Covenant Health

Job Title
Mgr. Quality Care Mgmt
Parkwest Medical Center
Department Name


Parkwest MC logo 2020rev


Manager of Quality Care Management, Quality Management

Full Time, 80 Hours Per Pay Period, Day Shift



The Quality Management department is led by the Director of Quality and the Manager. Staff includes the Manager of Regulatory Compliance, an Outcome Coordinator and the Infection Preventionists. Department staff assist in the development, management, and implementation of comprehensive strategic initiatives in the areas of quality improvement, regulatory compliance and related areas to support/enhance patient safety.  They are responsible for the analysis of clinical outcomes and care delivery processes to promote Quality Improvement along with reporting to various Committees. The interesting and challenging work requires a strong foundation of clinical knowledge and the ability to understand and integrate information into a comprehensive clinical picture.  The department works closely with Administration, physicians, risk managers, information systems specialists, and other staff to derive meaningful information that has clinical relevance.  They help identify concerns and processes that effect patient safety. They are involved in process improvement teams. Regulatory Compliance activities are centered on the achievement and maintenance of various regulatory and accreditation requirements. The Infection Preventionists are responsible for the implementation and coordination of the hospital-wide Infection Prevention Program at both the acute care facility and the psychiatric facility. The principal goals are to protect the patient, protect the healthcare worker, visitors and other in the healthcare environment. They objective is to accomplish the goals in a cost-effective manner whenever possible.

All staff are experienced RNs looking for a different and challenging career.


Position Summary:  Responsible for the planning, organizing, management and evaluation of operations of quality, care management, infection prevention, regulatory compliance and medical staff services of assigned facilities. Responsible for the coordination of care for all patients through the continuum of care in assigned facilities. Fluent in quality improvement principles and Care Management requirements.   This position manages all HR activities including daily staffing for discharge planning activities for responsible departments. This position reports to the District Director and the CNO/CAO of the facility.


  • In collaboration with District Director, develops department budgets that reflect effective management of resources to provide services.
  • In collaboration with District Director, facility leadership and medical staff, assists in the development of strategic initiatives for the department and facility.
  • Works with facility leadership to identify and monitor key processes and patient outcomes. Facilitates effective communication of results to physicians and other key stakeholders.
  • Identifies opportunities for improvement, implements corrective action plans to resolve issues and evaluate results for desired outcomes.
  • Manages Care Managers and social work functions to ensure the coordination of care for patients so they move seamlessly through the continuum of care.
  • Stays abreast of regulatory and licensing (Joint Commission, CMS, Leapfrog, State etc) requirements and ensures processes are in place to achieve desired outcomes.
  • Oversees peer review activities at assigned facility.
  • Collaborates with clinical and medical staff to ensure financial and length of stay goals are achieved.
  • Oversees continuity of strong Care Management Model to ensure compliance with established processes. Serves as a coach, mentor and role model for staff.
  • Oversees all activities of medical staff office, infection prevention and regulatory specialist ensuring compliance with regulatory/licensing requirements.
  • Ensures compliance of core measures and evidenced based care on a concurrent basis.
  • Works with leadership of all Covenant entities to ensure staffing needs are met in all facilities.
  • Proactively seeks opportunities to reduce waste and redundancy in the utilization of resources.
  • Participates in performance improvement teams to improve processes related to the coordination of care.
  • Actively participates as on the Quality, Peer Review and Credentials Committees.
  • Effectively communicates with medical staff to improve utilization of resources and compliance with evidenced based care.
  • Collaborates with nursing and other caregivers to ensure processes are in place to prevent hospital acquired conditions and hospital acquired infections.
  • Ensures multidisciplinary rounding process occurs with the appropriate people in attendance.
  • Provides current reliable data to all stakeholders on an ongoing basis to ensure clinical and financial goals are met.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Local travel required.
  • Perform other duties as required.



Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.


Minimum Experience: A minimum of five (5) years of experience with at least three (3) years in a hospital setting.


Licensure Requirements: Valid Tennessee RN license. CCM, ACM or CPHQ certification required or must be working toward and obtain within eighteen (18) months of employment in position. Employee must have a valid Tennessee driver’s license Class D and state mandated minimum insurance coverage.  Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure. 


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