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CommonSpirit Health Manager of Quality in HENDERSON, Nevada


As the community’s only not-for-profit, faith-based healthcare system; Dignity Health Nevada has been guided by the vision and core values of the Adrian Dominican Sisters for more than 70 years. As the Henderson and Las Vegas communities grow, Dignity Health-St. Rose Dominican facilities and its more than 3,400 employees will continue the Sisters’ mission of serving people in need. St. Rose Dominican is a member Dignity Health, one of the nation’s largest health care systems, a 22-state network of more than 9,000 physicians, 60,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. You can also follow us on Twitter (https://twitter.com/DignityHealth) and Facebook (https://www.facebook.com/dignityhealth) .


Position Summary:

Responsible for the implementation and management of the Performance Improvement (PI) plan and maintaining compliance with Joint Commission and relevant State and Federal regulations related to quality monitoring and performance improvement. Oversees the day-to-day operations of the Quality Management staff.

Principal Duties and Accountabilities:

  • Provides leadership to the Quality Management Department; hires, supervises, and monitors staff performance and productivity. Contributes to the budgeting process.

  • Educates and trains staff and physicians in quality improvement including the aggregation and analysis, action planning and reporting of performance data.

  • Works in collaboration with hospital leadership and medical staff to meet goals established in the Performance Improvement plan.

  • Provides consultation and assists physicians, ancillary and nursing departments with regulatory compliance issues. Supports implementation of regulatory initiatives.


Education and Experience:

  • Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.

  • Minimum of three (3) years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization’s Quality Improvement Program. Minimum of two (2) years of clinical, patient care experience or equivalent. Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale. Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN). Current knowledge of regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).


  • Current state license in a clinical field (five) 5 years experience in Quality Management can be used in lieu of state license). Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.

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Job ID 2021-149382

Employment Type Full Time

Department Quality Management

Hours / Pay Period 80

Facility St Rose Dominican - Siena

Shift Day

Standard Hours Mo-Fr

Work Schedule 8 Hour