Job Description

Position: Manager, Quality/Risk Management

Department: Quality/Risk Management

Status: Full Time 8:30 AM to 05:00 PM

Summary: Manages rick, accreditation, and performance improvement activities for medical staff committees, and hospital communities.  Peer Review and health plan complaints. Coordinates and participates in the monitoring, aggregation, evaluation, and reporting of risk events and PI measures/activities through the organization structure as outlined in the Beverly Hospital Performance Improvement Plan. Leads the root cause analysis investigations, and events & insures follow-up/completion of action items. Coordinates peer review monitoring and profiling activities for the Medical Staff Committees as well as chart abstractions for peer review and clinical measures and patient experience outcomes. Supports survey readiness as it pertains to DNV, CMS, CDPH, and Hospital standards.

Management: Yes

Requirements: California RN required. At least 3 years of acute care experience in a hospital setting. Ability to think critically and work independently with limited direction. Ability to abstract pertinent information from medical records for peer review and quality measure abstraction and communicate effectively and directly with physicians and hospital staff for improvements. 

Preferred: RN, BSN highly preferred; Masters preferred.