This position reports to the Director of Quality/Risk Management. This position is responsible for day to day operations and oversight of the Quality Management functions of the organization. This position requires a person who is detail oriented and precise. Must be well versed in hospital quality and have a minimum of 5 years of experience in Hospital Quality Management System including core measures, provider quality, and quality improvement projects. The ideal candidate must have a minimum of 5 years of experience in Risk Management including event investigation, regulatory reporting, sentinel event investigation, RCA facilitation, and peer review coordination. Experience in Accreditation and Infection Control is preferred. Familiarity with Midas, Meditech, ecw and T-Systems desirable but not required.
Provides coverage for abstraction, leadership and oversight of data integrity of quality indicators for submission to CMS and TJC.
Monitors and ensures data is appropriately and accurately reported to Quality Net and report deadlines are strictly adhered to
Provides coverage, leadership and oversight for Risk Management Functions
Provides coverage, leadership and oversight of Infection Prevention
Oversees performance improvement program and provides guidance to leadership while ensuring completion of PI initiatives.
Attends committee meetings and participates in performance improvement as requested by the Quality Director
Conducts tracer activities and educates staff and leaders on accreditation standards as necessary
Oversee Day to Day Department Operations
5 years healthcare quality experience required.
bachelor’s degree required
master’s degree preferred
CPHQ certification preferred
CIC certification preferred
Must be a licensed healthcare professional in the state of CO. RN is strongly preferred but will consider other applicants with advanced degrees and clinical hospital experience.
In addition to providing advanced medical care, the hospital strives to be an integral part of the community it serves, leading the way in improving and maintaining the health of the entire population. The culture of community service is nurtured between and among the staff at Montrose Memorial Hospital. As a community grows, so must its delivery of healthcare. In this rapidly expanding part of so...uthwestern Colorado, Montrose Memorial Hospital plays a vibrant and vital role in maintaining the health of the community it serves and attracting people to the area.