MGR QUALITY CARE MGMT

Position Summary

Responsible for managing key clinical and ancillary support areas for acute and psychiatric patient care at the facility including Quality Improvement, Patient Safety, Medical Staff Services, and Regulatory Compliance.

Responsible for the coordination of care and outcomes of clinical and operational metrics facilitating initiatives as appropriate to drive excellence.

Knowledgeable of quality improvement principles and regulatory requirements for healthcare.

Must have three years hospital experience in healthcare quality.

The manager is responsible for budget management, staffing, hiring, discipline, and performance improvement.

Qualifications

• Develops department budgets that reflect effective management of resources to provide services.
• In collaboration with enterprise leadership, facility leadership, and medical staff, assists in the development of strategic initiatives for the department and facility.
• Collaborates with interdisciplinary groups and leaders to identify and monitor key processes and patient outcomes.
• Uses various data sources, including but not limited to, publicly reported data to inform which processes and outcomes to monitor.
• Facilitates effective communication of results to medical staff and other key stakeholders.
• Identifies opportunities for improvement using Covenant performance improvement methodologies to implement corrective action plans and evaluate results for desired outcomes.
• Manages Care Management functions to ensure the coordination of care for patients so they move seamlessly through the continuum of care.
• Stays abreast of regulatory, licensing, and certification (Joint Commission, CMS, Leapfrog, State, etc.) standards to ensure processes are in place to achieve desired outcomes.
• Collaborates with the Peer Review/PQPR medical staff chair to operationalize assessments of peer review triggers and functions of the facility medical staff.
• Collaborates with clinical and medical staff to implement processes, as needed, to ensure financial and length of stay metrics are assessed and communicated to applicable medical staff and organizational leaders.
• Operationalizes a Care Management Model to ensure timely and effective throughput through the continuum of care.
• Serves as a coach, mentor, and role model for all team members.
• Oversees activities of medical staff credentialing, FPPE/OPPE, and departmental organization including, but not limited to, facilitating applicable medical committee meetings to ensure effective patient safety and regulatory compliance.
• Collaborates with enterprise infection prevention management and local leaders to assess and support the infection prevention strategies as needed.
• Oversees survey action plans and ongoing assessments of regulatory readiness for all accreditation, certification, and state surveys.
• Collaborates with nursing, medical staff, and other disciplines to assess and improve outcomes related to performance with various measures associated with publicly reported entities.
• Proactively seeks opportunities to reduce waste and redundancy in the utilization of resources.

Skills

• Knowledge of quality improvement principles and regulatory requirements for healthcare.
• Experience in managing clinical and ancillary support areas in a hospital setting.
• Ability to develop and manage department budgets.
• Collaborative skills with interdisciplinary groups and leaders.
• Experience with public reporting and data analysis.
• Experience with regulatory compliance and accreditation.
• Experience with infection prevention and control.
• Experience with medical staff credentialing and FPPE/OPPE.
• Experience with survey action plans and regulatory readiness.
• Experience with multidisciplinary rounds and performance improvement.

Benefits

Local travel required.

Follows policies, procedures, and safety standards.

Completes required education assignments annually.

Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

Performs other duties as assigned.

Pay

Negotiable based on experience and qualifications.

Schedule

Day Shift, 80 Hours per pay period.