QUALITY MANAGER

POSITION SUMMARY

Leads and directs process and overall quality improvement activities that produce better patient care and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Implements strategies and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the hospital. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments.

Position Summary Expanded:

Under the Oklahoma Medical Marijuana and Patient Protection Act, (“The Unity Bill”) this position is considered a “Safety-sensitive position. “Safety-sensitive” is defined to include “any job that includes tasks or duties that could affect the safety and health of the employee performing the task or others.” Employees working in “safety-sensitive” roles are subject to this exception and subject to disciplinary action in the event of a positive test for marijuana or its metabolites.

SUPERVISOR

CEO

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• To perform this job successfully, an individual must be able to perform each key function satisfactorily.
• Each category will be assessed on performance measurements of appropriateness, efficiency, effectiveness, and timeliness.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.

Job Functions

1) Provide leadership in ongoing development and implementation of a data-based monitoring, tracking and process improvement system that will ensure compliance with the state of Oklahoma requirements for quality management.

2) Ensures review of clinical records regarding diagnosis, treatment and summary of patient’s progress. Ensures individual and systemic quality of care. Confers with other practitioners and technical experts in own field of specialization, to broaden knowledge, acquire specific information, or obtain advice or consultation.

3) Implements and integrates quality initiatives and process improvement plans throughout the organization based on data analysis and tracking and monitoring of hospital activities.

4) Assures regulatory compliance within assigned areas of responsibilities and in collaboration with peers. Establishes external networks to facilitate benchmarking and practice excellence. Demonstrates leadership within and outside the facility to promote a model of excellence in practice, education, and administration.

5) Ensures that review of medical records for quality of care issues, compliance with best practices, and potential litigation concerns occurs as needed.

6) Performs other duties as assigned.

ADDITIONAL RESPONSIBILITIES

• Attends quality management meetings, as appropriate.
• Effectively and consistently communicates administrative directives to staff and encourages interactive departmental meetings and discussions.
• Seek out external resources through conferences, workshops, etc. as necessary.
• Share professional knowledge with hospital staff, board members, and administrator.
• Comply with HIPAA regulatory requirements.
• Adhere to the companies/facilities philosophy, mission, and policies and procedures.
• Support the facility goals and objectives.
• Maintains a good attendance record and follows all hospital rules, policies and procedures.
• Maintains open and effective communications with patients and their nurses, physicians, peers, supervisors, and students. Establishes and maintains excellent interdepartmental and interpersonal relationships.
• Attends departmental meetings and in-services to stay current with the developments of the department and hospital.

POSITION QUALIFICATIONS

MINIMUM QUALIFICATIONS

• BLS and required within 90 days of employment.
• Demonstrates initiative, ability to work with others, and professional judgement.

EDUCATION AND/OR EXPERIENCE

• Bachelor of Science in Nursing or equivalent degree in a healthcare field.
• Minimum of two (2) years’ experience in hospital setting.
• One (1) or more years of previous experience in quality management or related field.

LICENSURE/CERTIFICATION

• Licensed as a R.N in the state of Oklahoma or licensure/degree/certification in other healthcare related field
• BLS certified
• • Proof of all required License(s) and Certification(s) is due at time of hire.

LANGUAGE SKILLS

• English is the primary language
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
• Ability to interpret reports, business correspondence, and policy/procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, physicians, clients, customers, employees, and the public.

MATHEMATICAL SKILLS

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals.
• Ability to compute ratio, percent, rate, as well as the ability to create and interpret graphs.

REASONING ABILITY

• Ability to apply common sense understanding to carry out instruction furnished in written, oral, and/or diagram form.
• Ability to define and solve problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in statistical or diagram form and deal with several abstract and concrete variables.

INTERPERSONAL SKILLS

• Demonstrates active listening techniques.
• Gains support through effective relationships.
• Treats others with dignity and respect; seeks feedback.
• Demonstrates honesty and integrity at all times in care and use of patient and facility property.
• Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
• Demonstrates respect for co-workers and responds to the needs of patients by complying with facility policies.