What are the responsibilities and job description for the Quality Improvement Manager position at Little River Medical Center, Inc.?
Quality Improvement Manager (QI Manager)
*This is NOT a remote position. Must be able to come into our main office in Little River, SC 5 days a week.*
POSITION SUMMARY
Under the general supervision of the COO, the QI Manager contributes to the company's mission and vision by supporting and coordinating clinical performance improvement activities and manages the quality improvement activities of the health center. Works in collaboration with the VP/COO, QI Team, and Senior Management to identify and implement specific CQI initiatives. Ensures compliance with quality initiatives, including, but not limited to Value Based Care, ACOs, Patient Centered Medical Home, UDS, and HEDIS.T-the QI manager will be responsible for identifying, implementing, monitoring, and evaluating clinical quality improvement (QI) activities and providing related consulting and support services.
WHY LRMC:
Little River Medical Center is a non-profit community health center within Horry County. At Little River Medical Center, we strive to offer exceptional health services and deliver quality, compassionate care to everyone. We provide a wide range of affordable health and support services for every family.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Responsible for conducting a comprehensive, continuous quality improvement (CQI) program throughout the medical practice, including helping to develop annual plans and outcome goals and analyze results on an ongoing basis.
- In coordination with the VP/COO, QI Team, Chief Medical Officer, and other senior management develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, accrediting and other governmental requirements. Ensures that required state/federal reporting is completed in a timely manner.
- Directs efforts to ensure effective Quality Program and Performance Improvement implementation throughout all sites of Little River Medical Center.
- Provides guidance to employees/management in complying with the requirements and intentions of the program and value-based care principles.
- Provides leadership to drive work for clinical improvement and service enhancement. Provides meaningful reports to the Quality Committee and senior management.
- Acts as co-chair along with the Board Member chair for the QI Committee and the HIV/QI Committee.
- Participate in committees with external entities, such as CIMS Clinical Quality, as directed.
- Monitors and communicates with VP/COO and senior leadership regarding quality improvement trends. Prepares metric reports and assists with development of meaningful improvement plans.
- Oversees and monitors the peer review process.
- Uses outcomes management computerized information systems to statistically analyze outcomes data including practice patterns.
- Helps clinical teams to gather outcomes information following regulatory and accreditation standards.
- Compiles data into reports for the VP/COO, QI committee, and the senior management team, including an analysis of trends and patterns.
- Fulfills internal and external requests for outcomes data, including developing special reports.
- Meets with clinical teams about outcomes data to discuss implications for clinical practices. Identifies areas needing improvement.
- Collaborates with clinical teams to use outcomes data in patient education and clinical practice applications including the development of new condition-specific protocols and clinical documentation procedures.
- Helps train clinicians on new protocols.
- Assists with handling patient complaints through the patient concern hotline and complaint process.
Performance Requirements:
Knowledge:
- Knowledge of physician office practice operations.
- Knowledge of organizational policies, procedures, systems and objectives.
- Knowledge of applicable regulatory, compliance, and accreditation standards and requirements.
- Knowledge of governmental and payor reporting programs.
- Knowledge of value based care.
- Knowledge of CQI and outcomes management principles and practices.
- Knowledge of CQI tools.
- Knowledge of medical terminology.
Skills:
- Skill in effective use of quality and outcomes management tools.
- Skill in producing variety of outcomes reports.
- Skill in appropriate implementation into clinical practices.
- Skill in effective use of computer systems and electronic health records systems.
- Skill in project planning, task prioritization, effectively manages resources, outcomes measurement, and tracking. Takes initiative and exercises good judgment.
- Skill in effective problem solving to include data analysis and judgment to make effective decisions.
- Skill in effective change leadership knowledge.
- Effective oral and written communication skills
Abilities:
- Ability to analyze outcomes data and use statistical methods to identify trends and patterns and make independent judgments.
- Ability to make presentations and train staff in appropriate use of new clinical protocols aimed at improving outcomes.
- Ability to effectively interact as member of health care team.
- Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate practice management software.
- Ability to competently use the Electronic Health Record to obtain necessary information required.
- Ability to work independently.
- Ability to gather, analyze, and interpret complex data.
- Ability to prepare comprehensive management reports.
- Maintains high level of confidentiality at all times.
- Ability to build trust and gain respect through effective team leadership and participation skills.
- Ability to work under minimal direct supervision but maintain a high degree of communication of current work activity with supervisors.
SUPERVISORY RESPONSIBILITIES
Supervises the QI team members and population health specialists.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
- Graduate of an accredited college or university nursing program.
- A BSN or similar clinical degree preferred.
- Minimum 3 years of nursing or other clinical or clinical quality improvement experience, preferably in a medical practice setting.
- At least one year must have been in capacity as direct supervisor of other professional level employees.
LRMC offers benefits such as:
- Medical, Vision & Dental insurance.
- Employer matched 403B Retirement Plan.
- Paid Vacation time, Sick time, & Holiday's. As well as paid qualifying Administrative Leave.
- Employer Paid Health Benefits: Life / AD&D Policies, Short/Long Term Disability, and a Employee Assistant Plan.
