Director Quality Assurance and Risk Management

About the role

Accountable for the overall operations of: Quality & Performance Improvement, Infection Prevention, Service Excellence, Accreditation, Patient Safety/Risk Management, Compliance, Medical Staff Privileging/Credentialing, and Patient/Family Grievances.

Responsibilities

• Plans, acts, evaluates, re-evaluates the activities of the above operations, working closely with other department leaders to develop excellence in all Avera employees and providers.
• Captures and attends all Medical Staff Committee meetings and all pertinent regional committee meetings where monitoring functions and activities are performed.
• Serves as a resource for Medical Staff and internal services on quality improvement activities, education, and use of quality principles and tools.
• Coordinates and oversees regional Quality Improvement Plan development, QI plans, Medical Staff Quality Assurance/Improvement activities, and Quality Measures.
• Coordinates facility wide compliance with regulatory agencies including CMS, SDDOH and The Joint Commission in conjunction with the Compliance Coordinator.
• Develops, coordinates, and administers regional wide systems for risk identification, investigation and reduction, maintains statistics, ensures that pertinent patient data relative to a claim is accurate, available, and secure.
• Reviews and coordinates trend analysis, claims profiles, worker's comp trends, and analysis of risk data.
• Responds to professional liability and hospital liability questions and maintains knowledge of legislative and regulatory activities related to health care risk management.
• Includes interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Requirements

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.

Qualifications

• Required Education, License/Certification, Or Work Experience: Bachelor's in nursing or related clinical field, 4-6 years clinical experience, 1-3 years previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff, five years’ experience in Clinical setting, Quality Improvement, Risk Management and Patient Safety.

Skills

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement. Career development guided by hands-on training and mentorship.