Manager (RN) - Quality

Abrazo Health; Phoenix (AZ); On-site; USD 90,000 - 140,000; Full time

Job summary

Abrazo Central Hospital in Phoenix seeks a results-driven Manager, Quality to lead quality improvement, patient safety programs, and regulatory readiness under the Director of Quality. You will collaborate with physicians, nursing leadership, and frontline staff to improve outcomes and foster a culture of continuous improvement.

The role emphasizes data-driven problem solving, development of dashboards, and oversight of CMS and accreditation readiness.

Qualifications

• CMS Conditions of Participation and accreditation standards knowledge.
• Understanding of quality improvement methodologies (PDSA, Lean, Six Sigma).
• Strong analytical and data interpretation skills.
• Experience with quality reporting systems and dashboards.
• Excellent communication and presentation skills.
• Ability to lead multidisciplinary teams and influence change.
• Strong project management and organizational skills.

Responsibilities

• Facilitates quality improvement projects using evidence-based methodologies.
• Monitors organizational quality metrics and identifies opportunities for improvement.
• Facilitates development, implementation, and evaluation of corrective action plans.
• Supports Quality Assessment and Performance Improvement (QAPI) activities.
• Assists departments in achieving quality and patient safety goals.
• Analyzes clinical performance data and identify trends, risks, and improvement opportunities.
• Develops and maintains quality dashboards and scorecards; collaborates to improve outcomes.
• Ensures timely and accurate reporting of quality measures.
• Promotes a culture of safety and high reliability.
• Supports CMS, state, and accreditation readiness; prepares surveys and corrective plans.
• Provides education on regulatory requirements and presents data to leadership.

Skills

CMS Conditions of Participation

Quality improvement methodologies

Data interpretation

Quality reporting systems

Communication and presentation

Leading multidisciplinary teams

Project management

Education

Bachelor's degree or higher in a patient care-related field

Tools

Quality reporting systems

Dashboards

Job description

Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Abrazo Central Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Abrazo Central Hospital, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That's Why We Offer More Than a Job - We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance.

The Available Plans And Programs Include

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note

Eligibility for benefits may vary by location and is determined by employment status

Job Summary

The Manager, Quality is responsible for leading quality improvement initiatives, performance improvement activities, patient safety programs, and regulatory readiness efforts under the direction of the Director of Quality. This role collaborates with physicians, nursing leadership, operational leaders, and frontline staff to improve clinical outcomes, enhance patient safety, ensure regulatory compliance, and support a culture of continuous improvement.

Responsibilities

• Facilitates quality improvement projects using evidence-based methodologies and performance improvement tools.
• Monitors organizational quality metrics and identify opportunities for improvement.
• Facilitates development, implementation, and evaluation of corrective action plans.
• Supports Quality Assessment and Performance Improvement (QAPI) activities.
• Assists departments in achieving quality and patient safety goals.
• Analyzes clinical performance data and identify trends, risks, and improvement opportunities.
• Develops and maintains quality dashboards and scorecards. Collaborates with operational leaders to improve outcomes related to mortality, readmissions, hospital-acquired conditions, and patient experience.
• Ensures timely and accurate reporting of quality measures.
• Promotes a culture of safety and high reliability.
• Supports ongoing readiness for CMS, state, and accreditation surveys.
• Monitors compliance with regulatory and accreditation standards. Facilitates survey preparation, mock surveys, and corrective action plan development.
• Provides education regarding regulatory and accreditation requirements. Presents quality and patient safety data to committees and leadership teams. Facilitates interdisciplinary teams focused on quality improvement initiatives. Supports medical staff quality and peer review activities.

Qualifications

• SPECIAL SKILLS:
• Knowledge of CMS Conditions of Participation and accreditation standards.
• Understanding of quality improvement methodologies (PDSA, Lean, Six Sigma).
• Strong analytical and data interpretation skills.
• Experience with quality reporting systems and dashboards.
• Excellent communication and presentation skills.
• Ability to lead multidisciplinary teams and influence change.
• Strong project management and organizational skills.

Minimum Requirements

• Experience: 3 years combined experience in hospital clinical practice and Quality Management. Minimum of 1 year in hospital Quality Management. Experience with regulatory and accreditation standards. Extensive experience in concepts associated with RCA’s and developing, implementing, and monitoring robust quality and process improvement activities.
• Education: Bachelor’s degree or higher in a patient care-related field.
• Certifications: CPHQ, CPPS, or CPHRM certification within 12 months of hire

Preferred Requirements

• Experience: 1 year as a hospital Quality Manage
• Certifications: Registered Nurse, CPHQ, CPPS, HACP-CM

Organization Description

Abrazo Central Campus has provided hospital care in Central Phoenix since 1963. As a 221- bed acute care and teaching hospital, we offer a complete range of healthcare services including emergency care, family medicine, cardiology and more.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

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