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Quality Manager (RN)

Job

St. Vincent General Hospital District

Leadville, CO (In Person)

$117,500 Salary, Full-Time

Posted 6 days ago (Updated 3 days ago) • Actively hiring

Expires 7/17/2026

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Job Description

Quality Manager (RN) 3.5 3.5 out of 5 stars 822 West 4th Street, Leadville, CO 80461 $90,000
  • $145,000 a year
  • Full-time St. Vincent General Hospital District 2 reviews $90,000
  • $145,000 a year
  • Full-time Quality Manager (RN
  • Full-time position, onsite.
Full-time benefits are the following:
Medical, dental, vision, paid time off, paid sick time, 403(b) retirement program, life insurance plans, shift differentials, workers' compensation The deadline to apply is July 31, 2026 Leadville, Colorado, is a historic Victorian-era mining town and the highest incorporated city in the United States, situated at 10,152 feet—nearly two miles above sea level. Nestled in the heart of the Rocky Mountains and surrounded by iconic 14,000-foot peaks such as Mount Elbert and Mount Massive, Leadville offers breathtaking alpine scenery and a truly authentic mountain-town experience. Unlike larger resort communities known for luxury retail and high tourist traffic, Leadville retains its genuine Colorado character. The town is known for its welcoming, community-focused atmosphere, historic architecture, and rich mining heritage. With no major chain stores and a vibrant mix of long-time residents, outdoor enthusiasts, and local families, Leadville offers a distinctive environment where neighbors know each other and small-town values remain strong. Leadville has a close-knit population of approximately 2,600-3,000 residents, with roughly 7,700 people across Lake County. The area offers a peaceful rural-suburban setting without the congestion of larger mountain destinations. Residents enjoy exceptional year-round outdoor recreation, including hiking, biking, and fishing at nearby lakes such as Turquoise Lake and Twin Lakes. Winter activities include skiing and snowshoeing at Ski Cooper, a family-friendly ski area just outside town. The community also hosts renowned endurance events such as the Leadville Race Series, attracting athletes from around the world. St. Vincent General Hospital District—commonly known as St. Vincent Health—has served the Leadville community since the late 1800s, with roots dating back to 1879. As a critical access hospital, the organization provides essential healthcare services to local residents and visitors across Lake County and the surrounding high-country region. St. Vincent Health offers a comprehensive range of services, including: 24/7 emergency department and ambulance services Primary and family medicine Visiting specialty care (including cardiology, urology, general surgery, pain management, podiatry, and ophthalmology) Minor elective outpatient procedures Physical therapy and rehabilitation services Diagnostic imaging and laboratory services Occupational health and sleep studies The organization is known for its collaborative, team-oriented culture, where healthcare professionals work closely together in a supportive rural hospital environment. Employees often cite the opportunity to make a meaningful impact in a small community, maintain a strong work-life balance, and enjoy competitive benefits—including retirement plans, shift differentials, and benefits eligibility for many part-time roles. Working at St. Vincent Health offers the unique opportunity to combine a rewarding healthcare career with an exceptional mountain lifestyle. For individuals seeking purposeful work, strong community connections, and access to world-class outdoor recreation, Leadville provides a rare and inspiring place to live and serve. Bachelor of Science in Nursing (BSN) required Master's degree in Nursing, Healthcare Administration, Public Health, Quality Management, or a related field preferred Graduate degree may be substituted for some years of experience at the discretion of St. Vincent Health Two (2) years of progressive clinical nursing experience in an acute care hospital setting required Three (3) years of healthcare quality, patient safety, performance improvement, regulatory compliance, accreditation, or risk management experience preferred Experience with Critical Access Hospitals, Rural healthcare, or CMS Conditions of Participation preferred Current unrestricted Colorado Registered Nurse (RN) license Current
BLS, ACLS, PALS
certifications Certified Professional in Healthcare Quality (CPHQ) preferred Knowledge of CMS Conditions of Participation and Critical Access Hospital regulations Knowledge of accreditation standards with CMS Strong understanding of quality improvement methodologies including PDSA, Lean Six Sigma, and Root Cause Analysis Experience with healthcare quality metrics and publicly reported measures Ability to analyze clinical, financial, and operational data. Knowledge of patient safety, infection prevention, risk management, and regulatory compliance Excellent written and verbal communication abilities Proficiency with electronic health records, data abstraction tools, and Microsoft Office applications Ability to facilitate interdisciplinary teams and physcian engagement The Quality Manager is responsible for planning, coordinating, implementing, and evaluating the hospital's quality improvement, patient safety, risk management, regulatory compliance, and performance improvement programs. This position collaborates with clinical and administrative leadership to ensure compliance with federal, state, accreditation, and Critical Access Hospital (CAH) requirements. The Quality Manager promotes a culture of patient safety and continuous improvement while supporting data-driven decision-making throughout the organization. This position will serve as the primary patient advocate, interacting with department leaders and members of the Medical Staff to raise public awareness of the organization's available services. This position will report to the Chief Executive Officer. Develops, implements, and evaluates the hospital-wide Quality Assessment and Performance Improvement (QAPI) program. Maintain and update the
SVH QAPI
Plan annually Monitors quality indicators, patient safety measures, and regulatory compliance requirements. Coordinates data collection, analysis, reporting, and submission of required quality measures. Facilitates performance improvement initiatives to enhance patient outcomes and operational effectiveness. Leads Root Cause Analyses (RCA), Failure Mode and Effects Analyses (FMEA), and corrective action plans Supports accreditation readiness and regulatory surveys Serves as a resource for quality improvement methodologies and evidence-based practice. Prepares reports and presentations for medical staff committees, leadership teams, and the governing board. Collaborates with department leaders to identify opportunities for improvement and develop action plans. Assists with risk management activities, occurrence reporting, and patient safety investigations. Manage quality review to ensure patient quality and safety is maintained Provide quality data to the leadership team and board of directors as directed by the CEO Assist in Peer Review Program as applicable and in collaboration with CEO and Chief of Staff Provide training in quality assurance & performance improvement processes Perform quality review for isolated and systemic processes. Reviews and conducts follow-up for all patient complaints when not resolved by the department leader or when received via written communication Reports any patient grievances to the appropriate governing body Supports infection prevention, patient experience, and employee engagement initiatives. Maintains current knowledge of healthcare regulations, accreditation standards, and best practices. Participates in strategic planning and organizational performance improvement activities. Promotes a culture of safety, accountability, and continuous improvement throughout the organization.