Quality Manager

The Quality Manager oversees and manages all aspects of quality assurance and quality improvement across all departments including our acute care hospital, skilled nursing facility, school health program, transportation services, and community health centers. This role involves the development, implementation, and monitoring of quality improvement initiatives to ensure compliance with regulatory standards and to optimize patient and resident care outcomes. The Quality Manager collaborates with administrative, clinical, and medical leadership across all healthcare settings to foster a culture of safety, measure quality of care, and identify opportunities for performance improvement. This position serves as the organization's liaison with accrediting bodies and ensures readiness for external audits, inspections, and regulatory compliance.

Essential Functions:

Quality Improvement:

• Lead and execute quality improvement projects and initiatives across in assigned department.
• Analyze data to identify areas for improvement and implement evidence-based strategies to enhance patient/resident outcomes.
• Monitor the effectiveness of implemented quality initiatives and adjust strategies as necessary.
• Conduct comprehensive reviews of departmental audits and systematically analyze and monitor emerging trends and areas for improvement.

Regulatory Compliance:

• Ensure practices comply with local, state, and federal regulations, including those set by The Joint Commission and other accrediting bodies.
• Coordinate accreditation activities, including leading compliance teams and committees.
• Maintain readiness for unannounced agency visits and participate in various regulatory agency surveys.
• Oversee responses to external audits, inspections, and surveys, ensuring timely and effective resolution.

Leadership and Collaboration:

• Provide strategic oversight of patient safety activities, including root cause analyses and proactive approaches to mitigating risk.
• Collaborate with Risk Management to integrate quality and risk management practices and participate in incident investigations and corrective action planning.
• Lead quality committees and coordinate with multidisciplinary teams on monitoring, reporting, and improving clinical care, operations, and compliance with regulatory requirements.
• Stay current on industry trends, best practices, and emerging technologies in quality assurance and healthcare delivery.

Data Management and Reporting:

• Collaborate with IT to create quality improvement dashboards and analyze relevant trends.
• Prepare and present reports on quality performance and improvement initiatives to leadership and stakeholders.
• Perform regular audits of patient and resident records to ensure compliance with policies, procedures, and regulatory bodies.
• Manage requests for data and support the development of comprehensive quality management reports.
• Establish processes for ongoing monitoring of data metrics and process for addressing improvements.
• Monitor and report quality measures to regulatory bodies within established deadlines.

Education and Training:

• Develop and provide Quality and Patient Safety education organization-wide.
• Ensure efficiency in peer review processes and produce meaningful reports to evaluate effectiveness.
• Identify and communicate educational topics based on improvement opportunities identified during

audits.

The Health Care District of Palm Beach County is an independent special taxing district that has served as a healthcare safety net for more than 36 years to fill in gaps in access to healthcare services. This unique healthcare system covers the entire county and provides a wide range of services such as nine community health centers (Federally Qualified Health Centers) which serve everyone regardless of ability to pay; school health teams in 172 public schools; a lifesaving Trauma Hawk aeromedical helicopter program; a rural, public teaching hospital, Lakeside Medical Center; an award-winning skilled nursing center; a ground ambulance program for Health Care District patients needing a higher level of care and the county's Trauma Agency, which ensures quality outcomes within the county's trauma system and leads initiatives to prevent traumatic injury.

We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, creed, religion, military or veteran status, age, sex, pregnancy status, genetic information, national origin or ancestry, citizenship, physical or mental disability, marital status, sexual orientation or identification status, or any other legally recognized category protected by jurisdictional, state or federal law. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants.

We are also committed to maintaining a safe, healthy, and productive work environment for all employees. As such, we are a Drug-Free Workplace.

The Health Care District of Palm Beach County is an E-Verify participating employer and will use E-Verify to confirm the employment eligibility of all newly hired employees.

This role may require Agency of Health Care Administration (AHCA) background screening and clearance. As required under House Bill 531, applicants may review AHCA's education and awareness information at the following link: https://info.flclearinghouse.com/

Education:

• Required: Bachelor's degree in Healthcare Administration/Science, or a related field.
• Preferred: Bachelor's degree in Nursing, Healthcare Administration/Informatics, or a related field (Master's preferred).

Experience:

• Required:

• At least 3-5 years of healthcare experience.

• Knowledge of the operational workflows and documentation in the healthcare setting assigned, Excellent communication and interpersonal skills with the ability to interact effectively with all levels of staff and leadership. Proficient in the use of MS Word and Excel and the ability to learn and advance the skill through self-study modules is required. Strong analytical skills with the ability to interpret data and drive improvement.

• Preferred:

• Previous experience in quality of and patient safety management/leadership activities preferred. Experience with accreditation and regulatory standards (e.g., Joint Commission, CMS, state and federal regulations).

• Knowledge of data abstraction, data analysis principles and chart review are preferred. Strong knowledge HEDIS/clinical performance measures and experience in compliance and reporting preferred. Proficient in quality management tools such as RCA, FMEA, Lean Six Sigma, benchmarking, and PDCA. Strong analytical, leadership, and communication skills. Advanced knowledge of the latest trends and best practices in healthcare quality, standards safety, and patient-centered care.