Quality Improvement Manager - San Jose, United States - County of Santa Clara CA

Description

Salary : $217, $278,622.24 Annually

Location : San Jose Metropolitan Area, CA

Job Type: Full-Time

Job Number: 24-S01-A

Department: Santa Clara Valley Medical Center

Division: Primary Care Administration

Opening Date: 05/16/2024

Closing Date: 5/31/2024 11:59 PM Pacific

Bargaining Unit: 92

Description

Under general direction, develops, implements, coordinates and facilitates the hospital-wide Quality Improvement/Risk Management (QI/RM) Program for Santa Clara Valley Medical Center.

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Typical Tasks

• Assesses QI/RM needs and trends for the Santa Clara Valley Health Services program by reviewing current practices, and gathering, compiling and evaluating data related to employees, services, problems reported, and patient feedback;
  
• Oversees preparation for Santa Clara Valley Medical Center Accreditation Survey;
  
• Oversees, promotes, and assists in monitoring compliance with federal, state and Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards;
  
• Plans/executes programs designed to enhance physician, nursing and support staff knowledge of quality improvement and risk management;
  
• Assists in planning, preparing, and compiling reports for federal and state regulatory agencies and JCAHO;
  
• Participates in and may chair or coordinate hospital, agency, or departmental committees related to quality improvement and/or safety/risk management;
  
• Prepares quality assessment/improvement and risk management reports, surveys, and written responses for hospital administration, medical staff, regulatory agencies, and others;
  
• Assists County Counsel/attorneys representing the County and County Risk Management with claims and litigation;
  
• Collaborates with Quality Improvement Managers for health agency programs to ensure that their separate QI/RM programs are consistent with and reflected in the agency-wide program;
  
• Selects, trains, supervises, coordinates and evaluates the work of subordinate professional and clerical staff;
  
• Maintains current knowledge of VMC and Health Agency operations;
  
• Maintains competence and knowledge of current trends in health/medical care standards and QI/RM topics.
  
• Participates in continuing education activities for professional growth, licensure and certification requirements.
  
• May initiate and/or participate in research related to standards, quality improvement, and risk management.
  
• Regularly communicates and coordinates/acts as liaison with managers throughout Valley Medical Center, other health agency divisions, regulatory agencies, relevant professional associations, County Counsel, and other county agencies.
  
• Performs other related tasks as required.

Employment Standards

Possession of a license as a Registered Nurse issued by the California Board of

Registered Nursing, and the abilities and current knowledge to perform the typical tasks of this position in an acute care hospital;

A typical way to obtain the required knowledge and abilities would be a baccalaureate degree in nursing or the equivalent and a minimum of three years inpatient nursing experience in an acute care hospital of which a minimum of one year has been in an administrative or supervisory capacity.

Knowledge of:

• Nurse Practice Act;
  
• Principles and practices of nursing, clinical systems, safety/risk management, infection control, and quality assessment/improvement in an acute care hospital setting;
  
• Current trends, issues, and research in treatment, prevention, and education, as they relate to QI/RM in a large medical services system;
  
• Program management in an acute care hospital setting, including planning, implementation, evaluation, and reporting as required by laws, codes and regulations.
  
• County, state, and federal legislation applicable to contemporary acute care hospital operations and patient care issues; resources for researching legislative issues.
  
• Organization and functioning of an acute care hospital; organizational, personnel, and fiscal management within a health care facility/agency;
  
• Methods, regulations, and procedures for research within an acute care hospital setting.
  
  Ability to:
  
• Organize, direct, coordinate and evaluate acute psychiatric services to ensure quality patient care and conformity with prescribed laws, regulations, and standards;
  
• Work cooperatively with administrators, medical personnel and nursing staff and others to obtain and evaluate information, and implement changes for QI/RM;
  
• Effectively train staff in QI/RM principles and practices;
  
• Prepare complex and detailed written reports and procedures;
  
• Develop and analyze data and maintain accurate records;
  
• Maintain up-to-date knowledge of nursing practice, quality assurance trends/practices, risk management and current legislation;
  
• Communicate effectively at all levels within the clinic and with other departments/agencies, the patients, and the public.

The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits
The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees. These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account
The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year). Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)
The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses. The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D
The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)
The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial/legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness
The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement
A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE: Benefit and Retirement information may vary from bargaining unit to bargaining unit. Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.

