Program Manager Quality & Patient Safety Job

Children's Health - Compliance Careers

Job Number: 52626

Location: Plano, TX

Date Posted: 11-5-2017



Works closely with senior leadership, physicians, managers, and staff to plan, organize, direct, and/or facilitate quality improvement (QI) and patient safety work. This work includes but is not limited to: facilitating quality improvement teams to achieve measurable and sustained improvements; conducting event investigations, such as root cause analysis, apparent cause analysis, etc.; providing assistance to leaders with developing, implementing, coordinating, and evaluating quality and/or patient safety activities; and aggregating / analyzing findings from multiple sources (incident reporting system, grievance reporting, quality indicators, etc.) to identify opportunities for improvement.


The following describes the basic position duties that an employee MUST be able to perform for this role. This information is intended to be descriptive of the key responsibilities of the position. The list of essential functions below DOES NOT identify all duties performed by any single person in the position.

Requires depth within a specialized, critical discipline and/or breadth of substantive professional knowledge that crosses disciplines within the professional field

Interprets internal/external business challenges and recommends best practices to improve products, processes or services

May lead functional teams or projects with moderate resource requirements, risk, and /or complexity

Leads others to solve complex problems; uses sophisticated analytical thought to exercise judgment and identify innovative solutions

Impacts the achievement of customer, operational, project or service objectives; work is guided by functional policies

Works independently, with guidance in only the most complex situations

Communicates difficult concepts and negotiates with others to adopt a different point of view


Has good understanding of and uses quality improvement methodology, project management techniques; systematically applies and teaches improvement science to achieve results; collaborates with leaders to improve quality and patient safety indicators; serves as a mentor to leaders and staff on quality and patient safety; conducts event investigations

Collaborates with leaders to develop QI projects; participates in state, regional and/or national quality and patient safety networks on initiatives to share and learn; provides coaching/education on QI methodology to individuals and/or teams involved in improvement work; encourages use of evidence-based practices

Aggregates and analyzes findings from multiple sources to identify system opportunities to improve quality and/or patient safety; makes recommendations on strategies to improve and collaborates with leaders to implement improvement initiatives

Interacts with medical leaders, administration, management, caregivers, ancillary staff, coworkers, vendors and agencies outside of Children's Medical Center; participates in hospital committees as assigned.

Collaborates with Accreditation Department and operational leaders on external survey readiness as it relates to Quality and Patient Safety, e.g., Joint Commission Triennial Survey


Minimum 5 years of job category-specific experience Required


Four-year Bachelor's degree or equivalent experience Required


CPHQ / CPPS within 1 year of hire Required

RN Required

MSN Preferred

Specific Knowledge, Skills and Abilities:

Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.

Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.

Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.

Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.

Develop and use collaborative relationships to facilitate the accomplishment of work goals.

Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.

Take prompt action to accomplish objectives; take action to achieve goals beyond what is required; be proactive.

Deal effectively with others in an antagonistic situation; use appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.

Effectively manage one's time and resources to ensure that work is completed efficiently.

Accomplish tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.

Set high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self impose standards of excellence rather than having standards imposed.

Assimilate and apply new job-related information in a timely manner.

Clearly convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.

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