Quality Manager - Bone Marrow Transplant - FT - Days - MHW

Memorial Healthcare System · Memorial Hospital West

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Location:

Pembroke Pines, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Establishes and maintains systems to review, modify and approve all standard operating procedures of the BMT Program to monitor performance and The Bone Marrow Transplant (BMT) Quality Manager will ensure the Quality Management Plan is effectively established and maintained. The Quality Manager has responsibility and oversight for: Implementation, review, and maintenance of standard operating procedures of the BMT and Cellular Therapy Program in compliance with regulatory and accrediting agency standards and requirements (for example: the Foundation of Accreditation of Cellular Therapy (FACT), The Joint Commission (TJC), Association for the Advancement of Blood and Biotherapies (AABB), and the United States Food and Drug Administration).

Quality management and improvement activities such as audits, occurrence reports and monitoring, root cause analysis.

Collaboration with the Program Director, Collection Facility Medical Director, Quality Chair and other members of the multidisciplinary care team to prevent, detect and correct deficiencies that may adversely affect patients, product or processes of the cellular therapy program.

Responsibilities:

Performs a comprehensive quality audits quarterly and reports to appropriate parties and BMT Quarterly Management Committee on the overall performance against national targeted benchmarks.Identifies trends and deviations and helps to outline actions to provide optimal outcomes. Monitor Performance Improvement initiative.Demonstrates effective working relationships among departments to achieve desired outcomes as evidenced by facilitation of multidisciplinary approach to Quality Management.Works with BMT physicians, leadership and operational personnel to develop and implement best practice guidelines & protocols, and to ensure the electronic medical record supports the quality and best practice initiatives.Functions as the BMT Quality and PI Manager and establishes and maintains systems for reviewing, modifying, and approving all policies and procedures of the Bone and Marrow Transplant Program (BMT) ensuring compliance with all regulatory and accrediting agency requirements including Joint Commission, FACT, AABB and FDA.Performs scheduled and unscheduled quality audits, analyzes outcome and process indicators, generates quality improvement reports, reviews with appropriate management, and makes recommendations based on results.Serves as a resource to the BMT staff, nursing and ancillary departmentsParticipates in and guides data collection for analyses of effectiveness of BMT program and patient care delivered. Collaborates with the Office of Human Research to ensure accurate data submission to the Center of International Blood and Marrow Transplant Research (CIBMTR).Assists with preparation of required records and reports for inspections.

Competencies:

ACCOUNTABILITY, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, EVIDENCE-BASED PRACTICE, KNOWLEDGE OF DISEASE PROCESS, PATIENT AND FAMILY CENTERED CARE, PATIENT SAFETY - NURSING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements:

Bachelors (Required)Bone Marrow Transplant Certified Nurse (BMTCN) - Oncology Nursing Certification Corporation (ONCC), Oncology Nursing Certification (ONC) - Oncology Nursing Certification Corporation (ONCC), Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must have knowledge of all regulatory requirements related to Bone Marrow Transplant. Effective organizational skills and the ability to handle multiple projects. Required Work Experience: 3 years of experience in health care outcomes or quality. One year of experience with marrow and stem cell transplantation. Additional Education Info: Nursing or in a Related Field

Working Conditions and Physical Requirements:

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.


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Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.


Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.


We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.


Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net


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