Job Description

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Nursing Quality and Professional Practice Program Manager,

Location

Cleveland

Facility

Fairview Hospital

Department

Nursing Support-Fairview Hospital

Job Code

T97543

Shift

Days

Schedule

8:00am-4:30pm

Join Cleveland Clinic Fairview Hospital and experience world-class healthcare at its best. Cleveland Clinic Fairview Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. On our team, you will provide stellar care at one of the top healthcare organizations in the nation.

As a Nursing Quality and Professional Practice Program Manager, you will lead local nursing quality initiatives in collaboration with the enterprise nursing quality team and serve as the site facilitator for nursing-sensitive quality data reporting to the National Database of Nursing Quality Indicators (NDNQI). You will facilitate performance improvement activities related to quality metrics, patient safety, and practice compliance while managing the Magnet Recognition Program or Pathway Recognition Program in accordance with American Nurses Credentialing Center (ANCC) standards. This role works closely with nursing leadership to support compliance with standards, coordinates all phases of the Magnet/Pathways process, facilitates Magnet Steering Committees and Ambassador Programs, and serves as a mentor and coach to nurses at all levels.

A caregiver in this role works days from 8:00 a.m. – 4:30 p.m.

A caregiver who excels in this role will:

• Monitor and analyze quality outcomes, including nursing-sensitive quality data.

• Manage all aspects of the collection, administration, benchmarking, and dissemination of the NDNQI database and nursing-sensitive indicators.

• Develop and assure process to monitor performance and identify where intervention is needed.

• Collaborate with nursing and organizational leadership to develop key annual performance indicators and to drive local improvements to meet the goals.

• Provide written and verbal data reviews to nursing and other leaders, including executive leadership.

• Partner with other departments to support and implement best practices.

• Collaborate with safety, quality, and patient experience professionals and nursing leadership to implement actionable items related to quality performance and compliance to standards of care.

• Drive continuous improvement activities around quality, safety, and patient experience priorities and coordinates improvement projects.

• Manage changes to ensure the adoption and sustainment of quality improvement.

• Manage all aspects of the Magnet process from application to maintenance of

• Communicate with Magnet appraisers and reapply for Magnet designation as appropriate.

• Provide leadership and guidance to internal and external nursing colleagues regarding Magnet/Pathways gap analysis, status, goals, and programs.

• Provide the interim reporting required by ANCC between the designation processes and is a liaison for Cleveland Clinic with the ANCC national office.

• Collaborate with nursing leadership to comply with Magnet/Pathway standards.

• Facilitate Magnet/Pathway steering committee and Magnet/Pathway ambassador program.

• Manage all aspects of the Magnet/Pathway process, from application to maintenance of certification.

• Serve as a coach and mentor.

• Other duties as assigned.

Minimum qualifications for the ideal future caregiver include:

• Bachelor’s of Science in Nursing (BSN)

• Quality or nursing leadership certification within two years

• Registered Nurse (RN) with license in the current state of employment

• Five years of clinical nursing experience

Preferred qualifications for the ideal future caregiver include:

• Master of Science in Nursing (MSN)

• Nursing leadership experience

• Experience with project management or performance management activities

Physical Requirements:

• Sedentary - Manual dexterity to operate office equipment.

• Requires frequent data entry, standing, walking or sitting.

• Good visual acuity through normal or corrected vision. Normal for corrected speech and hearing.

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster

Cleveland Clinic is pleased to be an equal employment opportunity employer.