Risk and Quality Management Specialist

Role Overview

Summary/Objective: Under the direction of the Director of Risk and Quality, the Risk and Quality specialist will play an essential role in the coordination, implementation, and evaluation of daily quality, risk and insurance operations, including but not limited to project support and coordination. 

*This position will be a hybrid role, working Tuesday and Wednesday in our Irving, TX office and remote office M, Th and Fri.*

Essential Functions:   

• Independently handles patient complaints and dental injuries, investigates and resolves same, ensuring accurate and complete documentation.
• Identifies and escalates PCEs to the Director.
• Track trends in patient care and escalate unusual patterns.
• Provide administrative support, when needed, to the Quality Committee, including minutes.
• Assist in Patient Safety Organization processes.
• Ensure compliance with regulatory and accreditation standards.
• Coordinate and maintain Risk, Quality, and Insurance Programs per corporate initiatives.
• Manage insurance documentation, including policy renewals and updates.
• Collect, analyze, and report risk, quality, and insurance data securely.
• Ability to work under pressure and diplomatically have difficult conversations. 
• Ability to work under pressure and diplomatically have difficult and/or uncomfortable conversations with patients and clinicians while achieving the goal of reassurance with clinicians and service recovery with patients.
• Uphold NorthStar Anesthesia’s core values

Qualifications:

• Bachelor’s Degree, Healthcare Science or related. Preferred BSN or RN with relatable experience with quality improvement, infection control, employee health, accreditation and education.
• 2-3 years experience in patient complaint/grievance resolution required.
• 3 years of quality and risk management preferred.
• Recent experience in healthcare, quality improvement programs required. Experience with patient safety organization administration and outcome reporting preferred. 
• Comfortable and skilled at working with Physicians, CRNAs, health care providers and other stakeholders in the organization. Multistate practice experience preferred. 
• Equivalent combination of education and experience may be considered.  

Knowledge, Skills and Abilities:

• Proficiency in using Word, Excel, Outlook and Teams with the ability to quickly learn new software tools and risk management reporting systems.
• Strong leadership skills with the ability to be effective in getting task done while working through other people.
• Strong organizational skills with the ability to multitask.
• Ability to work in collaborative relationships within team and organization
• Resourceful problem solver who thrives in a face paced environment
• Ability to present materials in a concise and detailed manner, individually and to groups
• Strong clinical knowledge of the treatment/service needs of the persons served.
• Strong skills in assessing strengths and needs, treatment plan development and clinical service implementation.
• Analytical skills, including a working knowledge of basic statistics and statistical analysis methodologies.
• Ability to effectively present information and respond to questions from internal and external stakeholders.
• Ability to retain large amounts of information and be able to interpret written rules/regulations and make them applicable for others in a manner that meets their position and learning style.
• Ability to develop and implement strategic goals and plans.
• Strong organizational skills with the ability to multitask.
• Resourceful problem solver who thrives in a fast-paced environment.
• Ability to maintain confidentiality.

Qualifications

The Company

Company Philosophy

NorthStar provides quality anesthesia care while improving efficiency and accountability. It’s a proven performance-driven approach that’s better for everyone – patients, hospital administrators, surgeons, and anesthesia providers.

Company Mission

To provide the best clinical care and to help hospitals and surgery centers succeed.

NorthStar Anesthesia Overview

NorthStar Anesthesia was founded in 2004 by an anesthesiologist and CRNA (certified registered nurse anesthetist) that saw firsthand the frustrations and daily challenges caused by the traditional anesthesia care model.  

What if they could fix the broken anesthesia care model? What if anesthesia contractors stopped being absentee managers? What if patients, surgeons, providers and hospital administrators were treated more like customers and less like cogs in the system? The answer was NorthStar.  NorthStar Anesthesia is an anesthesia management company that provides anesthesia services to large and small hospitals, surgery centers, hospital administrators, surgeons, anesthesia providers and patients.

Today, NorthStar has over 180 facility contracts across 21 states and employs more than 2,500 providers nationwide.

NorthStar is backed by world-class financial partners.  It is a portfolio company of TPG, a global private investment firm with more than $70 billion in assets under management.  NorthStar has also recently announced a partnership with Cranemere, a holding company that partners with outstanding businesses for the long term. 

Benefits Include Medical, Dental, Life, Long Term/Short Term, Malpractice, 401k and more.

EEO/AA/M/F/Veteran/Disability Employer