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RN Quality Assurance Manager - Acute Care, Mount Vernon, WA

Organization: Skagit Regional Health
Category: Professional
Location: Mount Vernon, WA
Date Job Posted: June 9, 2021
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Job Category Management/Executives
Position RN Quality Assurance Manager – Acute Care
Req Code 19304
Location Skagit Valley Hospital

Job Summary

In this role, the Quality Assurance Manager, is responsible for establishing standard processes and approaches in the Acute Care Operations space, to ensure the highest level of quality, safety, and patient experience across Skagit Regional Health practices. The Quality Assurance Manager will collaborate with the operational leaders, as well as leaders within the Quality & Safety Division, nursing teams, and Compliance to define key strategic priorities in the areas of patient safety and quality improvement. The Quality Assurance Manager practices in collaboration with/under the direction of the Senior Director of Quality and Reliability. Provides leadership in the development of a culture of safety and the measurement of the quality of care identifying opportunities and strategies for performance improvement. The Manager assists in the development, implementation, and evaluation of quality related policies, practices, programs and is accountable for management and implementation at both Skagit Valley Hospital and Cascade Valley Hospital of the Quality Management Plan including: measurement and reporting of quality data, education and training on best practices, and improvement techniques in clinical quality. The Quality Assurance Manager Acute Care collaborates closely with hospital leaders and ambulatory leaders to support service line objectives. This role works in collaboration with the RN Quality Assurance Manager for Ambulatory Care to review/recommend and implement systems and strategies that will be responsive to the ever evolving needs of the clinical areas within Skagit Regional Health which shall result in high quality and safe clinical performance all while delivering an excellent patient experience.

Essential Functions

Responsible for the development, implementation and maintenance of the Quality Management Plan and program for the acute setting at SRH. Directs efforts to ensure effective Acute Quality program and Performance Improvement implementation and service enhancement. Use ISO system and process audits to evaluate systems of care delivery. Expedite and implement clinical support processes and procedures that support the standards of best practice. Oversight of all safety regulations as mandated through OSHA and WISHA, and DNV. Ensures clinics are following regulations. Collaborate with operational teams on quality and outcome metrics, improvements, trainings and coaching opportunities. Assists in preparations of metric reports and development of meaningful improvement plans. Present, analyze and interpret data and identify the clinical quality impact. Public core measure data reporting to CMS, eCQMs, star ratings, VBP and Medicaid incentive data management. Direct clinical processes and provide direction on clinical quality performance activities. Serves as a consultant and resource to directors, managers, nursing and other clinical staff. In coordination with service line leaders, develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements. Participates in departmental meetings with various leadership. Facilitates effective communication with Provider Services and leadership regarding key clinical performance improvement activities and initiatives. Work with operational leadership to communicate interpreted data to providers and other clinical leaders. Assists in facilitating investigation, required reporting, and corrective action development for serious quality or risk issues within the division. Accesses company resources as appropriate. Assists with Root Cause Analysis as appropriate. Participates in development of Division Quality Strategic Planning. Assist with education to employees and Medical Staff and supports ongoing education related to Quality. Participates in the orientation of new employees to SRH Quality Initiatives. Models and promotes the desired culture through a leadership style that supports the Mission, Vision and Values of SRH. Complies with all SVH policies and procedures. Performs other duties as assigned.


BSN/BS/BA or Degree in health care related field or business administration with equivalent work experience. Master’s Degree in public health, or other healthcare related field or business administration, or equivalent work experience preferred.

Experience/Training Minimum three (3) years of healthcare related experience and three (3) years of experience in quality improvement, process improvement, total quality measurement required. Experience with DNV accreditation and ISO 9000 Standards highly desired.

License/Certification Current Certification in Healthcare Quality (CPHQ) within two (2) years of hire, required. Current and unrestricted WA State RN licensure required.

Other Qualifications Ability to work independently and with small and large groups of healthcare professionals, providers, and others in the organization. Demonstrated experience with data management and a facility with statistical analysis, data collection tools and regulatory standards are mandatory. Exceptional leadership skills including the ability to effectively manage change. Demonstrated ability to be responsible for and to successfully lead SRH providers and staff through process improvement projects using Lean, Six Sigma or similar methodologies to identify the opportunity, conduct analyses and develop and implement the improvements. Proven project management skills, including the ability to manage people, time resources and to monitor the effectiveness of activities. Excellent verbal and written communication skills are required. The ability to follow a budget needed.

Send resume and salary requirements to Lindsay Buchanan at

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