Quality (CPHQ), or Healthcare Quality
and Management Certification (HCQM), or Certificate of Professional
Healthcare Quality and Patient Safety (CPQPS) within two (2) years
of employment is required. • Must be able to perform case reviews
for medical staff peer review and medical and/or surgical Registry
Abstraction. CHI Mercy Health Valley City, part of CommonSpirit
Health, has been a part of the Valley City community since 1928
when it was founded by the Sisters of Mercy. Their vision was to
build healthier communities through a healing ministry. Over the
years we’ve progressed to meet the needs of the community. We are
always here for you to keep your medical needs close to home and
convenient. We are always just down the road and have offered
services for decades.
Keywords: CommonSpirit Health, Fargo , Quality-Patient Safety Program Manager, Healthcare , Valley City, North Dakota
