Quality Improvement Manager

Description

Summary

The Quality Improvement Manager is responsible for ensuring the provision of quality clinical services delivered by the staff of Christ Health. The Chief Clinical Officer (CCO) has chosen to delegate specific responsibilities related to continuous quality improvement and risk management to the Quality Improvement Manager. This position will also assume some responsibility for the implementation, delivery, and coordination of medical services provided at Christ Health.

Supervisory Responsibilities

• Oversees the quality team to ensure the implementation of continuous quality improvement at Christ Health Center.
• Oversees the planning, implementation, and management of all Christ Health provider scheduling at all sites.
• Oversees the assistance of Chief Resident Physicians in planning and implementing the residency schedules.
• Oversees the process for data collection, analysis, and communication to appropriate Christ Health staff.
• Oversees the process of all payer related quality improvement.

Reviews and approves all provider level and quality team PTO requests.

Major Duties & Responsibilities: Job Skills

• Serves as the CCO’s delegate for specific CCO responsibilities. The CCO and the Quality Improvement Manager will meet no less than every 2 weeks to review clinical operations and quality improvement efforts.
• Contributes to the development of agency goals, policies, and procedures.
• Assists in the development of in-service programs for members of staff.
• Assists the CCO with supervising the maintenance of medical records assuring accuracy, completeness and compliance with licensing regulations and legal and ethical standards.
• Assists with the development and maintenance of department procedure manuals.
• Overall oversight and responsibility for the Continuous Quality Improvement Plan (CQI) to include: Oversight of the development of the annual CQI Plan.
• Serves as the chairperson on the Quality Improvement Committee (QIC) and coordination all quality related subcommittees.
• Oversees the collection of and assessment of data regarding patient services and outcomes according to CQI Plan.
• Oversees the compilation of and submission of data according to Uniform Data System (UDS) requirements.
• Establishes and maintains quality improvement processes including policies, procedures and feedback mechanisms which comply with state and federal mandates in and assures the provision of effective and efficient clinical services.
• Participates in staff selection and orientation of new personnel as appropriate.
• Receives, investigates, and makes recommendations regarding patient complaints in accordance with Christ Health policy and procedure.
• Communicates all pertinent clinical and administrative information to the CEO and CCO as appropriate.
• Supports the development and implementation of all requirements for Patient Centered Medical Home (PCMH) certification and continually monitors progressive status as the PCMH Manager.
• Assists the Chief Executive Officer, Chief Operations Officer, Chief Clinical Officer, and Chief Medical Officer with clinic operations needs as appropriate, including but not limited to:
• Determines space availability for providers, volunteers, students, and residents based on clinic availability.
• Determines clinic space needs based on medical staff.
• Assists in determining course of action from a medical staffing perspective when clinic changes occur.
• Maintain and distribute meeting minutes as appropriate to staff.
• Assist department managers in the planning, implementation and review of quality improvement outcomes.
• Agrees to abide by the health center’s mission statement, statement of purpose, and guiding principles to provide leadership by example for staff.
• Attends monthly staff meetings, monthly department meetings and annual retreats.
• Attends and participates in in-service education for staff, quality assurance program, and risk-management programs.
• Each employee of Christ Health is vital to providing overall quality care to our patients and may be included in the patient care team and daily?huddle when deemed necessary by the Core Care Team.

Requirements

Qualification, Education, Experience

• Graduate of an accredited school with Bachelor’s degree in Health Administration, or a health-related, business-related, or engineering-related field is preferred.
• Two (2) year experience working in an administrative team capacity in a healthcare environment.
• Demonstrated skills in administrative performance, including expertise in written/oral communication, documentation requirements, and service coordination.
• Computer proficiency and a working knowledge of Microsoft programs required.
• Valid Alabama Driver’s License and daily access to a reliable and insured vehicle.
• Must be a United States citizen or legally authorized to work in the United States.
• Interpersonal skills necessary in order to effectively interact and promote exceptional service to our patients, families, physicians, fellow employees and volunteers by displaying attitudes and behaviors that reflect compassion, respect and dignity to everyone we serve.
• Experience with data collection and analysis.
• Management experience is preferred.
• Experience with compliance and risk management are preferred.

Required Skills/abilities:

• Excellent verbal and written communication skills.
• Proficient in Microsoft Office Suite or related software.
• Superior interpersonal skills and ability to work extremely well as part of a team.
• Ability to organize, track, and report data in Microsoft Excel, excellent general computer skills

Physical/Mental Demands

• Work requires the ability to lift objects weighing up to 20 pounds
• Work requires ability to carry objects weighing up to 20 pounds.
• Work requires ability to sit /- 90% of the time.
• Work requires ability to stoop and bend, to reach, and grab with arms and hands; manual dexterity and to communicate with others.
• Work requires proofreading and checking documents for accuracy.
• Work requires ability to use a keyboard and visualize a computer monitor to enter and transform words or data. Specific vision abilities required include close vision and the ability to adjust focus
• OSHA personal exposure risk category I & II
• Airborne personal exposure risk category I (Possible exposure of the healthcare worker to patients capable of transmitting M. tuberculosis). Universal precautions will be adhered to at all times.

Language Skills

Ability to read and comprehend simple instructions, short correspondence, and memos; ability to write simple correspondence and reports; Ability to effectively present information in one-on-one and small group situations to patients, visitors, and other employees of the organization.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals; ability to compute rate, ratio, and percent.

Reasoning Ability

The ability to apply general rules to specific problems to produce answers that make sense. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events) and to convey the information to others.

Cultural Expectations

• Understands Christ Health Center Mission Statement and Values
• Consistently displays Christ Health Center’s Mission on a daily basis
• Treats patients, visitors and co-workers with love and respect

Attendance Standards

Punctual and dependent for assigned/confirmed shifts