Manager, Quality Improvement (FT, Days, Exempt) Monterey Park Hospital

AHMC Healthcare Inc.; Monterey Park (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Monterey Park Hospital is seeking a Full-Time Quality Improvement Manager to oversee quality, safety, and risk management across the facility. You will lead Performance Improvement initiatives, manage FPPE/OPPE and medical staff peer review processes, and ensure regulatory compliance with TJC, CMS, and Leapfrog metrics.

Qualifications include a BS degree (or CA RN license) and 2 years of supervisory healthcare experience, with 3 years of clinical acute care experience preferred.

Qualifications

• BS degree in a related field or CA RN nursing license.
• 2 years of supervisory/management experience in a healthcare setting.
• 3 years of clinical experience—acute care preferred.

Responsibilities

• Oversee quality, safety, and risk management operations hospital-wide.
• Lead cross-functional Performance Improvement teams to meet patient safety and operational goals.
• Ensure compliance with regulatory and external reporting (TJC Core Measures, Leapfrog, eCQMs, CMS).
• Provide ongoing staff education and training on quality protocols; collaborate on incident reporting and RCA.
• Analyze clinical data to identify trends, mitigate risk, and drive continuous improvement.

Skills

Supervisory experience

Quality management

Education

BS degree in a related field

CA RN nursing license

Job description

Overview

Monterey Park Hospital, a 101-acute care facility in the San Gabriel Valley of Los Angeles County, is seeking a Full-Time Quality Improvement Manager for our Quality Assurance Department. This position reports to the Chief Operating Officer.

Responsibilities

The Quality Improvement Manager is responsible for overseeing and facilitating comprehensive quality, safety, and risk management operations across the hospital. Key duties include managing FPPE, OPPE, and medical staff peer review activities to maintain provider competence and clinical standards; leading cross-functional Performance Improvement teams to achieve measurable patient safety and operational goals; and ensuring complete compliance with regulatory and external reporting requirements, including TJC Core Measures, Leapfrog, eCQMs, and CMS initiatives. Additionally, the role provides ongoing staff education and training on quality protocols, collaborates with department leadership on incident reporting and Root Cause Analyses (RCA), and analyzes clinical data to identify trends, mitigate risk, and drive continuous improvement.

Qualifications

Education: BS Degree in a related field or current CA RN Nursing license

Experience: 2 years of supervisory/management experience in a healthcare setting. Experience in quality management or 3 years of clinical experience - acute care preferred.