Clinical Quality Manager

  • Denver, CO
  • *National Jewish Health - Main Campus
  • Clinical Quality
  • Full Time - Day Shift: Monday - Friday
  • Supervisory/Management
  • Req #: 14591
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Position Summary
The Quality Manager provides a critical leadership role within National Jewish Health managing the development and implementation of comprehensive quality and safety programs across the continuum of care within the NJH institution and services. This position ensures the development, implementation, and evaluation of quality related policies, practices, and programs and is accountable for the management and implementation of quality programs including reporting of quality and patient safety metrics, reporting of clinical and outcome data, regulatory compliance and education and training on best practices. 

Essential Duties

  1. Manages and develops an effective staff: providing effective communication, leadership, guidance and resources. Determines staff qualifications and competency:  recruits, interviews, selects, hires, trains, orients, mentors, evaluates, coaches, counsels, disciplines, and rewards.  Establishes and monitors staff safety and regulatory compliance.
  2. Ensures implementation, maintenance and evaluation of efficient, integrated, hospital-wide, quality improvement and patient safety programs, engaging stakeholders of all types to improve organizational performance. Provides leadership and is the key contact for Southeast Health's participation in external collaborative programs. 
  3. Responsible for the management and activities of peer review process including trend analysis and coordination with strategic objectives. 
  4. Mentors hospital leadership with appropriate skill sets to critically assess reported quality outcomes. Leads efforts to continually improve performance using evidence-based practice, highly reliable systems, human factor principles and performance improvement methodologies. Oversees the data collection and management of databases for critical care, surgery, core measures, and centers of excellence in specialty programs. 
  5. Functions as a resource for leadership and medical staff in regards to improving hospital performance. Provides leadership and/or oversight for board, leadership, medical staff, and employees in planning, design, implementation, and maintenance of systems that enable the hospital to meet new and/or mandated regulations related to quality, public reporting, CMS and others.
  6. Coordinates and monitors efforts of various departments related to compliance with mandated regulations such as never events billing. Develops dashboards for ongoing monitoring of quality and patient safety.
  7. Responsible for the oversight, design and activities of the patient safety program. 
  8. Serves as the subject matter expert of quality programs and leads performance improvement teams to evoke change and improve process and outcome measures. 
  9. Coordinates Patient Safety activities with Risk Management activities including data collection, analysis, reporting, improvement activities and follow-up related to quality and patient safety adverse events. Ensures peer review completed for sentinel and adverse events. Develops annual patient safety plan and key performance indicators for the Board Quality Committee and the Operating Plan. 
  10. Reviews and utilizes information from internal and external reporting programs. Participates in the development of performance metrics internally and as requested by external agencies. Develops and maintains a mechanism for internal and external communication of quality and patient safety related information. 
  11. Reports to the governing body the hospital's performance on key quality indicators that include patient safety (adverse events, hospital-acquired conditions), clinical excellence (mortality, codes, evidence-based care [core measures]), family centered care (satisfaction), team wellbeing (turnover rate, worker's compensation), efficient care, etc. 

Other Duties

  1. None


  1. Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health. 
  2. Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
  3. Business Acumen: Using economic, financial, market, and industry data to understand and improve business results; using one’s understanding of major business functions, industry trends, and own organization’s position to contribute to effective business strategies and tactics.
  4. Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
  5. Managing Work and Time/Project Management: Effectively managing one’s time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e., budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.
  6. Peer Relationships: Interacts with others in a constructive, positive, and respectful manner, regardless of individual differences. Assists team members or co-workers in achieving personal goals and completing assignments.
  7. Talent Management for Leaders: Clearly establishes and communicates expectations and accountabilities; monitors and evaluates performance; provides effective feedback and coaching; identifies development needs and helps employees address them to achieve optimal performance.

Supervisory or Managerial Responsibility
Manages 1-5 employees


Core Values

  1. Be available to work as scheduled and report to work on time.
  2. Be willing to accept supervision and work well with others.
  3. Be well groomed, appropriately for your role and wear ID Badge visibly.
  4. Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
  5. Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
  6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures. 
  7. Wears appropriate PPE as outlined by the infection control policies and procedures.
  8. Demonstrates compliance with all state, federal and all other regulatory agency requirements.

Minimum Qualifications

  1. Education: Bachelor’s degree in health-care related field or science required.
  2. Work Experience: A minimum of 5 years of recent and relevant experience in the QI/PI or medical field required.
  3. Special Training, Certification or Licensure: National Quality and Safety Certifications preferred.


Salary Range: $100,000 - $120,000

At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset.
With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.

  • Medical Plans, Dental Plans and Vision Insurance
  • Retirement Plan
  • FSA and HSA
  • Short and Long Term Disability
  • Life Insurance and AD&D
  • Voluntary Benefits, like Accident Insurance, Critical Care and Hospital Indemnity
  • Sick and Vacation Paid Time Off
  • Wellness Program
  • Legal Plan



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