RN Manager, Quality, Patient Safety and Accreditation, Days, Full Time

Adventist Health Physicians Network - North Glendale

Delano, CA

Delano, CA, US
Delano, CA
30+ days ago
RN Manager, Quality, Patient Safety and Accreditation, Days, Full Time - 54990 


: Adventist Health Delano 

Primary Location

: United States-California-Delano 
Position Status: Full-time regular 

Job Posting

: Oct 22, 2021, 3:11:32 AM 


: Day Shift 

 Quality & Risk Management 


Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

Adventist Health Delano Regional Medical Center opened its doors on January 17, 1974, as a community hospital. Over nearly five decades, our hospital has grown in both size and technological expertise. Located in the second-largest city in Kern County, the cultural diversity in the rural communities we serve brings vitality and energy to our everyday lives. Our 156-bed medical center serves 10 rural Central California cities and have always been committed to providing an exceptional patient experience. 

We're looking for someone to join our team as a RN Manager, Quality, Patient Safety and Accreditation who:

Assumes responsibility for the quality, performance improvement and accreditation activities and outcomes for the assigned market. Duties include concurrent HAC/PSI review and analysis as well as PI of all QM data. Maintains survey readiness. Supports and participates in the Patient Safety process by coordinating individual files and trend data for issues for referral to ensure compliance with regulatory requirements. Responsible for performance improvement as it pertains to key initiatives such as, but not limited to, sepsis, mortality review, readmission, hospital acquired pressure injury and fall reduction.

Essential Functions:


  • Responsible for clinical quality performance and patient safety, to meet established patient safety, quality and compliance goals. Supports programs and processes related to Quality Management based on the unique volume and services of the market. Supports Director with education to key stakeholders and leaders. Supports transition to a High Reliability Organization through the implementation of policies, standards, indicators and evaluation techniques. Implements policies and procedures, monitors performance, reviews metrics and reports results to leadership. Serves as a resource to clinical teams, medical staff and executives.
  • Maintains quality and patient safety plans that align with the organization and are relevant to the unique volumes and services in the market. Implements processes that engage site leaders in the periodic assessment and prioritization of market quality initiatives. Supports meaningful reports for the quality subcommittee of the board and other leadership committees.
  • Coordinates and assures efficient/effective quality review and data management. Analysis of practice patterns, interventions, outcomes and regulatory compliance. Collaborates and coordinates a hospital-wide Accreditation Tracer Program for activities that aim for risk reduction/prevention in clinical practice and the care environment.
  • Ensures ongoing preparedness for meeting requirements for regulatory, accreditation and licensure.
  • Other duties as assigned.




You'll be successful with the following qualifications:


  • Bachelor's degree in nursing or equivalent combination of education/related experience: Required

Work Experience:

  • Five years relevant experience: Preferred
  • One year leadership experience: Preferred

Required Licenses/Certifications:

  • RN license in state of practice: Required
  • Certified Professional in Healthcare Quality (CPHQ): Preferred
  • or achieve in 1st year of employmentRefer to the Required Licenses and Certifications list for additional job and/or unit specific requirements.

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.


About the Company

Adventist Health Physicians Network - North Glendale