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Organization:

MHLB-Memorial Hospital Los Banos

Position Overview:

Established to serve the needs of the growing Westside community in Merced County, Memorial Hospital Los Banos (MHLB) opened its doors on Sept. 5, 1967. Today, MHLB is accredited by the Joint Commission on Accreditation of Healthcare Organizations and operates as a non-profit, general care medical center with 26 active physicians on staff.​​​​​​​

A mission answers the question “Why do we exist?” Our mission statement: Memorial Hospital Los Banos provides high quality compassionate care and exercises prudent fiscal responsibility.

This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, performance improvement, patient safety and regulatory compliance. Develops and coordinates components of the Sutter Health's Clinical Effectiveness and Performance Improvement (PI) Program. Facilitates clinical improvement activities utilizing PI methodologies and serves as a resource to assist and train others on performance improvement methodologies and evidence-based patient safety and quality initiatives. Provides all levels of management, physicians, and clinical staff with accurate and timely information for effective decision making utilizing internal and external decision support systems.

Job Description :

EDUCATION

• Bachelor's: Management, public health, nursing, business administration, organizational leadership or related field.

CERTIFICATION & LICENSURE:

• RN-Registered Nurse of California

• ​OR MD-Medical Doctor

TYPICAL EXPERIENCE:

5 years recent relevant experience.

JOB ACCOUNTABILITIES:

Clinical Performance Improvement.

Facilitates clinical improvement activities or specific.

Collaborates with operational and clinical leaders in the development of long-term strategies and methodologies for evaluation of quality and safety processes and outcomes across the continuum of care including measurement, analysis, and reporting of data used in achieving goals identified in an organization’s strategic plan.

Maintain and disseminate information on successful interventions and programs that have been proven effective.

Effectively provides clinical expertise to assess and plan programs, projects and initiatives.

Provides leadership for population health programs. Promotes performance improvement principles throughout the organization.

Maintains knowledge of all applicable standards from accreditation and regulatory bodies. May support Peer Review.

Standard.

Acts as a departmental representative in meetings involving internal policy issues surrounding clinical performance improvement, decision support, and utilization of the organization’s resources.

Promotes collaboration, decision making, and problem solving through effective interactions or facilitation with members of the Acute and/or Ambulatory organization.

Facilitates improvement/communication and analysis of performance reports.

Prepares and presents educational programs on performance improvement, evidence-based practice, or ongoing quality initiatives to physicians and clinical staff.

Activity Regulatory Compliance.

Assists in the planning and implementation of a systematic program for outcomes management and quality improvement.

Responsible for ensuring compliance with internal as well as external regulatory requirements.

In addition, the position serves as primary support to clinical leadership in monitoring and evaluating processes for outcomes management, performance improvement and peer review.

This position also serves as a team facilitator and consultative resource for clinical and departmental leaders responsible for Quality/Performance Improvement activities.

In collaboration with leadership, develops an organization wide performance improvement plan (supplementary to the corporate performance improvement requirements) which integrates the medical staff structure and activities.

Oversees and coordinates process improvement activities related to the organization wide outcome measures defined through established quality strategic goals which optimize clinical care and reduce waste and rework.

Collects and retrieves data, designs and uses spreadsheets and databases for clinical and administrative decision making, and analyzes data for relationships to outcomes. Conducts basic and advanced analyses of the organization’s performance on clinical processes and outcomes.

Reviews, evaluates, interprets and develops reports, and provides end-user assistance, involving analysis, identification of problem needs, designing solutions, and identifying required system adaptations with a high level of independence.

Responsive to health plan, regulatory and other expectations for clinical quality outcomes.

Communication of the organization’s Quality/PI efforts and outcomes are reported to the clinical and medical staff leadership as appropriate with documentation of such reports in meeting minutes.

Outcome data is validated through an organized validation process and timeframe prior to presentation and meets accreditation standards for improving the organization’s performance. Prepares/presents educational programs on performance improvement, evidence-based practice, or ongoing quality initiatives.

Activity.

Completes special projects and/or additional tasks as required, specifically participation in regional or corporate projects associated with clinical and patient safety performance improvement outcomes or responses to licensing and regulatory inquiries.

SKILLS AND KNOWLEDGE:

• Demonstrated proficiency in Microsoft Office Suite, including Word, Power Point, and Excel is required. Ability to format tables, retrieve data via queries, and create presentations via Power Point. Ability to navigate an electronic health record required.

• In-depth Knowledge of accreditation and regulatory standards

• Must demonstrate written/verbal interpersonal communication and problem-solving skills. ability to communicate effectively with a wide variety of personalities and departments, including medical staff members.

• Ability to manage own time and schedule own tasks. Must have initiative to work effectively without constant supervision and direction.

• Lean principles

• Midas

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $65.98 to $86.43 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.