When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Project Manager, Quality & Patient Safety – Per Diem supports strategic quality, safety, and accreditation initiatives within the Quality & Patient Safety Department. This position provides project management expertise for organizational efforts related to ANCC Magnet® designation, The Joint Commission Health Care Equity Certification, policy and procedure management, and American Heart Association (AHA) quality programs. The Project Manager collaborates with nursing leadership, clinical and operational leaders, interdisciplinary teams, and external stakeholders to ensure successful project execution, regulatory readiness, and achievement of organizational quality goals.
Job Description:
ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to):
ANCC Magnet® Designation Support
- Assist in planning, coordinating, and monitoring activities related to Magnet designation and redesignation.
- Support collection, organization, and analysis of Magnet-required documentation and evidence.
- Coordinate meetings, timelines, deliverables, and communication among Magnet champions, nursing leaders, and interdisciplinary teams.
- Assist with preparation for Magnet site visits and appraisal activities.
- Track progress toward Magnet standards and identify project risks or barriers.
The Joint Commission Health Care Equity Certification
- Support implementation and maintenance of processes required for Health Care
- Equity Certification.
- Coordinate data collection and performance monitoring related to health equity
- measures and initiatives.
- Collaborate with quality, nursing, medical staff, and operational leaders to advance
- equity-focused practices.
- Assist in developing reports, presentations, and documentation demonstrating
- compliance with certification standards.
- Monitor project timelines and facilitate action plans to address identified gaps.
Policy and Procedure Management
- Coordinate policy review, revision, approval, and publication processes.
- Work with subject matter experts to ensure policies comply with regulatory, accreditation, and organizational requirements.
- Maintain policy revision schedules and tracking systems.
- Support audits and documentation reviews related to policy compliance.
- Facilitate communication and education regarding policy updates.
American Heart Association (AHA) Quality Programs
- Assist with management of AHA certification, recognition, and quality improvement initiatives.
- Coordinate data submissions and validation for applicable AHA programs.
- Support preparation for certification reviews, surveys, and recognition applications.
- Monitor project milestones and communicate status updates to stakeholders.
- Collaborate with clinical teams to implement evidence-based practices aligned with AHA standards.
Project Management and Quality Improvement
- Develop and maintain project plans, timelines, meeting agendas, and status reports.
- Facilitate multidisciplinary workgroups and project meetings.
- Monitor project deliverables, milestones, risks, and dependencies.
- Utilize quality improvement methodologies and project management tools to ensure successful outcomes.
- Prepare reports, dashboards, presentations, and executive summaries as requested.
- Maintain accurate project documentation and records.
- Perform other related duties as assigned.
PREFERRED EDUCATION:
- Bachelor's degree required.
- Master's degree in Healthcare Administration, Nursing, Public Health, Business Administration, or related field preferred.
MINIMUM EXPERIENCE:
- Minimum 3 years of healthcare project management, quality management, accreditation, regulatory, or patient safety experience preferred.
- Experience supporting Magnet designation, accreditation, certification, or quality improvement initiatives strongly preferred.
- Experience in acute care hospital settings preferred.
OTHER REQUIREMENTS:
- Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values.
Knowledge, Skills, and Abilities
- Knowledge of healthcare quality improvement principles and patient safety
- practices.
- Familiarity with ANCC Magnet standards and designation processes.
- Familiarity with The Joint Commission accreditation and Health Care Equity Certification standards.
- Knowledge of policy and procedure management processes.
- Understanding of American Heart Association certification and quality programs
- preferred.
- Strong organizational, analytical, and problem-solving skills.
- Excellent written, verbal, and presentation skills.
- Ability to manage multiple projects simultaneously and meet deadlines.
- Proficiency with Microsoft Office Suite, including Word, Excel, PowerPoint, and
- Teams.
- Ability to work independently and collaboratively with interdisciplinary teams.
Core Competencies
- Project Management
- Quality Improvement
- Regulatory and Accreditation Readiness
- Data Analysis and Reporting
- Collaboration and Relationship Building
- Communication and Presentation Skills
- Accountability and Results Orientation
- Attention to Detail
This role plays a key part in supporting organizational excellence, regulatory readiness, health equity advancement, nursing excellence, and patient safety initiatives throughout the health system.
Pay Range:
$38.46 – $57.70
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
