ESSENTIAL FUNCTIONS

• Oversees the clinic orientation and training for all new hires.
• Consults with providers and staff regularly regarding quality improvement and participates on the Peer Review Committee.
• Facilitates and oversees the chart review and audit processes.
• Manages and coordinates all internal quality audits to measure patient satisfaction within the organization for pay for performance and quality-based contracting.
• Conducts a review of QA reports and presents cases to the surgical case reporting team.
• Directs the Grievance Council process, and provides clinical expertise in the analysis of quality of care determinations.
• Provides specific oversight of the Patient Advocate
• Audits provider charts for the analysis of quality of care determinations.
• The job holder must demonstrate current competencies for this position.
• Travel required between Fort Myers, Estero and Naples locations.

EDUCATION

• Bachelor’s degree in administration, science, or graduation from an accredited physician assistant program.

EXPERIENCE

• A minimum of five years of experience in a healthcare environment
• One to three years of management experience is preferred.

REQUIREMENTS

• A current RN or Physician Assistant license.

KNOWLEDGE

• Knowledge of quality improvement philosophy, models, and processes within a healthcare organization.
• Skill in consistently meeting quality requirements and educating providers and staff.
• Skill in using computer applications to effectively produce needed reports to identify trends.

SKILLS

• Skill in the effective application of quality measures, clinical guidelines, and process management initiatives.
• Skill in consistently meeting quality requirements and educating providers and staff.
• Skill in using computer applications to effectively produce needed reports to identify trends.