**Details** + **Department:** Total Quality Management + **Schedule:** Full Time, Days + **Hospital:** Statewide (travel required) + **Location:** Glendale, WI (on-site) **Benefits** + **Comprehensive health coverage:** medical, dental, vision, prescription coverage and HSA/FSA options + **Financial security & retirement:** employer-matched 403(b), planning and hardship resources, disability and life insurance + **Time to recharge:** pro-rated paid time off (PTO) and holidays + **Career growth:** Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning + **Emotional well-being:** Employee Assistance Program, counseling and peer support, spiritual care and stress management resources + **Family support:** parental leave, adoption assistance and family benefits + **Other benefits:** optional legal and pet insurance, transportation savings and more _Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process._ **Responsibilities** Direct quality and patient safety activities and resources. + Develop and implement systems, policies and procedures for the identification, collection and analysis of quality, risk and/or patient safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims, and/or other patient safety-related data. + Educate and train the leadership, staff and physicians as to the quality and patient safety program and their respective responsibilities in carrying out the program. Advise departments on designing quality improvement and patient safety initiatives, policies and protocols within their own departments. + Investigate and analyze root causes, patterns and trends that could result in compensatory or sentinel events, serious adverse events and near misses. Assist with identification and implementation of corrective action where appropriate. + Report all adverse events to appropriate regulatory and accrediting agencies as required. Works with legal counsel to coordinate the investigation, processing, and defense of claims against the organization. + Enhance the organization's and the larger healthcare community's knowledge of quality improvement and safety best practices through literature review, interaction with internal & external resources, and knowledge of evolving relevant regulatory requirements. **Requirements** Licensure / Certification / Registration: + Quality Professional preferred. + Risk Management preferred. Education: + High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management. **Additional Preferences** Significant experience with CERT and RCA process Deep knowledge and understanding of CMS CoPs HRO experience RN License and advanced healthcare degree _required_ CPHQ or CPSP preferred Progressive leadership experience _required_ **Why Join Our Team** Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. **Equal Employment Opportunity Employer** Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRightsSp6.12.pdf) poster. **_Fraud prevention notice_** Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. **_E-Verify statement_** Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.