Career Corner

Career Corner

MANAGER, QUALITY & PATIENT SAFETY

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JOB SUMMARY

  • This position has the 24-hour responsibility for the management and development of the Medical Staff Quality, Patient Safety and Regulatory Staff. 
  • The Manager will provide coaching feedback, mentorship, professional development, prioritize/manage the distribution of workload, schedules, resources, plans and status reports. 
  • This position will be responsible for creating relationships and in conjunction with the Director and Chief Medical Officer/VP of Quality, develop a Patient Safety plan and implement the processes with the center to ensure hardwiring of best practices. 
  • In addition, this position will be assigned the responsibility and empowered as the Patient Safety Officer by the Governing Board. 
  • In this capacity, the Manager has the duty to ensure the highest level of patient and that the Center is abiding by regulatory requirements that govern patient safety. 
  • The Manager oversees processes and monitors quality indicators and metrics via committees and tasks forces and utilizes the best improvement practices to invoke change to provide the best care outcomes. 
  • The Manager is responsible for ensuring meaningful and effective flow of data and information through the Performance Improvement process as well as managing the medical staff quality, peer review, ongoing professional practice evaluation, and focused professional practice evaluation processes.
  • As the role of Patient Safety Officer (PSO) the position will have an integral part in Root Cause Analysis, FMEA, and work in conjunction with Risk Management to ensure common cause analysis are identified and utilized to improve processes and improve care. 
  • The culture of patient safety will be monitored and supported using best practice methodology in an effort to support the evolution of the Center to being a highly reliable organization. 
  • The PSO is a leader and subject expert in proactive evidence-based practice in patient safety and responsible for collaboration with other disciplines to ensure the spread and sustained culture of safety.

EDUCATION / EXPERIENCE / COMPETENCY REQUIREMENTS

  • Education:
    • Bachelor’s degree – REQUIRED (Nursing or health related field)
    • Master’s degree – PREFERRED (MSN, MBA, MHA, Nursing or health related field) 
  • Licensure/Certification:
    • CHPQ (Certified Professional in Healthcare Quality) -OR- obtained w/in one year of hire
    • CPPS (Certified Professional in Patient Safety) -OR- obtained w/in two years of hire -OR-
    • LHRM (Licensed Healthcare Risk Manager) -OR- obtained within two years of hire
    • Lean/Six Sigma Certificate
    • Patient Safety & Quality Certificate
  • Experience:
    • Acute Care Quality Management experience 5-7 years
    • Performance Improvement Experience 5-7 years
    • Health Care Risk Management or Patient Safety Experience 5-7 years
    • Medical Staff Quality, OPPE/FPPE Experience 5-7 years
    • TJC, CMS, OSHA Acute Care Regulatory Requirement Experience 5-7 years
  • Additional Skills:
    • Strong Common Cause Analysis Skills and FMEA Process
    • Excellent Communication, Presentation, and Team Building Skills
    • Excellent Microsoft Word, Excel, Visio, Access skills
    • Strong Data Analysis and Interpretation Skills

Apply

Recruiter:

Taryn.Hines@Moffitt.org

813-745-5876

Posted 9/6/2022


REGULATORY & ACCREDITATION CONSULTANT

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JOB SUMMARY

The Regulatory & Accreditation Consultant is responsible for monitoring, trending, and improving the enterprise wide continuous survey and accreditation readiness plan. Working in collaboration with the leadership of the Center, the consultant will assist the various areas in improving their readiness and sustaining a state of continuous readiness for regulatory and accreditation surveys for all federal, state, local and accrediting bodies, both mandatory and voluntary certifications. This position will serve as the regulatory and accreditation subject matter expert in all areas of the Center. The consultant works with areas in need of assistance in meeting guidelines utilizing best practice methodology for performance improvement. The Consultant will be included in all regulatory and accreditation visits and be present when possible in order to identify issues and work with areas to ensure action plans meet guidelines and timeframes. The consultant will also be responsible for maintaining the regulatory and accreditation data base that tracks all site visits, mail requests, the issues involved, the responses and action plan compliance.

This position has the opportunity for a hybrid remote work schedule after successful completion of a 90-day probationary period.   

QUALIFICATIONS

  • Education:
    • Bachelor’s degree (Field of study – nursing or business) – REQUIRED
      • Will accept an Associate’s degree or diploma nurse with 5 years of regulatory experience in lieu of Bachelor’s degree
    • Master’s degree (Field of study – Nursing or business) – PREFERRED
  • Licensure:
    • RN – REQUIRED
    • CJCP (Certified Joint Commission Professional) -OR- HACP (Healthcare Accredited Certified Professional) – Must obtain within one year of hire/transfer date – REQUIRED
    • CJCP – PREFERRED
    • HACP – PREFERRED
      • Existing coordinators must obtain one of the above certifications within 2 years of this update
    • CPHQ (Certified Professional in Healthcare Quality) – PREFERRED
    • BLS (Basic Life Support) – PREFERRED
    • Lean Six Sigma – PREFERRED
  • Minimum Experience Required:
    • 5 years of clinical experience plus 7 years of regulatory experience in healthcare including 3 years of Quality & Patient Safety Specialist level experience, including peer review and medical staff quality and patient safety and prior regulatory and tracer experience, or actual agency survey experience
    • Excellent team building, communication and presentation skill
    • Strong Microsoft Office skill
    • Strong critical thinking skill
    • Strong consulting skills, including team building, identifying opportunities for improvement, collaboratively working with leadership to create realistic and manageable action plans.

Apply

Recruiter:

Taryn.Hines@Moffitt.org

813-745-5876

Posted 9/6/2022

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