Quality Assurance and Accreditation Manager

101 Riverside Hospital, Inc.; United States; On-site; USD 91,000 - 125,000; Full time

Job summary

Riverside Health System is seeking a Quality Manager to lead and champion quality initiatives across the organization. You will drive evidence-based care, improve performance, and ensure timely data submission for required quality reporting programs.

You will coordinate stroke care, mentor staff, and align quality education with facility-wide programs. Collaboration with medical and nursing leadership is essential to sustain high reliability and patient safety.

Qualifications

• Bachelor's degree in Nursing or related field.
• 3–4 years hospital quality, accreditation, safety and/or risk management experience.
• Licenses and Certifications RN in Virginia, CPHQ, NIHSS, ACLS; CPPS or HACP preferred.

Responsibilities

• Lead the facility quality program and drive improvement initiatives.
• Coordinate stroke care as Stroke Coordinator and manage related services.
• Ensure timely submission of data for required quality reporting programs.
• Develop and deliver quality management education and training.
• Collaborate with medical, nursing and leadership to sustain high reliability.

Skills

Quality improvement

Data reporting

Communication

Education

Bachelor's Degree, Nursing or Related Field

Tools

Premier

Job description

Smithfield, Virginia Hiring Range $91,000.00 - $125,125.00/Annual Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. Overview The Quality Manager serves as a highly visible, energetic leader and champion for quality throughout the organization, and is responsible for implementation of the quality program. The Manager promotes high reliability for recommended evidence-based care for every patient, everywhere, every time assuring a focus on people, process and technology to improve performance. The Manager assures accurate and timely submission of all required data and information for required and voluntary quality reporting programs. The Manager supports a continuous learning environment and adheres to just culture principles. The Manager assures ongoing and up to date knowledge of required quality reporting programs and specific quality measures within each of the reporting programs. Knows where to obtain information on measure specifications. The Manager assures high reliability for recommended evidence-based care for every patient, everywhere, every time assuring a focus on people, process and technology to improve performance. The Manager assures appropriate and up to date content for facility education, training and communication related to quality management and assures alignment and coordination of quality recognition programs with the facility wide quality program. For example, Stroke Certification, Accreditation for Cardiovascular Excellence, Baby Friendly Designation, etc. The Manager is responsible for the role of facility Stroke Coordinator and assures coordination/management of the stroke patients as well as the organizing, planning, directing, and evaluating of services provided. The Manager provides leadership, direction and mentorship/support to the staffing needs for stroke patient care. The Manager will act as a resource within RHS in providing best practice and evidence-based stroke care to this patient population. The Manager assures accurate and timely submission of data and information for required and voluntary quality programs and assures data meets validation requirements for the facility. The Manager has deep knowledge of quality data applications and serves as a content expert on navigation and use (such as Premier). The Manager applies the principles of performance and process improvement to quality improvement projects. The Manager designs and conducts quality improvement training for the facility. The Manager works closely and collaboratively with medical, nursing and clinical leadership to implement improvement strategies to continually improve quality and safety; and contributes to establishing the annual quality and safety plan and contributes to the year-end summary report of progress toward goals and related achievements.

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities.

Qualifications

• Education Bachelors Degree, Nursing or Related Field (Required)
• Experience 3-4 years Hospital healthcare quality, accreditation, safety &or risk management (Required)
• 3-4 years quality assurance and accreditation experience (Preferred)
• Licenses and Certifications Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required) and Certified Professional in Healthcare Quality (CPHQ) - National Association of Healthcare Quality Healthcare Quality Certification Board within 1 Year(Required) and Stroke Scale International - The NIH Stroke Scale (NIHSS) International Upon Hire(Required) and ACLS Provider - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) Upon Hire(Required) and Healthcare Accreditation Certified Professionals (HACP) - Center for Improvement in Healthcare Quality (Preferred) or Certified Professional in Patient Safety (CPPS) - Institute for Healthcare Improvement (IHI) (Preferred)