Position Summary

This position manages all aspects of quality for PCH Transplant, Dialysis & Apheresis. The position ensures the ongoing compliance with all relevant regulatory agencies (CMS, OPTN, FACT, and DMV) through the establishment of a department-wide quality management program. Ensures that quality reports are developed to establish/maintain focus on delivering a mature quality culture. Administrative duties include the selection and supervision of personnel, budget management direct supervision of quality and research/data staff. This position receives supervision of completed work activities from the VP Transplant & Dialysis.

Education

• Master's degree in Nursing, Healthcare, Business Administration, or equivalent combination of education and experiences (Required)

Experience

• Minimum of 5 years recent healthcare experience (Required)
• 3 or more years of High Reliability/Performance Improvement experience or similar experience in a clinical setting (Required)
• 3 or more years of recent experience and expertise with regulatory standards such as CMS, JC, OPTN (Required)
• 2 or more years of hospital or healthcare quality management experience highly preferred (Preferred)
• 2 years Clinical Experience (Preferred)

Certifications

• Certified Professional in Healthcare Quality (CPHQ)/and/or Patient Safety Certification (CPPS) required within 6 months of hire (Required)
• Six Sigma/Lean Certification (Preferred)

Special Skills

• Proficient at written and verbal presentations (Required)
• Three or more years Process Maps, Graph selection, creation, and interpretation (run chart, control chart, etc.), Project Management (Required)
• Facilitation experience with clinical teams, including physician participants (Required)
• Formal training in Performance Improvement, Patient Safety, Healthcare Engineering, or similar field. (Preferred)
• Expertise with facilitating organizational change (Preferred)