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Job Overview

This position develops, maintains, and oversees the Quality Management Plan for an assigned department (Bone Marrow Center) and is responsible for all quality assurance, quality improvement, and regulatory compliance. This position will work directly with the Medical Director, Quality Management Director, and other clinical staff to ensure the highest quality of care and optimal patient outcomes.

Job Description

Minimum Qualifications :

1. Bachelor of Science in Nursing (BSN) or another healthcare related field.

2. Six (6) years of healthcare experience.

3. Four (4) years of extensive work with healthcare technology and databases.

Preferred Qualifications :

1. Graduate degree.

2. Eight (8) years of healthcare experience.

3. Six (6) years of extensive work with healthcare technology and databases.

4. Experience in quality/performance improvement.

5. Experience in data analysis.

Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Ensures compliance with all applicable state and federal regulations and accreditations including the Foundation for the Accreditation of Cellular Therapy (FACT) and Joint Commission.

2. Maintains, revises, and implements the Quality Management Plan (QMP) which provides the principles and tools for quality assurance, control, assessment, and improvement activities for the Program.

3. Manages and maintains the document control system for the creation, review, revision, and implementation of standard operation policies and procedures

4. Conducts, reviews, and reports audits of program clinical activities to verify compliance with and effectiveness of the Quality Management Plan.

5. Collaborates with clinical staff to respond to audit findings and implement approved recommendations.

6. Monitors and reviews error and accident reports, complaints and adverse events.

7. Prepares agendas for QM meetings and coordinate activities related to the QMP in the clinical, apheresis and processing facilities of the Program to assure compliance with accreditation standards.

8. Develops and maintains a system to document all staff qualifications, training, competencies, annual evaluations and CME activities

9. Assists the Medical Director and FACT coordinator in preparing for FACT inspection and to maintain inspection readiness.

10. Oversees the Program database and provides data management including data input, retrieval, and analysis.

11. Prepares quality management and outcome reports for the assigned department.

12. Completes and submits outcomes reporting forms to research databases.

13. Assists with the completion of Request for Information (RFIs) for insurance providers.

14. Supports the onboarding of new therapies and products for use in the department.

15. Maintains meeting minutes.

Physical Requirements :

1. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs, and operating office equipment.

2. Frequently required to speak, hear, communicate, and exchange information.

3. Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.

4. Requires manual dexterity using fine hand manipulation to operate computer keyboard.

Skills & Abilities:

1. Willingness to continue professional development through participation in relevant conferences, training and educational activities.

2. Excellent written and oral communication skills.

3. Strong analytical and problem-solving skills.

4. Ability to conduct quality review, develop, and execute action plans.

5. Proficiency with Microsoft Office.

6. Eager to work in a high-performance environment.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org .