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

AHMC Healthcare Inc.; Whittier (CA); On-site; USD 110,000 - 140,000; Full time

Job summary

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

Key duties include managing FPPE/OPPE and peer review activities, leading Performance Improvement teams, and ensuring regulatory compliance. The incumbent will educate staff, coordinate incident reporting and RCAs, and analyze data to drive ongoing clinical and

Qualifications

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

Responsibilities

• Oversee quality, safety and risk management across the hospital.
• Manage FPPE, OPPE and medical staff peer review activities.
• Lead cross-functional Performance Improvement teams to achieve patient safety and operational goals.
• Ensure compliance with regulatory reporting requirements (TJC Core Measures, Leapfrog, eCQMs, CMS initiatives).
• Provide ongoing staff education on quality protocols.
• Collaborate with department leadership on incident reporting and RCAs.
• Analyze clinical data to identify trends and drive continuous improvement.

Skills

Quality improvement

Cross-functional leadership

Regulatory compliance

Education

BS degree in related field

CA RN Nursing license

Job description

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.

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.

• 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.