CQI Manager (NICU and Pediatrics)
Competition #
8502
Job Title
CQI Manager (NICU and Pediatrics)
Department
NICU & Pediatrics
Status
Temporary (Oct 2025- Jan 2027)
Work Type
Full-time
Affiliation
Management
Shift Assignment
Days
Bilingualism Required
No
Police Check Requirement
Vulnerable Sector Check
Site
RLHC- Management
Salary Information
$55.95 to $65.81/hour
Application Closing Date
August 13, 2025
Health Sciences North (HSN) is seeking an innovative individual for the position of CQI Manager (NICU and Pediatrics) to lead Neonatal Intensive Care and Pediatric unit planning related to performance improvements, quality and risk management, patient and staff safety, emergency preparedness, and selected special projects. They will also ensure that departmental performance meets or exceeds standards described in the Ontario Hospital Association (OHA), Better Outcomes Regional Network (BORN), Critical Care Services Ontario (CCSO) Provincial Council of Maternal Child Health (PCMCH), and in other provincial and national standards. They will develop, improve, and spread a culture of Continuous Quality Improvement (CQI) by using lean methodologies.
KEY FUNCTION:
Lead Neonatal Intensive Care and Pediatric unit planning related to performance improvements, quality and risk management, patient and staff safety, emergency preparedness, and selected special projects, while ensuring that departmental performance meets or exceeds standards described in the Ontario Hospital Association (OHA), Better Outcomes Regional Network (BORN), Critical Care Services Ontario (CCSO) Provincial Council of Maternal Child Health (PCMCH), and in other provincial and national standards. Develop, improve, and spread a culture of Continuous Quality Improvement (CQI) by using lean methodologies.
REPORTING:
Under the general direction of the Administrative Director, NEO Kids and Family and Inter-Professional Practice.
DUTIES:
- Develop, implement, and monitor departmental risk management processes, service excellence initiatives, and Quality-Based Procedures (QBP).
- Lead departmental risk management processes (e.g. legal and contract reviews, claims management, and incident/accident reporting) and ensure the implementation of processes is in compliance with the Quality of Care Information Protection Act (QCIPA) and provincial privacy legislation.
- Conduct performance measurement activities around data quality, analysis, and dissemination of findings for key reports, Decision Support, and Annual Coroner’s Report.
- Develop, implement, manage, and evaluate NICU/Pediatrics activities and policies related to disaster and emergency preparedness.
- Work with internal and external stakeholders to ensure integrity and accuracy of data quality (e.g. BORN, CCIS).
- Evaluate patient care and satisfaction on an ongoing basis and formulate solutions for improvement.
- Provide hospital wide, on-call coverage for problems and serious issues after hours and on weekends according to scheduled rotation.
- Ensure departmental compliance with all Health and Safety (H&S), Infection Control, and unit-related specific processes, policies, and procedures in consultation with the leadership team.
- Coordinate and assist with staff educational sessions.
- Review and revise policies and procedures to ensure excellent delivery of service to ensure administrative standards are followed.
- Provide collaborative management and coverage of the NEO Kids operations.
- Act as a liaison between patients, families, and departments to ensure the needs of patients and families are addressed in an effective and timely manner.
- Guide, motivate, monitor and supervise staff, develop standards of performance, evaluate performance and make recommendations on disciplinary action as required.
- Oversee the work of others in compliance with the Occupational Health and Safety Act (OHSA), its regulations, and HSN policies.
- Evaluate patient care and satisfaction on an ongoing basis and formulate solutions for improvement.
- Determine and align improvement projects with HSN’s Strategic Plan; monitor and adjust to achieve goal outcomes.
- Participate in the accreditation process and work to ensure that the program and HSN achieve, maintain and continually improve upon their accredited status.
- Teach, coach and lead staff in the development and monitoring of quality indicators and improvement initiatives.
- Engage in and foster professional development of all staff and provide opportunities for learning within budgeted resources.
- Ensure a safe environment for patients, staff and visitors; investigate report, debrief and take or direct corrective action as required on incidents.
- Collaborate with internal and external stakeholders/organizations/community groups to achieve program objectives, integrate and link services and foster partnerships across the continuum of service delivery.
- Participate in education and training specific to current, relevant federal and provincial health and safety legislation, standards and guidelines.
- Represent the department or program on various committees and in meetings as required.
- Perform other duties as required.
QUALIFICATIONS
EDUCATION AND TRAINING:
- Minimum of a four (4) year Bachelor’s Degree with a specialization in Medical Science, Quality Risk Management, or in a health-related field, from an accredited university.
- Master’s Degree or actively pursuing a Master’s in Business or Health Administration is preferred
- Ministry of Labour “Worker Health and Safety Awareness in 4 Steps” training certificate is required.
EXPERIENCE:
- Minimum of five (5) years’ experience working in a Pediatric healthcare environment.
- Minimum of two (2) years’ working in a leadership/supervisory role, preferably in a health care environment.
- Training or recent experience in the development and implementation of policies and procedures, and report writing is required.
KNOWLEDGE/SKILLS/ABILITIES:
- Demonstrated superior knowledge and understanding of a variety of groups of stakeholders, both within and outside of the hospital.
- Demonstrated time management, project management, organizational, problem-solving, and team building skills.
- Demonstrated excellent presentation and public relations skills.
- Demonstrated ability to coach, advise and teach others using the principles of adult learning.
- Demonstrated training, experience or utilization of lean methodology for process improvement.
- Demonstrated ability to independently identify issues, plan improvements, measure success and continue improvement.
- Demonstrated knowledge of relevant legislation and principles of management, hospital committee structure, conflict management and resolution, system needs analysis and organizational assessment.
- Ability to use tact and discretion in dealing with health care providers and employees.
- Demonstrated excellent computer skills with proficiency in Microsoft Office software (e.g. Word, Excel, Power Point and Outlook) and patient information systems.
- Demonstrated superior interpersonal and communication skills, both written and verbal.
- Demonstrated commitment to the safety of co-workers and patients.
PERSONAL SUITABILITY:
- Successful criminal reference check is required for vulnerable sector.
- Demonstrated commitment to ongoing professional development.
- Demonstrated professionalism in dealing with confidential and sensitive issues.
- Demonstrated positive work record and excellent attendance record.
- Ability to meet the physical and sensory demands of the job.
- Ability to travel between local sites.
Selection Process: Candidates will be selected for this position on the basis of their skill, ability, experience and qualifications as identified in the resume and completed Application Form submitted. The Hospital reserves the right to conduct a formal interview where required.
Health Sciences North is committed to providing accommodations to applicants with disabilities to enable their participation in the recruitment, assessment, selection and hiring stages of employment.
HSN THANKS ALL APPLICANTS.
ONLY THOSE SELECTED FOR INTERVIEWS WILL BE CONTACTED.
WE WILL NOT ACCEPT APPLICATIONS AFTER THE CLOSING DATE AND TIME.
