Quality Assurance Manager - Healthcare manages and implements the quality management and quality improvement programs for a healthcare facility. Oversees quality assurance and compliance functions. Being a Quality Assurance Manager - Healthcare ensures programs and services are implemented at the highest standards and patients receive the highest level of care. Responsible for monitoring and updating policies and procedures to include regulatory changes. Additionally, Quality Assurance Manager - Healthcare requires a bachelor's degree. Requires a certification of registered nurse. Typically reports to a head of a unit/department. The Quality Assurance Manager - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Quality Assurance Manager - Healthcare typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
COOK INLET TRIBAL COUNCIL, INC.
JOB DESCRIPTION
Job Title: Compliance and Quality Assurance Manager
Department: 477 Employment and Training Services Department (ETSD)
Reports To: Senior Manager
Supervises: Compliance Officers, ISDA Compliance & Training Coordinator, Administrative Assistant
FLSA Status: Exempt
Pay Grade: E5
Job Type: Full-Time, Regular
AKBCU: Yes ICPA: Yes
General Functions:
The Compliance and Quality Assurance Manager is responsible for the oversight of program compliance throughout the Employment and Training Services Department (ETSD). This includes providing and coordinating staff training across the department on program requirements, eligibility and how to identify program fraud. The Compliance and Quality Assurance Manager manages the Quality Assurance Team, including Compliance Officers, the ISDA Compliance & Training Coordinator and an Administrative Assistant. The Quality Assurance Manager will conduct compliance reviews (investigations) on all ETSD financial assistance programs. This includes overseeing investigations, completing home visits, and compiling written reports of findings. Additionally, this position is responsible for program file reviews to ensure compliance with program policies, regulations, and statues. The Manager works with program staff to collect and document evidence concerning fraudulent activity and when necessary will meet with participants to discuss, present and complete Intentional Program Disqualifications and discuss service options moving forward.
Duties and Responsibilities including but not limited to:
Job Specifications:
Minimum Core Competencies: CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.
Minimum Qualifications:
Physical Requirements:
NATIVE PREFERENCE STATEMENT: Pursuant to the Indian Self-Determination and Education Assistance Act of 1975 (PL 93-638) and as further guided by CITC’s Native Preference Policy 6.120, CITC maintains preference in all phases of employment for Alaska Native, American Indian (AN/AI) and Native Hawaiian people, including direct lineal descendants and foster or traditionally adopted children. Also included are non-Native head of household members for Native families, which includes foster or traditionally adopted Native children.
Disclaimer
The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.