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Integrated Quality Services (IQS) Manager

Company: Sutter Health
Location: Crescent City
Posted on: November 19, 2021

Job Description:

Position Overview:About Sutter Coast Hospital:Resting on the scenic Northern California Coast, Sutter Coast Hospital continues to evolve to meet the changing needs of the residents of Crescent City, California and Brookings-Harbor, Oregon and the surrounding areas. As a part of Sutter Health - one of the nation's leading community-based, health care networks - we are a 49-bed, not-for-profit hospital, serving a population of approximately 43,000. Our services include a 24-hour emergency department, intensive care/critical care units, surgery, obstetrics, diagnostic imaging, laboratory, rehabilitation, skilled nursing, psychiatric care, senior care, and home health services.Enjoy this brief video about Sutter Coast Hospital and its location: CLICK HEREAbout Crescent City:Moderate in climate and nestled along a gorgeous ocean coastline with a surrounding mountain landscape, Crescent City is beautiful, peaceful, affordable, and perfect for those with a propensity for outdoor activities such as hiking, fishing, surfing, and camping. With lush groves of redwood trees and wildlife in abundance, it's a hidden gem and the ideal place to write the next chapter of your life, both professional and personal.Visit Crescent City - VisitCalifornia.comVisit Crescent City - Trip AdvisorVisit Del Norte County CaliforniaThe Integrated Quality Services (IQS) Manager is accountable for management and oversight of the IQS (Quality) department. Duties may include planning, direction, control, evaluation and training within the Integrated Quality Services department. This includes coordinating the work efforts of the department: Daily operations management, direction and implementation of the quality improvement program of the Medical Staff, the functions of the Medical Staff Office, Risk Management, Infection Control/Employee Health, Case Management, Quality Management, and Accreditation and Licensure.This position is responsible for interpretation of legal and regulatory requirements, including, but not limited to the Centers for Medicare and Medicaid Services, The Joint Commission, and California Code of Regulations Title 22. The manager is accountable for facility preparedness for regulatory and accreditation agency surveys. Provides organization-wide leadership for the development, implementation, coordination, and evaluation of the performance improvement activities and resources. Acts as staff support to all departments of the facility for TQM/CQI program, including data collection, analysis and reporting. Acts as liaison to Sutter Health Risk Management for information needed on all legal actions against the facility. Oversees activities of the Medical Staff Office in accordance with bylaws, rules and regulations. Oversees Infection Control functions to ensure appropriate surveillance, reporting and preventative activities.The IQS Manager has the authority to approve budget expenses for the IQS Department and other cost centers reporting directly. Has authority to schedule work hours, approve overtime, coach, and counsel staff. Decisions to hire, discipline, and terminate positions that report directly and are made in collaboration with the SHSSR QME and Hospital administration. The incumbent must operate within policies and procedures, philosophy, and objectives of the Hospital, and applicable regulatory agencies. Initiates, approves, and secures Policy and Procedures related to areas of responsibility. All legal settlements to be discussed and approved by the Hospital Chief Executive Officer. The incumbent is accountable for complying with the SHSSR Standards of Behavior. This position works directly with the Administrative Team, Medical Staff and other management staff within the assigned hospital. Works directly with the SHSSR Integrated Quality Services department, including the Regional Quality Management Executive, Regional Quality Director, and other SHSSR IQS Directors and Managers. Maintains working relationships with peers within Sutter Health.Qualifications:Education/Certification/Licensure:A bachelor's degree in health related field or unrelated health field with health related experience required and a master's degree in an applicable field is preferred. Additionally, RN license, Certified Professional healthcare Quality or CPHRM Certification from AHA is a plus.Experience/Knowledge/Skills:Previous experience in management of most or all of the following functions is required:

  • Quality management, accreditation and licensure, process improvement, risk management, medical staff functions in an acute care hospital setting, and oversight of infection control.
  • Applicable experience includes managing CQI systems for medical staff and hospital staff, responding to patient grievances, and processing of legal claims.
  • Demonstrated ability to analyze clinical data and recommend/implement appropriate action plans.
  • Prior experience in The Joint Commission Survey preparation.
  • Experience in clinical outcomes and effectiveness initiatives including review of hospital experience, comparison to standards/norms/targets, and development and implementation of programs to improve outcomes.
  • Comprehensive knowledge and understanding of regulatory requirements including Centers for Medicare and Medicaid Services (CMS) The Joint Commission (TJC), Department of Health Services (DHS).
  • Knowledge of comparative databases is and public reporting requirements.
  • Must be well versed in hospital and medical staff organization and structure; must be fluent in medical terminology to include diagnostic and operative procedures.
  • Specialized Knowledge in Risk Management.
  • Knowledge of adult education principles.
  • Supervision, organization, setting priorities within a healthcare setting, attention to detail, self-direction, high degree of independence, judgment and discretion, teaching ability.
  • Effective oral and written communication skills, including effective communication of data.
  • Analytical and problem-solving skills.
  • Tact, diplomacy, and the ability to work with individuals in all levels of hospital and medical staff organization.
  • Ability to lead, as well as serve as a member on a diverse team.
  • Must be computer literate, especially in spreadsheet/graphics and database management.
  • The incumbent must have demonstrated abilities to professionally handle public contact, and highly sensitive and confidential information.Organization:Sutter Coast Hospital, Crescent City, CAEmployee Status: RegularEmployee Referral Bonus: NoBenefits: YesPosition Status: ExemptUnion: NoJob Shift: DayShift Hours:8 Hour ShiftDays of the Week Scheduled:Monday-FridayWeekend Requirements: RotatingSchedule: Full TimeHrs Per 2wk Pay Period:80Applications Accepted:All Applications Accepted

Keywords: Sutter Health, Medford , Integrated Quality Services (IQS) Manager, Executive , Crescent City, Oregon

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