Manager of Patient Safety & Quality

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group, BSH Bronson South Haven Title Manager of Patient Safety & Quality Responsible for planning, organizing and managing functions related to quality improvement and patient safety at Bronson. Works with the organization, PI Committees and ad hoc teams in developing quality improvement strategies, goals, targets and measurement plans to achieve best practice levels. Participates in the development and update of the annual Quality and Patient Safety Plans at Bronson. Medical Staff: Responsible for leading and supporting the Medical Staff structures with in the Bronson Healthcare system which includes credentialing (BLH only), peer review functions, and OPPE/FPPE. Also facilitates keeping the medical staff bylaws, rules, and policies current. Accreditation/Regulatory: Is responsible for the oversight of the Bronson’s continuous readiness in assessing compliance in federal and state regulations, core measures, and patient safety. Provides assistance in the implementation of the value based purchasing initiatives and is responsible for the clinically related reporting requirements. Provides onsite coordination and leadership during CMS and Joint Commission surveys. Organizes and facilitates regularly scheduled audits and training with staff and leaders to implement “continuous readiness” strategies. Provides updates and education related to accreditation and changes in regulatory standards. Serves as the Joint Commission liaison and interacts with the account representative. Monitoring and Measurement: Develops and supports a system for regular and systematic collection, analysis, and reporting of quality data for public reporting and regulatory requirements; Recommends the Measures of Success submission at required Joint Commission time frames; Supports and directs data collection and research for key patient safety related clinical and operational activities. The Manager will coordinate the day-to- day departmental operations, as well as evaluate and oversee staff projects. The Manager acts as a role model, coach and mentor to staff, as well as a resource and contact person to staff and to others within and outside of the organization. The Manager ensures that all department standards are maintained as well as encourages a team environment and maintains positive customer service. Responsible to monitor and maintain approved department budget. Additional components of the role could include participation in: strategic plan tactics, regulatory compliance, data management/system management, policy and procedure development and review, and service line participation/support. Employees providing direct patient care must demonstrate competencies specific to the population served. Bachelor's degree or an equivalent combination of education and experience, and 3-5 years of experience in clinical nursing in an acute care setting required Master's degree preferred Previous management experience preferred Previous experience leading teams with improvement efforts preferred Licensed RN in good standing with the State of Michigan required. • Must work independently, be able to meet deadlines and demonstrate accountability for assignments • Strong leadership, organization, and communication skills required • Must be able to control confidentiality of sensitive information • Must have the ability to use software relevant to the job (i.e. – Word, Excel, Access, PowerPoint, Visio, etc.). • Must have the ability to organize and analyze data. • Must be able to speak and write English fluently. • Must be able to interpret regulatory standards and assess impact to the organization Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects. • Oversees quality improvement and patient safety activities within the organization. Oversees clinical documentation improvement program for the system • Reviews current literature and provides recommendations for improvement activities • Evaluates organizational data and understands variation and trends • Analyzes and reports regarding regulatory readiness. • Researches best practice and payer requirements and proposes / implements recommendations for change. • Maintains department budget. • Coordinates and analyzes progress reports from external agencies. • Supports the Medical Staff credentialing (BLH only), peer review, and quality programs. • Leads team through change process. • Manages day-to-day operations of department • Participates in evaluating performance of staff within the department Shift First Shift Time Type Full time Scheduled Weekly Hours 40 Cost Center 1506 Patient Safety And Quality (BHG) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson! Bronson Healthcare is a community-owned, not-for-profit health system that has been serving southwest Michigan since 1900. Today, with a workforce of 9,000 people and 1,500 medical staff members, it is the area’s largest employer and leading healthcare system. Bronson provides care in virtually every specialty and offers a full range of services from primary care to critical care at more than 100 locations. Bronson’s exceptionally high quality standards enable us to do what’s right for our patients and their families. We are empowered as individuals and as teams, to apply our skills and experience so that every patient receives safe, timely and effective treatment. What’s more, our state-of-the-art, technology and evidence-based processes give us the tools we need to deliver the right care, at the right time. By putting each patient and their family at the center of our work, we demonstrate the dignity and respect we have for each individual we serve. This unwavering commitment to serving others combined with our unique healing environment helps make the patient experience here an exceptional one. The excellence and Positivity of our employees and medical staff has contributed to Bronson Healthcare being ranked by Forbes as one of America’s Best-In-State Employers (2022-23), by Newsweek as one of America’s Greatest Workplaces for Women (2023) and by the National Association for Business Resources as one of the 2023 Top 101 Best and Brightest Companies to Work For.