Quality Manager

We are seeking a dedicated and results-driven Quality Manager to join our team. The ideal candidate will be responsible for retrieving, reviewing, analyzing, and sharing critical quality data with frontline staff, department leaders, senior leaders, and board members. This role also includes ensuring survey readiness through experience with regulatory requirements. The right person will be skilled in evaluating and identifying opportunities for improvement, tracking and trending quality data, and driving continuous improvement initiatives across the organization. The Quality Manager will also be responsible for facilitating key workgroups and committees focused on quality and patient safety, including root cause analysis and peer review.

• Collect, review, and analyze quality data from various sources, providing actionable insights that inform decision-making and improvement efforts at all organizational levels, from frontline staff to senior leadership and board members.
• Ensure the organization is fully prepared for key surveys by maintaining compliance with accreditation standards and regulations, and lead efforts to facilitate unannounced surveys, guiding the team through the survey process.
• Analyze quality performance data to identify trends, patterns, and areas for improvement. Collaborate with different departments to develop and implement data-driven improvement strategies and initiatives aimed at enhancing quality and patient safety.
• Lead and facilitate the Affiliate Quality and Patient Safety Workgroup, Peer Review Committee, and other relevant teams, fostering a culture of collaboration and proactive problem-solving to drive continuous quality and safety improvements.
• Conduct thorough investigations into adverse events, quality concerns, and patient safety issues. Lead root cause analysis and support the development and implementation of corrective action plans to address identified issues.
• Prepare and present detailed reports for senior leadership, board members, and other stakeholders, clearly communicating findings, trends, and actionable recommendations to improve organizational quality and patient safety.
• Partner with various departments and stakeholders to promote a shared understanding of quality goals, standards, and strategies, and provide education and support on quality improvement methods, data interpretation, and patient safety protocols.
• Implement and manage robust tracking and trending methods to monitor key quality metrics across the organization. Regularly report on key performance indicators and quality outcomes to ensure continued progress and achievement of quality goals.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, Quality Management, or related field.
• Minimum of 3 years of experience in quality management, healthcare quality, or a similar role.
• Knowledge of CMS, Joint Commission, and DNV accreditation standards and survey processes.
• Proven experience facilitating and leading survey processes, including unannounced surveys.
• Strong experience with data collection, analysis, and reporting to inform quality improvements.
• Experience in root cause analysis and corrective action planning.
• Exceptional communication skills, with the ability to present complex data and findings to diverse stakeholders.
• Strong organizational skills with the ability to manage multiple projects and deadlines.
• Collaborative and results-oriented, with a proven ability to work across departments to drive quality improvement initiatives.
• Certification in healthcare quality (CPHQ) or related field is a plus.

About North Country Healthcare (NCH):

Standard NCH Quality Function

Salaried, exempt

M-F, 8A-5P, (occasional evening/weekend/flex possible)

Reports to Chief Quality Officer