Clinical Quality Director

This position works closely with Administration, Providers, Leaders and Staff to ensure awareness of quality and patient safety, and to facilitate improvement efforts in all areas.

Key Essential Functions and Accountabilities of the Job

May include any and/or all of the below:

• Assists with the development, implementation, and maintenance of a strong Consortium-wide Quality Management (QM) Plan, ensuring that all sites have quality programs that support the overall QM Plan while being integrated into the needs of the various sites.

Facilitates and promotes quality improvement measures and initiative. Ensures compliance is monitored and reported in an appropriate and timely manner.
Offers feedback, suggestions and problem solving to ensure that the QM Plan and programs guide SEARHC improvement efforts. Uses skills in data analysis, chart reviews, and other QM tools/methodologies to carry out an effective QM Plan.

• Develops, maintains, and utilizes sound working knowledge of accreditation and regulatory standards (TJC / CMS /OSHA / DNV, etc.) and serves as primary resource for interpretation and application of standards as they pertain to SEARHC.

Remains actively involved in continuing education/training/conferences to keep abreast of standard changes.
Facilitates/coaches/guides leadership and staff to better understand regulatory standards and how to meet these in the most proficient manner for the organization and resources allotted.
Assures appropriate action plans are developed, implemented, and monitored based on data and leading practices as needed to meet regulations.

• Works closely and collaboratively with the QM Manager, front line leaders on quality assessment and risk management issues.

Investigates all concerns, trends, or risk factors that present risks or safety concerns to patients and the organization.

• Works with Medical Staff leadership and applicable committees on procedural issues related to Medical Staff peer review. This includes the assistance with the development and maintenance of subcommittee specific Clinical Indicators for review.
• Identifies and prepares peer review cases for the Medical Director. This entails detailed chart reviews and a strong clinical background. Assigns and tracks cases designated for review to appropriate staff members.
• Works closely and collaboratively with the Medical Director, CMO, and SEARHC Corporate Counsel as needed, on quality of care and risk management issues stemming from peer review activities.
• Communicates professionally and effectively with all levels of the organization; serves as a resource, mentor, and role model for others as QM is continuously integrated into everyday processes within the organization.
• Other duties as assigned including cross coverage of other QM Team member roles.

Education, Certifications, and Licenses Required

• Current full, unrestricted, active Registered Nursing license in Alaska. Direct Hire must have applied for an Alaska nursing license before the start date. Agency staff must have an active Alaska license.
• Certified Professional in Healthcare Quality (CPHQ), or similar certification obtained within 3 years - required.

Experience Required

• 3 years’ experience monitoring quality and regulatory requirements, planning, and coordinating process changes.
• Demonstrated experience that shows leadership skills in facilitating and leading cross-functional teams and in working collaboratively with groups or teams.

Knowledge of

• Knowledge of accreditation requirements for a healthcare system to include acute care, ambulatory and or behavioral health.
• Strong working knowledge of patient care principles and practices
• Understanding of quality improvement concepts and practices
• Medical peer review principles
• Concepts around medical practice and standards of care
• Solid understanding of risk management
• General knowledge of organizational functions and operations.
• Knowledge of group processes and ability to lead processes.

Skills in

• Experience with Data Analytics in the collection, analysis, and presentation of data
• Excellent verbal and written communication skills
• Skill with medical chart reviews and extraction of data
• Oral and written communication skills.

Ability to

• Ability to focus and prioritize to attain goals.
• Effectively solicit ideas and information from individuals and groups.
• Ability to define problems, collect data, establish facts, and draw valid conclusions

Required Certifications:

Basic Life Support (BLS) - American Heart Association, Certified Professional in Healthcare Quality - National Association for Healthcare Quality, Registered Nurse License - State of Alaska - Alaska State Board of Nursing

Job Type: Full-time

Pay: From $114,000.00 per year

Schedule:

• 10 hour shift
• 12 hour shift
• Day shift
• Evening shift
• Night shift
• Overnight shift

Experience:

• Quality management: 3 years (Required)

Work Location: In person

Salary : $114,000