Transplant Quality Manager

Provides leadership and expertise to direct a Quality Assurance and Performance Improvement (QAPI) and compliance program for all Solid Organ Transplant Programs and the Mechanical Circulatory Support (MCS) Program under the Department of Transplant Services. Ensures compliance with all regulations, guidelines, and standards of the licensing, accrediting, credentialing, and regulatory agencies with particular focus on CMS Conditions of Participation (COPs) for transplant centers, UNOS/OPTN policies and bylaws, and Joint Commission rules for Certification in Ventricular Assist Device. Ensures adherence to UCLA internal policies for safety and corporate compliance. Serves as a Quality Assurance (QA) and regulatory resource department wide within the framework of a QA and compliance unit. Activities of a quality program include development, maintenance, review and approval of SOPs, performance improvement initiatives, training programs, competency assessment programs, validation and revalidation plans, corrective and preventive action plans, and tracking and management of adverse events. Performs audits of operational and fiscal functions. Reviews and evaluates reports of adverse events, investigates as appropriate per the Department's Adverse Event Policy in conjunction with the Hospital Quality Department. Collects and analyzes quality metrics, works closely with the Solid Organ Transplant/VAD Physician and Nursing Leadership prepare reports and monthly dashboards for the solid organ transplant programs. Prepares each program's Annual Report, develops each program's annual QAPI plan and ensures adherence. Applies process improvement tools and techniques.

The manager's broad operational scope involves direct contact and varied relationships on multiple department/program and organizational levels. The manager maintains open, collaborative, responsive, and consultative working relationships with the staff and program leadership of all the solid organ programs.

Salary Range: $140,200-$331,800 (annually)

All Required:

1. Interpersonal skills to establish and maintain effective working relationships with transplant program leadership, clinical team members, and staff.
2. Excellent verbal and written communication skills. Demonstrated ability to author professional correspondence and reports for both internal and external stakeholders. Ability to communicate effectively with persons of various cultural and educational backgrounds.
3. Excellent analytical skills, proficiency in Microsoft Excel data management and analytical tools, knowledge and application of basic biostatistics principles.
4. Excellent ability to represent data and processes graphically with proficiency in Microsoft Excel, PowerPoint, and Visio.
5. Excellent organizational skills, proficiency in meeting deadlines, ability to work independently, manage numerous concurrent tasks in a high-stress environment, deal with change and prioritize workload.
6. Ability to analyze information to define the problem/objective; identify relevant factors, patterns or relationships; formulate objective conclusions and recognize alternatives and their implications.
7. Experience in project planning and monitoring with knowledge of process improvement and quality management.
8. Knowledge or familiarity with LEAN and/or Six Sigma process improvement tools.
9. Familiarity with Medical Center and University department functions and policies and procedures.
10. Knowledge and experience with data systems with the Medical Center.
11. General knowledge in the use of computerized clinical information systems.
12. Knowledge of transplantation and issues involving organ procurement.
13. Knowledge of the regulatory agencies overseeing transplantation: UNOS, CMS, JC.
14. Supervisory and employee management skills.

Requires minimum of 5 years of healthcare work experience, experience in transplantation preferred.