01

Please answer the following questions. Completion of the following supplemental questions is REQUIRED for your application and is an integral part of the evaluation process. Initially, it will be used to evaluate against the employment standards. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun. Please include the name of employer, job title, dates of employment and number of hours worked per week for questions asking about your experience. A response of "see resume" or "see application" will deem your application incomplete. Vague, incomplete or non-responsive answers could result in no or low scores in a competitive rating process. Do you understand this requirement?

• Yes
• No

02

Do you have an active California Registered Nurse License without restrictions?

• Yes
• No

03

Please list your CA Nurse License Number and the expiration date. If you do not have any type n/a.

04

What is your highest level of Nursing Education?

• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MEPN with RN license pursuing MS
• BSN, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MSN
• PhD

05

Please list the name of your degree/s, the level, and where it was obtained. If you do not have any type n/a.

06

Indicate the number of years of RN experience in an accredited Acute Care or Ambulatory Care hospital? (Do not include time while in nursing school)

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

07

Describe your RN experience in a Joint and accredited Acute Care or Ambulatory Care hospital. Responses must include the following required information: Job title(s), job duties, dates of employment, and the number of hours worked per week. If you do not have any type n/a.

08

How many years of professional administrative or supervisory nursing experience do you possess while working in an accredited Acute Care or Ambulatory Care hospital?

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

09

Describe your administrative or supervisory nursing management experience in an accredited Acute care or Ambulatory Care hospital. Responses must include the following required information: Job title(s), job duties, dates of employment, and the number of hours worked per week. If you do not have any type n/a.For each relevant position held, please provide specific information that clearly describes:(a) Your functional areas of responsibility.(b) The size and type of each organization.(c) Your position within each organization and the title of the position to which you report(ed).(d) The number and level of staff managed.

10

Do you have experience with leading organizational readiness for a Joint Commission CMS and DHS Survey.

• Yes
• No

11

Describe your experience with leading organizational readiness for a Joint Commission CMS and DHS Survey. Responses must include the following required information: Job title(s), dates of employment and number of hours worked per week. If none, type n/a.

12

Do you have experience with data extraction, analysis and reporting, and the software programs that you have used to support data management?

• Yes
• No

13

Describe your experience with data extraction, analysis and reporting, and the software programs that you have used to support data management. Responses must include the following required information: Job title(s), dates of employment and number of hours worked per week. If none, type n/a.

14

Indicate the number of years you've worked as a RN preparing reports and response to the Joint Commission.

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

15

Do you have experience preparing quality assessment/improvement and risk management reports, surveys, and written responses for hospital administration, medical staff, regulatory agencies, and others.

• Yes
• No

16

Describe your experiences preparing quality assessment/improvement and risk management reports, surveys, and written responses for hospital administration, medical staff, regulatory agencies, and others. Responses must include the following required information: Job title(s), dates of employment and number of hours worked per week. If none, type n/a.

17

List all the Quality reporting agencies/vendors you have worked with. If none, type n/a.

18

What Quality software have you used in the past? If none, type n/a.

19

How many years of work experience do you have performing population health metrics?

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

20

Describe your experience working with population health metrics. Responses must include the following required information: Job title(s), employer name(s), start/end date(s), hours worked per week and a detailed description of tasks performed. If no such experience, type n/a.

21

Describe any population health focused initiatives you have been the driver and list outcomes. Responses must include the following required information: Job title(s), employer name(s), start/end date(s), hours worked per week and a detailed description of tasks performed. If no such experience, type n/a.

22

Describe any health equity projects or initiatives that you have led or participated in. Responses must include the following required information: Job title(s), employer name(s), start/end date(s), hours worked per week and a detailed description of tasks performed. If no such experience, type n/a.

23

How did you find out about this job?

• Contacted by County Recruiter
• Contacted by a Recruitment Firm
• County Employee Referral
• County of Santa Clara Career Website
• County of Santa Clara Job Interests Email Notification
• Facebook
• Instagram
• LinkedIn
• Indeed
• Virtual Job Fair
• In Person Job Fair
• In-Person Networking Professional Event
• Virtual Networking Event
• Community Event
• Glassdoor
• Professional Association
• Search Engine (Google, Bing, online search, etc.)
• Hospital Website: SCVMC, O'Connor Hospital, St. Louise Regional Hospital Website
• Handshake
• Student Career Center
• County Text Message
• Other (Specify in the next question)

24

If you selected an event/fair or other in the question above, please specify. If not, type n/a.

Required Question