QA/QI Manager
Location: Indianapolis Indiana
Description: Shalom Health Care Center, Inc. is at the momment seeking for QA/QI Manager right now, this position will be placed in Indiana. Detailed specification about this position opportunity kindly read the description below. POSITION SUMMARY: The QA/QI Manager participates in ongoing Quality Assurance/Quality Insurance (QA/QI) activities under the direction of the Medical Director/Chief Medical Office! r. The QA/QI Manager is responsible for collection, analysis, and reporting of data to support quality management objectives. Essential Duties: Monitor and evaluate patient care activities to identify trends and opportunities for improvement. Develop evaluation tool that will produce quantitative and qualitative data and findings to validate compliance by vendors. Monitor and evaluate patient satisfaction surveys: a) process data collection and analysis of data by internal staff and outside consultants; and b) develop written reports of findings and recommendations for executive team, program managers and Board of Directors Committees, as directed. Conduct audits of electronic and paper clinical case records for documentation to support Medicaid billing invoices. Initiate development of QA/QI organizational plan for regulatory compliance, evidence based care and standards of practice and clinical reimbursements. Investigate patient and provider complaints and grievances. Mo! nitor and evaluate use of appropriate patient triage. Monitor ! and evaluate contract compliance for base hospitals, pre-hospital care providers and trauma centers. Provide overall direction necessary to ensure clinical services are provided in accordance with standards established through State and Federal regulations and accreditation standards. Initiate and oversee the planning and development of policy and procedure for high risk areas. Provide strategic oversight of proactive and reactive safety activities including root cause analysis and failure mode effects analysis in regards to the facilitation of process, planning, implementation and evaluation of effectiveness of process changes. Assess entity compliance with accreditation standards and regulations related to clinical care in collaboration with Shaloms management team and clinical staff. Identify areas of vulnerability and directs the development of strategies to enhance compliance. In conjunction with the Medical Director/CMO and Shaloms management team, direct and coordina! te safety/quality performance improvement initiatives. In collaboration with clinical staff, participates in monitoring, reporting and improvement activities related to clinical guidelines, healthcare quality/safety initiatives, accreditation and regulatory requirements. Lead, facilitate, consult and recommend process improvement initiatives to comply with major improvement initiatives, assisting in the maximizing scores for publicly reported data and benchmarking. Work effectively in multi-disciplinary teams, leading and facilitating, to move the organization to new areas of excellence. Assist in writing grant proposals for additional funding. In collaboration with the Medical Director/CMO and Shaloms management team, responsible for assessing clinical staff education needs and competency checks
Education & Qualification: Graduate of an accredited School, College or University and possess at least one of the following combinations of education and experience: As! sociates Degree or Diploma in Nursing or Social Work, plus four (4) yea! rs certified hospital or outpatient nursing or case management experience; OR Baccalaureate Degree in Nursing (BSN) or a health or human services field, plus three (3) years certified hospital or outpatient nursing experience; OR Baccalaureate Degree in Social Work (BSW) or a health or human services field, plus three (3) years certified hospital or outpatient case management experience; OR Masters of Public Health (MPH), plus two (2) years QA/QI experience; OR Masters of Social Work (MSW), plus two (2) years case management; AND- Patient Centered Medical Home (PCMH) experience/knowledge, a plus.- Experience in Quality Improvement, Quality Assurance, and Risk Management.Knowledge, Skill, Ability and Work Difficulty: Working knowledge of QI/QA in order to independently make appropriate decisions that impact Shalom Health Care Centers accreditation and financial well-being. Able to develop and maintain effective interpersonal relations, maintain confidentiality of data, infor! mation, and activities, Able to perform detailed, concentrated work with limited supervision. Demonstrates statistical thinking skills, including knowledge and use of simple statistics, process variation and data analysis in order to provide data analysis. Bilingual â€" English/Spanish preferred. Working knowledge of Microsoft platforms (MS Word, Excel, PowerPoint, etc.). Working knowledge of Electronic Medical Record (EMR) software (e-Clinical Works, preferred). Excellent interpersonal skills. Demonstrate leadership, organization and communication expertise. Excellent verbal and written communication skills. Physical Demands and Work Environment: Pass a physical examination after being offered employment and a health assessment annually, thereafter. Clear annual TB, influenza, and other communicable disease testing. Perform under pressure of patients and clinic staff needing assistance to meet deadlines. Exposure to indoor office florescent lights. Exposure to computer mon! itor. May be required to stand or sit for prolonged time period. May be! required to bend stoop, kneel, pull, climb, reach, lift, and perform repetitive movements of the upper extremities. Requires normal hand-eye coordination and dexterity. Requires normal vision capability. Distinguish letter, numbers or symbols. May be exposed to small amounts of hazardous materials. May be exposed to unsanitary conditions in some home settings. Exposure to weather and temperature extremes.
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Shalom Health Care Center, Inc..
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Tue, 02 Apr 2013 10:07:42 GMT
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