Manager - Quality Program

Presbyterian System Services; Espanola (NM); Hybrid; USD 76,000 - 129,000; Full time

Benefits offered by this job

Wellness program

Comprehensive benefits package

Educational opportunities

Job summary

Presbyterian Española Hospital seeks a Manager for the Quality Program to drive quality improvement, regulatory readiness and patient safety initiatives that improve outcomes and operational excellence.

The role partners with physicians, nursing leadership and cross-functional teams to oversee quality metrics, accreditation readiness and data-driven decision making, ensuring high quality patient care and continuous improvement at the hospital.

Qualifications

• Bachelor's degree in nursing or related clinical field; RN preferred
• Masters degree preferred in a related field
• CPPS, CPHQ or other quality certification preferred
• 3-5 years experience in health care quality required
• Clinical Quality experience with emphasis on data and measurement
• Prior leadership experience preferred

Responsibilities

• Develop, monitor and support facility QAPI program for regulatory readiness
• Lead regulatory/accreditation preparation and surveys
• Analyze QAPI data and report to committees/groups
• Provide clinical perspective in development of information and measurement processes
• Lead quality plans and patient safety initiatives; manage processes and goals
• Direct a team; orient and retain staff; manage budget and targets
• Support infection control, employee health and case management programs

Skills

Analytics

MS Office

Negotiation

Presentation

Reporting

Verbal communication

Professionalism

Written communication

Education

Bachelor's degree in nursing or related clinical field

Masters degree preferred

CPPS/CPHQ or other quality certification preferred

Job description

Location Address:1010 Spruce Street Espanola, NM 87532-2724Compensation Pay Range:Minimum Offer $75,732.80 Maximum Offer $128,960.00 Now Hiring: Manager - Quality ProgramSummary:Lead with Purpose. Inspire Excellence. Make a Difference. Presbyterian Española Hospital is seeking a Manager for our Quality Program to lead quality improvement initiatives, regulatory readiness efforts, and patient safety programs that support exceptional clinical outcomes and operational excellence.The Manager, Quality Program serves as a key leader within the hospital, partnering with physicians, nursing leadership, and interdisciplinary teams to foster a culture of continuous improvement, patient safety, and high reliability. This role is responsible for overseeing quality metrics, accreditation readiness, performance improvement activities, regulatory compliance, and data-driven decision-making to ensure the delivery of high-quality patient care.This role will lead, design and support the quality program including clinical quality, patient safety and continuous readiness to assure quality care and regulatory compliance. Function as a SME for quality methodologies, facilitating, coaching and supporting quality initiatives. Responsible for goal initiatives, identifying appropriate solutions for clinical initiatives in a timely manner and is actively involved in process redesign and re-engineering. Assist and support PHS quality initiatives. This role is also responsible for the Infection Control, Employee Health and Case Management service programs.This role is based at Presbyterian Española Hospital and features a flexible hybrid schedule, allowing for a combination of on-site and remote work based on business needs. Type of Opportunity: Full time Job Exempt: Yes Job is based: Presbyterian Espanola Hospital Work Shift: Days (United States of America)Responsibilities:Develop, monitor and support the facility QAPI program to ensure it meets regulatory requirements, to include infection control, clinical quality and business indicators in conjunction with leadership and the Regional Director of Clinical Quality/Patient Safety. Analyze QAPI data and report data to appropriate committees/groups.Provide clinically pertinent perspective in development of clinical information and measurement processes in conjunction with the Regional Director of Quality/Safety. Participates in the development, collection and reporting of clinical performance measurements.Manage regulatory and accreditation preparation activities at the facility level and assist at the PHS level. Serves as a lead contact during regulatory surveys, working with the Regional Director of Clinical Quality/Patient Safety.Lead and assist facility in establishing and maintaining quality plans, clinical improvement, management of processes and establishing goals and objectives for clinical quality and patient safety initiatives.Serve as a resource regarding quality theory and practice, especially as it relates to: development and evaluation of patient safety and quality indicators, application of quality methodologies to quality improvement and regulatory readiness.Lead and support clinical quality and patient safety initiatives at the facility and participate in task forces, summits, and work groups as appropriate.Conduct risk analysis using established techniques and strategies.Conduct RCI/PSI or special cause investigations.Prepare, present and maintain short term and long-range quality improvement plans, clinical outcome plans and patient safety plans.Manage and direct a team, orient new staff. Oversee the outcomes of orientation processes and retention of new hires. Address areas of opportunity to meet organizational goals.Drive financial components of department operations including budget creation, monitoring, analyzing, report variances in areas of responsibility. Responsible for achieving established targets.Qualifications:Bachelors degree in nursing or related clinical field or bachelors degree with health care experience required. Masters degree is preferredLicensed RN preferred3-5 years experience in health care quality requiredClinical Quality experience with emphasis on clinical quality data and measurement, interdisciplinary support and performance improvement preferred.Prior leadership experience preferredCPPS, CPHQ or other quality certification preferred.Skills -analytic, customer service, MS office, negotiation, presentation, reporting, verbal communication, professionalism, written communication.All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.WellnessPresbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.Why work at Presbyterian?As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.About Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services