Manager of Quality Improvement & Performance Excellence

Job Description

This is an excellent opportunity to join a really fantastic team while making a positive impact here at Oak Valley Hospital District!

Reporting to the Vice President of Quality & Risk Management, this position assists with the supervision of hospital wide and Medical Staff, Quality Management and Performance Improvement Plan activities in accordance with licensing and accreditation agencies.

  • Oversees, fosters, and supports the effectiveness of Quality Improvement Performance Excellence Teams.

  • Assists in the development of clinical departmental and interdisciplinary Quality Improvement Teams to establish, measure, and report QI and Performance priorities.

  • Provides quality improvement technical assistance to Physicians and the quality improvement teams.

  • Assists quality improvement teams in identifying, planning, and executing quality improvement activities.

  • Effectively analyzes data and information to successfully formulate strategies to ensure regulatory readiness and quality outcomes.

  • Possesses communication skills that demonstrate the ability to develop consensus among staff and management.

  • This position will oversee monitoring, analyzing, presenting Quality Outcomes data, and reporting and recommending system wide action plans for improvement.

Minimum Education:
Master's Degree or Master's candidate required in the field of Nursing, Public Health, Health Policy, Business Administration, Health Administration, or a field related to quality engineering, or business process improvement.
Minimum Experience/Skills:
5+ years of recent healthcare experience required
Strong practical knowledge of quality improvement methods and their application at the functional level in a hospital setting, working knowledge of multiple clinical areas
Capable of providing in-service education to health care providers on quality issues based on data outcomes or industry standards
Ability to analyze data sets using the computer
Ability to develop and facilitate quality improvement projects/teams utilizing various quality tools, i.e., Failure Mode Effects Analysis, Root Cause Analysis, PDCA, etc.
All Quality Improvement Team Leaders must attain National Association for Healthcare Quality (NAHQ) Certified Professional in HealthCare Quality professional certification within two years of employment in the Team Leader role, and then maintain the certification
BSN or BS in Respiratory Therapy, Hospital Pharmacist, or Lab Scientist
Physical Demands:
Lifts, positions, pushes up to 50 pounds
Considerable sitting, reaching, stooping, bending, kneeling, crouching
Touch, auditory and visual perception and acuity
Adequate vocal pitch and volume of voice
Manual dexterity and mobility
Ability to move quickly
Vision Requirements:
Ability to adjust vision sufficiently to perform duties
Working Conditions:
Subject to varying and unpredictable situations
Subject to irregular hours
Increased stress due to multiple calls and inquiries


Company Description
A little about us, with 600 employees and in a growth mode, Oak Valley Hospital District is a full service, non-profit public hospital created to provide residents of Oakdale and the surrounding rural communities, with access to superior quality medical care. We also operate four community health centers providing primary care medical services and plan to expand this business as well. As an organization we take care of nearly 90,000 patients a year.

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