Manager - Bone and Marrow Transplant Quality - FT - Days - MHW

Establishes and maintains systems to review, modify and approve all standard operating procedures of the BMT Program to monitor performance and compliance with the Foundation of Accreditation of Cellular Therapy (FACT) and other industry standards. In collaboration with the BMT Program Manager, the BMT QAPI Coordinator will assist with attaining and retaining FACT accreditation, development and revision of transplant treatment plans, assist in quality improvement initiatives.

Responsibilities

Assists with preparation of required records and reports for inspections; Serves as a resource to the BMT staff, nursing and ancillary departments; Performs comprehensive quality audits quarterly and reports to appropriate parties and BMT Quarterly Management Committee on overall performance against national targeted benchmarks; Identifies trends and deviations and helps to outline actions to provide optimal outcomes; Monitors Performance Improvement initiative; Demonstrates effective working relationships among departments to achieve desired outcomes; Works with BMT physicians, leadership and operational personnel to develop and implement best practice guidelines and protocols; Functions as the BMT Quality and PI Manager and establishes and maintains systems for reviewing, modifying, and approving all policies and procedures of the Bone and Marrow Transplant Program (BMT) ensuring compliance with all regulatory and accrediting agency requirements including Joint Commission, FACT, AABB and FDA; Performs scheduled and unscheduled quality audits, analyzes outcome and process indicators, generates quality improvement reports, reviews with appropriate management, and makes recommendations based on results; Participates in and guides data collection for analyses of effectiveness of BMT program and patient care delivered; Collaborates with the Office of Human Research to ensure accurate data submission to the Center of International Blood and Marrow Transplant Research (CIBMTR)

Requirements

Bachelors (Required); Bone Marrow Transplant Certified Nurse (BMTCN) - Oncology Nursing Certification Corporation (ONCC); Oncology Nursing Certification (ONC) - Oncology Nursing Certification Corporation (ONCC); Registered Nurse License (RN LICENSE) - State of Florida (FL); 3 years of experience in health care outcomes or quality; One year of experience with marrow and stem cell transplantation; Nursing or in a Related Field; Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision; Must be able to work in a stressful environment and take appropriate action; Must have knowledge of all regulatory requirements related to Bone Marrow Transplant; Effective organizational skills and the ability to handle multiple projects