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Mercy Medical Center Clinton Performance Accreditation Leader- FT/Day in Saint Joseph Mercy Health System Hospital Campus - Livonia, Michigan

Employment Type:

Full time


Day Shift


An Opportunity to Join our Remarkable Care Team as a Performance Improvement Leader-Accreditation awaits YOU!!!!

St. Joseph Mercy Health System (SJMHS) is one of the nation's top healthcare service providers, spanning five counties in Southeastern Michigan. SJMHS represents more than 2,700 physicians and 14,000 nurses and staff, and includes 5 Hospitals, 5 Outpatient Health Centers, 8 Urgent Care Facilities and over 25 Specialty Centers.

Saint Joseph Mercy Health System is part of Trinity Health at http://www.trinity-health.org/ , one of the largest multi-institutional Catholic health care delivery systems in the nation, serving communities in 21 states with 86 hospitals, 128 continuing care facilities and home health and hospice programs.

St. Mary Mercy Hospital is a beautiful full-service, 304-bed acute care hospital, located in Livonia, MI, that provides comprehensive care, including a 24-hour emergency department, general medicine, inpatient and outpatient surgery, physical medicine and rehabilitation, intensive care unit, cancer, cardiology, geriatrics and birthing and women's health. Through several major expansions in the hospital, programs and services, St. Mary Mercy continues to offer the latest in quality health and medical services. St. Mary Mercy has received numerous awards recognizing excellence in clinical outcomes, patient safety, financial performance and efficiency.


Provides leadership and expertise in the areas of external regulatory, compliance, pay-for-performance and quality and patient safety standards as it relates to associates, staff and units of St Mary Mercy Hospital. Promotes knowledge about and implementation of initiatives to improve patient care processes through the Quality and Safety Plan, accreditation processes, policies and procedures for all associates and medical staff. In addition, works on specific initiatives related to external certification or recognition as reflected in the organization’s strategic priorities. Plans, develops, organizes, and coordinates an effective program that provides a plan of action and follow-up for regulatory readiness


A. Education:

Nursing, Pharmacy or other clinical or health care systems background with a Bachelor's degree in a healthcare or healthcare-related field. A Master degree is preferred.

Prefer Six Sigma training as a green belt or higher or completion within 18 months of hire.

B . Experience:

Minimum of two to three years progressively more responsible related work experience in quality and safety activities. Experience with, and understanding of key functions of hospital and medical staff departments or services.

C. Job Knowledge

Advanced interpersonal skills necessary to effectively communicate complex theoretical and technical concepts effectively with a wide variety of individuals. Advanced analytical and computer skills in order to manage project work and data. Advanced analytical skills necessary to develop sound recommendations and assist in implementing improved delivery of care systems, policies and procedures, evaluating clinical practice outcomes and developing educational programs. Ability to work with and lead multidisciplinary teams in initiatives to facilitate implementation and measurement activities. Ability to integrate information across myriad settings with the goal of standardization (when appropriate), simplification, and reduction of non-value-added work and steps.


Moderate to heavy walking, sitting, writing, and typing

Moderate amount of lifting and shifting of medical records and documents required for and during surveys.

Ability to deal with stress in meeting deadlines, writing reports and meeting with the medical staff and other hospital departments

Flexibility in work procedures and schedules.

· Ability to speak to groups

Why St. Joseph Mercy Health System?

*Competitive Salaries and Shift Differentials

*Rich Benefits package which include Medical, Dental, Vision, Paid Time off, Retirement Saving Plan with employer contribution option, Tuition Reimbursement, Life Insurance and Short/Long Term Disability.

* Opportunity for growth and advancement throughout Trinity Health in 21 different states!!

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.

Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.

Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org at http://www.trinity-health.org/ . You can also follow @TrinityHealthMI on Twitter.