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Quality Patient Safety Program Manager

Northridge Hospital Medical Center Northridge, California
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The posted compensation range of $46.76 - $67.80 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2025-419108 Employment Type Full Time Department Quality Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00am - 5:00pm) Remote No Category Risk and Compliance

Responsibilities

We are seeking a highly motivated and experienced Quality Patient Safety Program Manager to play a vital role in enhancing the quality of care and ensuring patient safety throughout our organization. In this role, you will be responsible for designing, planning, implementing, and coordinating quality management, patient safety, and performance improvement activities.

  • Assist in the design, planning, implementation, and coordination of Quality Management, Patient Safety, and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines, and functions.
  • Proactively coordinate and facilitate performance improvement teams to support key initiatives, including clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAs, root cause analyses, and medical staff improvement (e.g., OPPE, FPPE).
  • Ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures.
  • Facilitate the development and implementation of data collection tools and processes, including identifying data elements, performing data collection and abstraction, and validating data.
  • Facilitate meetings, present data and reports, identify key findings, and assist with action plans and implementation.
  • Maintain current knowledge of accreditation and licensing requirements and serve as a resource to staff.
  • Assist with regulatory readiness and survey preparation activities, including mock survey tracers.

Qualifications
  • Bachelor's degree or five (5) years of related job or industry experience in lieu of a degree.
    One (1) year healthcare-related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.)
  • three (3) years of clinical experience in an acute care setting.
  • Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
  • Knowledge and expertise of quality management/performance improvement methods, tools, and techniques (e.g., PDSA, Tests of Change, Six Sigma, LEAN) and ability to create and support an environment that meets the quality goals of the organization.
  • Current knowledge of data reporting and regulatory/accreditation requirements for acute and ambulatory care services, and federal, state, and local healthcare-related laws and regulations, and the ability to comply with these in
    healthcare practices and activities.
  • Fire Safety Card (must be obtained within 90 days of start date) required. 
Overview

Founded in 1955, Dignity Health – Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community hospital located in Northridge, California. The hospital offers a full complement of award winning services, including the Leavey Cancer Center, a cardiovascular center, stroke center, the Center for Assault Treatment Services, a pediatric medical center, and the only pediatric trauma center in the San Fernando Valley. As a leading provider of compassionate, high-quality and affordable patient-centered care, we share a rich legacy with Dignity Health, one of the nation’s five largest health care systems. We are part of a 21-state network of nearly 9,000 physicians, 62,000 employees and more than 400 care centers. Visit here  dignityhealth.org/northridgehospital for more information.

One Community. One Mission. One California 

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.