Manager Quality

WVU Medicine Berkeley and Jefferson Medical Centers; Martinsburg (WV); On-site; USD 85,000 - 110,000; Full time

Job summary

BMC Berkeley Medical Center in Martinsburg, WV, is seeking a dedicated leader to direct quality and safety programs, oversee nursing policies, and drive performance improvement across the hospital and ambulatory offices.

The role emphasizes data-driven quality initiatives, regulatory compliance, and staff development to enhance patient-centered care. Strong collaboration with physicians and senior management is required.

Qualifications

• Bachelor’s degree in healthcare required.
• At least 3 years of healthcare supervisory experience with an associate degree.
• Experience in healthcare quality, nursing, education and supervision is preferred.

Responsibilities

• Assists in the development and implementation of quality activities and monitors quality indicators for house wide quality.
• Develops and implements mechanisms for data collection, analysis, and reporting of quality indicators.
• Relays quality reports to leadership teams and committees for timely action.
• Develops performance improvement initiatives and supports sustained improvements.
• Collaborates with interdisciplinary teams to support resource utilization and quality improvement; oversees policies for ambulatory offices.
• Manages department budgets and other administrative functions.
• Participates in staff hiring and evaluations; provides performance feedback.
• Coaches to correct performance deficiencies and develops improvement plans.
• Assists with incident reports requiring root cause analysis and follow-up.

Skills

Healthcare leadership

Quality improvement

Regulatory compliance

Educational initiatives

Education

Bachelor’s degree in healthcare related field

Associate degree in a healthcare field and three (3) years of healthcare supervisory experience

Tools

MS Word

MS Excel

MS Access

Data reporting software

Job description

Welcome! We’re excited you’re considering an opportunity with us! Below, you’ll find other important information about this position.

Responsible for the day-to-day management of the organization’s quality and safety programs. Develops and manages quality and safety programs exceeding the standards and quality expectations of patients, the Board of Directors, payors, and other relevant entities. Responsible for oversight of nursing services policies, protocols, and educational initiatives. Oversees performance improvement activities, regulatory compliance, and other initiatives that lead to effective clinical resource utilization and improvements in quality. Promotes interdisciplinary collaboration and teamwork to promote excellence in patient centered care. Key customers are clinical practitioners/applicants, physician leaders, and the senior administration team.

MINIMUM QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• Bachelor’s degree in healthcare related field.
• Associate degree in a healthcare field and three (3) years of healthcare supervisory experience.

EXPERIENCE

• Three (3) years of relevant healthcare experience.

PREFERRED QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• Bachelor’s degree in healthcare related field.

EXPERIENCE

• Five (5) years of healthcare quality, nursing, education and/or supervisory experience.

CORE DUTIES AND RESPONSIBILITIES

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Assists in the development and implementation of quality activities and monitors quality indicators for assessment of house wide quality.
• Develops and implements mechanisms for ongoing data collection, analysis, and reporting of quality indicators.
• Initiates mechanisms to ensure timely and accurate reporting of data. Relays quality reports to appropriate leadership teams and committees.
• Develops performance improvement initiatives throughout the institution and supports the impetus for sustained performance improvement.
• Works in collaboration with the interdisciplinary health care team to support resource utilization and quality improvement, develops educational opportunities for staff, and oversees appropriate policies and protocols for the ambulatory offices.
• Perform administrative functions for the Quality & Nursing department including, but not limited to, preparation and management of budget, planning, office organization and other management functions.
• Assist with employee health functions for the organization.
• Participates in selection and hiring of qualified individuals and evaluates the effectiveness of employees on ongoing basis.
• Provides ongoing performance reviews that provide objective, constructive feedback regarding strengths and opportunities for improvement, including departmental plans for each employee.
• Coaches and counsels to correct identified performance deficiencies, developing plans which establish goals, provides follow-up
• Assists Director with patient incident reports that require root cause analysis or further follow up and implement improvement initiatives to sustain high quality outcomes.
• Assists Director in developing and monitoring short-term goal setting and long-range plans for the department.
• Assists with the oversight of quality assurance reports for the ambulatory offices and follows up with offices needing additional assistance with QA programs.
• Prepares correspondence, reports, forms, policies/protocols, work orders, and specialized documents for the department. Proofreads materials for accuracy, completeness, compliance with departmental policies, formatting, and correct English usage, including grammar, punctuation, and spelling.

PHYSICAL REQUIREMENTS

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.

WORKING ENVIRONMENT

• Office setting.
• Hospital setting.

SKILLS AND ABILITIES

• Maintains assertiveness and diplomacy skills.
• Ability to access community and system resources.
• Good written and verbal skills, along with effective interpersonal communications and negotiation skills.
• Strong analysis and research skills.
• Ability to use MS word, excel, access and other software to collect, analyze, and present data.

Additional Job Description

Scheduled Weekly Hours: 40

Shift: Day (United States of America)

Exempt/Non-Exempt: United States of America (Exempt)

Company: BMC Berkeley Medical Center

Cost Center: 405 UHAE Quality Management

Address:

2500 Hospital Drive

Martinsburg

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.