Manager of Quality and Performance Improvement, Quality Indicators, Bethesda East, FT, 8A-4:30P

Baptist Health Bethesda Hospital; Boynton Beach (FL); Sur place; USD 108 000 - 143 000; Plein temps

Résumé du poste

Baptist Health in Florida seeks a seasoned leader to manage Performance Improvement (PI) activities, including QAPI and regulatory compliance, across the hospital. You will oversee PI committees, projects, and accreditation processes, and produce annual reviews for executive leadership.

The role requires 5+ years in hospital quality management with 2 years of leadership experience; a CPHQ certification is required. EOE.

Qualifications

• 5+ years hospital quality management experience.
• 2 years leadership experience.
• CPHQ certification required.
• Experience with leading TJC/accreditation survey processes.

Responsabilités

• Manage the Performance Improvement (PI) activities including the QAPI program and regulatory compliance.
• Coordinate the PI committee, PI teams and projects, regulatory compliance, and accreditation surveys.
• Provide annual integrated review and evaluation of departmental activities and report to executive leadership.

Connaissances

Leadership

Quality management

Regulatory compliance

PI process

TJC accreditation

Project management

Formation

Bachelor degree in Nursing -BSN

Master Degree preferred in Business, or related field

Bachelor's degree

Description du poste

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in.

Benefits

At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Description

Manages the Performance Improvement (PI) activities of the hospital to include the Quality Assessment and Performance Improvement (QAPI) Program, Peer Review, regulatory compliance and comparative database support. Oversees and coordinates the Performance Improvement committee, PI teams and projects, regulatory compliance, and completion of the Intracycle Monitoring and Focused Standards Assessment. Performs annual integrated review and evaluation of all departmental activities and provides a report for executive and medical leadership, based on entity requirements. Estimated salary range for this position is $107760.50 - $143321.47 / year depending on experience.

Qualifications

• Bachelors.

Licenses & Certifications

• NAHQ Certified Professional in Healthcare Quality.
• Registered Nurse.

Additional Qualifications

• Bachelor degree in Nursing -BSN.
• Master Degree preferred in Business, or related field.
• At least 5 years experience in a hospital or healthcare setting with 2 years minimum in quality management/PI area of practice.
• 2 years leadership experience required.
• Experienced in leading a TJC and accreditation survey process, highly desired.
• Certified Professional in Healthcare Quality (CPHQ) required.
• Minimum Required Experience: 5 Years

EOE, including disability/vets