At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Use already in place JD. Job Description The Quality Manager is responsible to oversee and administer the quality and performance improvement program and its functions at the facility which include but are not limited to: safety, accreditation, infection prevention and peer review for the facility, off site departments and additional areas as designated. **Primary Functions:** + Collaborates and acts as a resource to the facility and medical staff in the analysis and submission of data for evaluation to ensure compliance with accreditation and regulatory agencies, CMS Conditions of Participation and payor requirements. + Collaborates with the clinicians, administration, medical staff and department/services to assist in coordination, standardization, development of outcomes measures and continuity of quality improvement initiatives. + Facilitates the collection, aggregation and analysis of quality indicator data to provide a basis for internal and external benchmarking. + Collaborates with the medical staff and organizational leadership to ensure review and improvement for quality issues through the peer review process and Ongoing Professional Practice Evaluation + Collaborates with the system and regional leadership to develop quality and patient safety initiatives designed to improve patient outcomes and eliminate harm. Identifies areas of potential risk and participates in organization wide learning. + Evaluates the effectiveness of current processes and leads team to strive for continual ongoing improvement. + Serves as a resource for all internal and external customers for the Quality and performance improvement program and its functions. + Collaborates with Risk Management, Patient Safety and High Reliability leads, and Patient advocates to investigate, follow-up and create action plans for Serious Safety and adverse events, and patient complaints and grievances. **​** **Qualifications:** **Education:** + 4 years/Bachelor's Degree in Nursing Required + Graduate Degree in Nursing or other Healthcare related Field Preferred **License and Certifications:** + RN license Required + CPHQ or other Quality Certifications Preferred **Experience:** + 3 years of Clinical Experience + Experience in Quality Improvement, Accreditation, Core Measures and/or Operational Excellence Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com