Director, Quality Management-UPMC York Memorial

UPMC; York (York County); On-site; USD 78,000 - 117,000; Full time

Benefits offered by this job

Equal opportunity employer

Job summary

UPMC is seeking a Senior Quality Leader in York, PA to direct the Quality Department, ensuring safety, high value care and continuous process improvements. This role focuses on patient safety, regulatory compliance and performance optimization across the facility.

The candidate will supervise reporting, coordinate surveys, and manage budgets while fostering a culture of safety. A Master's degree and 7–10 years in health care with 5–7 years in supervision are required; certification and

Qualifications

• Master's degree required in a healthcare or related field.
• 7–10 years healthcare experience required, with 5–7 years in a supervisory role preferred.
• Certification in a related area is preferred.
• Quality management experience is preferred.
• Familiarity with PDSA (Plan-Do-Study-Act) and DMAIC (Define-Measure-Analyze-Improve-Control) processes.

Responsibilities

• Analyzes healthcare acquired conditions, readmissions and patient safety indicators to identify improvement opportunities.
• Develops and implements a quality plan aligned with strategic objectives in collaboration with the Quality Department.
• Drives performance improvement projects and develops creative solutions to address events.
• Supervises quality reporting related to reimbursement and quality ratings.
• Serves as the Patient Safety Officer and cultivates a culture of safety.
• Ensures compliance with Joint Commission, Health Department, and CMS standards; coordinates surveys and audits.
• Chairs the entity-level EOC Committee and co-chairs system-level EOC Committee; maintains survey readiness.
• Develops and maintains the Patient Safety Plan; analyzes event reports to drive changes.
• Coordinates patient experience reporting and implements improvement plans.
• Responsible for the Quality Department budget, revenue generation and cost management.

Skills

Healthcare quality

PDSA DMAIC familiarity

Education

Master's Degree in Healthcare Field

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.

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

UPMC is an Equal Opportunity Employer/Disability/Veteran