Manager - Quality Management - FT - Days - MHP

Memorial Hospital West; Florida; On-site; USD 70,000 - 95,000; Full time

Job summary

Memorial Hospital West in Pembroke Pines, FL, seeks an experienced nurse to lead quality management and regulatory compliance efforts. The role focuses on staffing oversight, accreditation readiness, and continuous improvement of clinical and administrative processes.

Two years of healthcare leadership experience is preferred, with a Florida RN license and accreditation/quality certifications such as CPHQ or CPPS being a plus.

Qualifications

• Accredited Program (Required)
• Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate
• Florida state license as RN (FL)
• Graduate of an accredited Registered/Professional Nursing program or a Bachelor's degree in a job related field
• CPHQ (Certified Professional in Healthcare Quality) and CPPS (Certified Professional in Patient Safety) preferred.

Responsibilities

• Monitors staffing activities including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Assists with continual readiness for accreditation surveys.
• Assists with the development and implementation of Quality Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.
• Acts as a resource related to compliance with regulatory/accreditation standards.
• Participates in key quality and safety activities to ensure compliance with state, federal and accreditation requirements and standards.
• Assists with the management and evaluation of department operations, including information technologies, service level determination and complaint management, to achieve performance and quality control objectives.
• Assesses and reports quality indicator outcomes as appropriate to the facility and line of service.
• Facilitates meetings and education to enable areas of responsibility to utilize quality data for ongoing quality improvement.

Skills

Effective communication

Leadership

Quality improvement

Regulatory compliance

Staffing

Education

RN License

Bachelor's degree in nursing or related field

Job description

Location

Pembroke Pines, Florida

Summary

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Responsibilities

• Monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
• Assists with continual readiness for accreditation surveys.
• Assists with the development and implementation of Quality Management goals, plans, and standards consistent with the clinical, administrative, regulatory, legal, and ethical requirements.
• Acts as a resource related to compliance with regulatory/accreditation standards.
• Participates in key quality and safety activities to ensure compliance with state, federal and accreditation requirements and standards.
• Assists with the management and evaluation of department operations, including information technologies, service level determination and complaint management, to achieve performance and quality control objectives.
• Assesses and reports quality indicator outcomes as appropriate to the facility and line of service.
• Facilitates meetings and education to enable areas of responsibility to utilize quality data for ongoing quality improvement.

Competencies

• ACCOUNTABILITY
• CUSTOMER SERVICE
• EFFECTIVE COMMUNICATION
• HEALTHCARE REGULATORY ENVIRONMENT
• LEADING BY COACHING
• LEADING CHANGE INITIATIVES
• MANAGING PEOPLE
• PATIENT AND FAMILY CENTERED CARE
• RESPONDING TO CHANGE
• STANDARDS OF BEHAVIOR

Education and Certification Requirements

Accredited Program (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Required Work Experience: Two (2) years of experience in the healthcare environment; preferably in quality management, performance improvement, patient safety or other related field. Two (2) years of leadership experience also required.

Other Information: Requires Florida state license as a Registered Nurse (RN). Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor's degree in a job related field.CPHQ (Certified Professional in Healthcare Quality), CPPS (Certified Professional in Patient Safety) preferred.

Working Conditions and Physical Requirements

• Bending and Stooping = 0%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 40%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 60%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 60%
• Hazardous Chemicals = 60%
• Hazardous Medication = 40%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 60%
• Extreme Heat/Cold = 40%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 60%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 60%

Shift

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

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