Primary City/State: Scottsdale, Arizona
Department Name: Quality Improvement-Corp
Work Shift: Day
Job Category: Risk, Quality and Safety
Blueprint for quality in a high‑performance health system. Banner Health is recognized as a Great Place To Work® – a testament to our culture of excellence, innovation and employee satisfaction. We continually improve our processes to deliver the best care and work environment.
Banner Behavioral Health Hospital will serve as the onsite hub for this role, supporting multiple facilities throughout the network.
Position Summary
This position leads the Quality Department and elevates high reliability in clinical performance through assessment of performance, prioritization of improvement activities, and oversight of performance‑improvement projects. The role is responsible for ensuring successful clinical project implementation at operating entities, collaborating with senior leadership to prioritize resources and aligning performance‑improvement opportunities with system and local teams.
Core Functions
1. Quality Leadership and Integration
Lead the integration of quality throughout the organization to achieve CMS, The Joint Commission standards and annual initiatives. Direct and support the quality infrastructure, protect confidential data, engage interprofessional teamwork, promote continuous learning and develop annual quality plans in partnership with service line leaders.
2. Performance and Process Improvement
Serve as a subject‑matter expert in performance and process improvement, project management and change‑management methods. Coach and oversee facilitation of improvement activities related to patient safety, risk reduction, clinical performance, peer review and regulatory compliance, guiding teams on system‑defined improvement methodologies.
3. Population Health and Care Transitions
Direct evaluation and improvement of healthcare processes and transitions to advance safety and effectiveness for defined populations. Lead implementation of evidence‑based clinical practices, collaborate with interdisciplinary teams, and report on facility Clinical Practice performance.
4. Health Data Analytics
Leverage the organization’s analytic environment to guide data‑driven decision making. Oversee data acquisition from internal and external sources, conduct quantitative analysis, and provide oversight of ongoing performance assessment.
5. Patient Safety
Cultivate a safe environment by promoting safe practices, building a Just Culture, and improving processes that detect and mitigate harm. Champion safety culture, analyze safety risks, and coach leaders on safety‑improvement activities.
6. Regulatory and Accreditation
Direct evaluation, monitoring and improvement of compliance with internal and external requirements. Prepare for regulatory audits, support continuous survey readiness and oversee post‑survey follow‑up.
7. Quality Review and Accountability
Serve as expertise in voluntary, mandatory and contractual reporting requirements for data acquisition, analysis and reporting. Support emerging payment models and practitioner/nursing peer reviews.
8. Professional Engagement
Engage in the healthcare quality profession, advancing competencies, ethical practice, and lifelong learning. Participate in professional organizations and attain certifications in healthcare quality.
9. Cross‑Functional Responsibilities
Oversee inquiries from internal and external customers, manage department budget, and lead QI initiatives at single or multiple entities, contributing to system‑level QI activities.
Minimum Qualifications
* Master’s degree or current enrollment with anticipated graduation within one year of hire, OR equivalent experience.
* Five years of acute‑care clinical experience, with at least two years of management or demonstrated leadership through large‑scale projects.
* Proficiency in complex statistical analysis, advanced problem‑solving, program and project management, and exemplary interpersonal and written communication skills.
* Certified Professional in Healthcare Quality (CPHQ) or Certified Professional Patient Safety (CPPS) certification within three months of hire; for those hired prior to June 1 2025, certification must be obtained within one year.
* For roles in behavioral health facilities serving children, an Arizona Fingerprint Clearance Card and a signed Arizona Criminal History Affidavit are required at hire and must be maintained throughout employment.
Preferred Qualifications
* Registered Nursing (RN) license preferred.
* Experience with process improvement, regulatory/accreditation programs, data management and analysis, graphic development, and presentation skills.
* Additional related education and/or experience preferred.
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