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Stanford Health Care

Manager – Quality Management and Regulatory Affairs

Stanford Health Care, Palo Alto, California, United States, 94306


If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Manager – Quality Management and Regulatory Affairs Manager identifies and implements clinical, operational, and quality management initiatives for accreditation for Stanford Health Care (SHC) and the Quality, Patient Safety, and Health Equity department. This includes but is not limited to ensuring timely implementation of quality programs and work plans and meeting all legal and regulatory requirements. The Manager assists with identifying, collecting, analyzing, and reporting information to appropriate organizational individuals and groups. This position works closely with the Chief Quality Officer, SVP of Quality, Executive Director of Quality and Safety, and reports to the Senior Director of Quality Management and Regulatory Affairs. Additional responsibilities will include planning and supervising staff to help implement, sustain improvement, and oversee regulatory and accreditation programs. Locations Stanford Health Care What you will do Quality Management and Regulatory Affairs

Provide leadership to accomplish Stanford Health Care’s mission, goals, and quality, safety, and health equity strategic plan.

Serve as liaison to other groups such as patient safety and infection prevention to provide assistance with quality management activities; meets with state and federal surveyors regarding issues and complaints with patient care; serves as a member of multiple interdisciplinary committees representing the quality management.

Using data management software and processes to analyze and trend quality metrics, and based on regulatory requirements, recommend appropriate changes to existing policies or the need to develop new policies to drive the quality of care.

Design tracers and enhance data collection and reporting tools to provide real-time feedback to clinical and non-clinical teams on opportunities to improve regulatory compliance and quality of care.

Interact with all levels of staff in all departments on a daily, weekly, and monthly basis by serving on committees and task forces, leading quality management initiatives to evaluate the delivery of care and promote safety and quality.

Facilitate quality improvement projects as needed with A3 support, improvement science education, statistical process control, data support and maintain a strong collaboration with Quality Analytics, Information Technology, Clinical Business Analytics and Digital Solutions.

Contribute to the development of strategies for leveraging technology to improve operational efficiency.

Coordinate and facilitate survey activities by ensuring smooth survey operations and timely submission of requested documents and information to surveyors.

Coordinate the development of improvement activities and corrective action plans. Ensure that all improvement plans are in accordance with regulatory requirements and evidence-based standards.

Maintain ongoing processes for monitoring action plans.

Management

Maintain a focus on internal talent management and retention to drive succession planning and future workforce planning, ensuring consistency of leadership’s ability to progress towards strategic goals across the organization.

Participate in hiring and oversee onboarding and orientation of new employees to ensure understanding of duties, responsibilities, work requirements and performance standards.

Manage staff that conduct the functions of the Quality Management and Regulatory Affairs department.

Performs other duties as assigned.

Education Qualifications Bachelor’s Degree in a work-related field/discipline from an accredited college or university required. Master's degree from an accredited college or university in a work-related field preferred.

Experience Qualifications Three (3) years of progressively responsible and related work experience.

Required Knowledge, Skills and Abilities Demonstrated ability to align organizational vision, set short and long-term objectives with department and hospital strategic goals, focus, and prioritize resources, and evaluate outcomes.

Ability to establish the strategic direction and business plans for a functional group.

Demonstrated understanding of accreditation, regulatory and licensure standards, requirements, and guidelines applicable to hospitals, specifically, The Joint Commission, Centers for Medicare and Medicaid Services (CMS), and Title 22.

Ability to effectively communicate key messages to diverse audiences and is comfortable presenting to large detail-oriented groups.

Understands clinical analytics and benchmarking tools for tracking data - such as Vizient/UHC, Hospital Compare, Midas, and Statit.

Proficient in Microsoft Office Suite - Word, Excel, PowerPoint.

Ability to provide leadership and influence others.

Ability to supervise, coach, mentor, train, and evaluate work results.

Knowledge of principles and practices of organization, administration, fiscal and personnel management.

Ability to manage multiple projects and problem solve on short notice.

Microsoft Office (Excel, Word, PowerPoint, Visio): Track, analyze, trend and report quality data.

EHR (Epic): Perform chart review.

Licenses and Certifications Nursing/RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred.

CPHQ - Health Care Quality Certification preferred.

These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care.

Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health.

Coordinate for Me: Own the complexity of my care through coordination.

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $76.90 - $101.91 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

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