Manager of Quality & Risk

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Shift:

Address:

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Job Description:

• Travel: Approximately 75% (field-based across practices)
• Work Model: Hybrid; no dedicated office required
• Schedule: Primarily Monday–Friday, with occasional weekend coverage aligned to practice operations (flex time will be provided when weekends are worked)
• Provide oversight for 7–9 team members (Quality RNs and related roles), with a future focus on moving the RN quality to a Quality manager.
• Support practices across West Florida with a highly visible, field-based presence
• Work in close partnership with:
  • Operations
  • Compliance
  • Legal
  • Risk Administration (including claims management)
  • Physician leadership, including the CMO
• Maintain a strong collaborative relationship with Winter Haven/Bond teams
• Partner closely with the Risk Manager in Winter Haven
• Ensures staff compliance with hospital-wide and departmental policies.
• Involves staff in Performance Improvement initiatives and submits indicators by due dates.
• Participates in committees such as Quality Assessment, Infection Control, Nursing Management, Clinical Leadership, Ethics, Evidence-Based Medicine Teams, STIP, Quality & Safety Performance, and Corporate Risk Management.
• Oversees patient safety activities, coordinates the Culture of Safety survey, and submits the annual Leapfrog Survey Application.
• Coordinates Performance Improvement activities, evaluates annually, conducts Failure Mode Effect Analysis, and provides information for OPPE.
• Oversees sentinel event investigations and implements the annual Risk Management Plan.
• Manages the annual Infection Control Plan and NHSN data submission.
• Coordinates and reports core measures compliance, ensuring submission to CMS and The Joint Commission.
• Complies with The Joint Commission standards for accreditation, maintains regulatory compliance knowledge, and oversees survey processes.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• The Quality & Risk Manager is to be considered the technical expert in all areas of responsibility. The position will require working alone without supervision. [Preferred]



Education:

• Bachelor's of Nursing [Required]

• Master's [Preferred]


Work Experience:

• 1+ years of management experience [Required]

• 2+ years experience in quality management [Required]

• 2+ years of infection control experience [Required]

• 2+ years of risk management experience [Preferred]

• 3+ years in clinical experience [Required]

• 1+ years of management experience [Preferred]



Additional Information:

• N/A



Licenses and Certifications:

• Registered Nurse (RN) [Required]

• Certified Professional in Healthcare Risk Management (CPHRM) [Preferred]

• Certified Professional in Healthcare Quality (CPHQ) [Preferred]

• Infection Control Certification (CIC) [Preferred]

• Certified Professional in Patient Safety (CPPS) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.