Program Manager Bariatric - General Surgery

Summary:

In a High Reliability Organization, the Program Manager Bariatric, reporting to the senior most Quality Management leader of the Ministry, is responsible for support of the Metabolic and Bariatric Surgery Accreditation Program of the hospitals assigned. This individual will demonstrate their expertise in quality management and performance improvement through the development, implementation, coordination, and maintenance of Metabolic and Bariatric Surgery standards, outcome reporting, or internal auditing requirements as specified by certification and accrediting agencies. Manages and meets the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) standards and regulatory standards. Analyze and trends data for opportunities for improvement/process improvement. Develops implements and maintains policies and guidelines for best practices for the treatment of bariatric surgery patients across the continuum of care to ensure quality patient care and outcomes. Assumes a leadership role and represents the Bariatric program on various hospital and community committees and serves as liaison to administration, medical staff, and quality committees to enhance and foster excellence in Bariatric care. Provides education to all medical, nursing, and ancillary staff on best practices of Metabolic and Bariatric Surgery patients. Develops and supports education to meet all requirements of Metabolic and Bariatric Surgery Accreditation. This role is expected to apply clinical knowledge and analytical skills to assist the Director of QM and leadership, in that hospital, to implement change with a strong focus on improving quality outcomes and results.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
• Must communicate effectively to different audiences.
• Must be proficient in computer skills using EXCEL, PowerPoint, clinical systems and registry databases.
• Must be knowledgeable on High Reliability Principles and PDSA methodology.
• Source: NAHQ Workforce Accelerator Competency Framework 2022: Eight Domains:
  • Quality Leadership and Integration- Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Foundational.
  • Performance and Process Improvement- Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Foundational.
  • Population Health and Care Transitions- Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Foundational.
  • Health Data and Analytics- Leverage the organizations analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Foundational.
  • Regulatory and Accreditation- Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities. Domain Level: Foundational.
  • Patients Safety- Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Foundational.
  • Quality Review and Accountability- Direct activities that support compliance with organization wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Foundational.
  • Professional Engagement- Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Foundational.

Requirements:

Education/Skills

• Bachelor’s degree in Nursing required.

Experience

• Three years of healthcare experience required.
• Two years of quality management experience preferred.

Licenses, Registrations, or Certifications

• RN License required in state of employment.
• Certified Bariatric Nurse (CBN) from the American Society of Metabolic and Bariatric Surgery required within 2 years of hire.
• CPHQ (Certified Professional in Healthcare Quality) preferred.
• Basic Life Support (BLS) required.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time