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Where Kids and Families are Always First MultiCare Mary Bridge Children's Hospital is the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington's South Sound Region dedicated to a comprehensive network of health services for children and adolescents. Our vision is to be the highest quality and safest place for children to receive care, where every child has a medical home and is supported by nationally recognized services and experience. Mary Bridge Children's multi-disciplinary approach to care includes pediatric experts for emergency services, inpatient care, and outpatient specialty clinics, all specializing in kids and their unique needs. We're continually recognized as a 'Top Children's Hospital' by The Leapfrog Group, an independent hospital rating organization. FTE: 1.0, Shift: Day, Schedule: M-F 8am-4:30pm Position Summary The Quality Program Manager-RN Senior is responsible to develop and implement the Quality and Performance Improvement Program for the assigned services and location. This includes partnering to develop, implement and organize the annual and multi-year plan to assure quality, patient safety, regulatory readiness, and meeting the specific standards for the setting(s) of care. The QPM-RN Senior provides advanced expertise and leadership regarding clinical knowledge and top national and regional performance to the planning, performance assessment and best practices in the clinical domain. Responsibilities Directs activities relating to the related Quality Program, assuring initiatives, projects, and activities are completed within established timeframes, and performs ongoing performance analysis to identify clinical outcome and other improvement opportunities Develops components of the QAPI and other regulatory requirements Conducts analysis for area, includes common techniques such as apparent and common cause and RCA analysis as well as descriptive statistics and value stream mapping Develops data and information into quality analyses such as pareto and driver diagrams, visual displays, graphs to display complex information in usable formats Developing routine reporting to assess effectiveness of PI projects and interventions, achievement of outcomes; as well as ad hoc reporting using QM tools like tracers, dashboards, Uses tools such as the Epic chart and chart review to assess the quality and safety of care and to design improvement solutions, etc. Oversees PI, analysis and reporting for projects and activities in assigned area, and develops recommendations, based on research and findings, for appropriate actions by departments/organizational committees Requirements Current Registered Nurse license in Washington State or Multistate License endorsement (MLS) Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) required Relevant certification in the specialty area required Minimum five (5) years of experience in a professional or technical role/function in a healthcare or related setting as applicable to a clinical specialty /service line Minimum three (3) years of experience in a quality, regulatory readiness, performance improvement or patient safety role Demonstrated expertise in one or more quality and safety content areas Internal candidates' experience and performance may be considered in lieu of education and experience Expected to be competent /proficient in 2 or more domains of quality ( Pt Safety, ACRR, Peer /Physician Quality, Quality Metrics and Reporting, Clinical Analytics, Clinical Pathways) Why Mary Bridge Children's? Mission-driven:Partnering for healing and a healthy future for the patients and communities we serve Award-winning:Named 'Top Children's Hospital' for five years by the Leapfrog Group; physicians consistently named on 'Top Doctors' lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune Growing: New pediatri