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

Anaheim Regional Medical Center; Monterey Park (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Monterey Park Hospital seeks a Full-Time Quality Improvement Manager for the Quality Assurance Department. The role reports to the Chief Operating Officer and oversees quality, safety, and risk management across the hospital.

Responsibilities include leading cross-functional Performance Improvement teams, managing FPPE/OPPE, and ensuring compliance with TJC Core Measures, Leapfrog, eCQMs, and CMS initiatives while providing staff education and training.

Qualifications

• BS degree in a related field or current CA registered nurse license.
• 2 years of supervisory/management experience in a healthcare setting.
• Quality management experience or 3 years of clinical acute care experience.

Responsibilities

• Oversee quality, safety, and risk management operations hospital-wide.
• Lead Performance Improvement teams to meet patient safety and operational goals.
• Ensure regulatory compliance including TJC Core Measures, Leapfrog, eCQMs, and CMS initiatives.

Skills

Leadership

Regulatory knowledge

Data analysis

Education

BS Degree or CA RN 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.