Job Description
POSITION SUMMARY:
The Director of Quality Improvement is responsible for overseeing the development, implementation, and monitoring of quality improvement initiatives, optimizing processes, elevating service standards, and ensuring consistent, high quality across all Innovive Health locations. This role oversees the Complaints & Grievance program, Infection Control and Patient Incident programs, as well as the Medical Records Department. In this highly collaborative position, the incumbent will work closely with other key stakeholders throughout the organization to ensure regulatory compliance, survey readiness, quality assurance, and more.
RESPONSIBILITIES:
- Oversees the Quality Improvement, Medical Records, and Infection Control departments including daily operations, staff, and budget.
- Partners with Clinical Leadership and other key stakeholders to ensure regulatory compliance and site survey preparedness.
- Collaborates with the Compliance Department to ensure full compliance with all state and federal guidelines and regulations.
- Oversees the organizations audit programs and the staff nurses encompassed (not including the "Chart Audit Department"), including but not limited to:
- Documentation requests
- Insurance Audits
- Department of Mental Health (DMH)/Social Security Requests
- Responsible for Clinical Plans of Corrections, including adherence to the Point of Care (POC) and working with staff to provide recommendations and guidance to ensure compliance.
- Develops, manages, and maintains an effective Employee and Patient Incident Program and ensures timely and accurate responses to all mandated inquires
- Oversees the organizations Complaints/Grievance program, ensuring timely submission of reports and follow up as indicated.
- Ensures Clinical Laboratory Improvement Amendments (CLIA) Waiver Certification is maintained as current for all locations.
- Oversees the Infection Control Program.
- Develops policy and procedures; collaborates with other stakeholders to review and revise policies and procedures as needed.
- Works in collaboration with the PI Director and staff to oversee the agencies Quality Assurance and Performance Improvement (QAPI) Program:
- Utilizes agency data to develop a Performance Improvement Initiative
- Works in collaboration with the PI Director and staff to implement a new yearly performance improvement initiative
- Contributes to the development of clinical educational content to support quality improvement initiatives and requirements.
- Cultivates an environment of continuous process improvement and leverages technology to optimize quality improvement workflows and strengthen overall performance.
- Serves as a member of internal and external committees, including but not limited to: Emergency Preparedness; Safety, and Compliance.
- Facilitates, develops, and implements special projects as assigned by the VP of Quality Improvement & Education.
- Attends community events as appropriate when pertaining to key issues affecting the organization or industry.
- Researches trends and best practices in relation to healthcare quality improvement in order to provide recommendations on policy revisions, process changes or technology enhancements, etc.
- Performs other duties as assigned.
COMPETENCIES:
- Effective communication skills (verbal and written), documentations skills, interpersonal skills, and problem-solving skills
- Demonstrates organizational and assertiveness skills, flexibility, and ability to work effectively in teams.
- Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.
- Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
- Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Managing People - Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates' activities; Makes self-available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products, and services.; Continually works to improve supervisory skills.
REQUIRED QUALIFICATIONS:
- Bachelor's degree from a program accredited by the NLN or equivalent in related work experience
- 5+ years' nursing experience
- 3+ years' clinical quality improvement/management experience
- 5+ years' management experience in a home health or related organization
- Proficient in Microsoft Office Suite
- Reliable form of transportation
PREFERRED EDUCATION & EXPERIENCE:
- 5+ years' management experience in a healthcare quality improvement role
PHYSICAL DEMANDS AND OFFICE ENVIRONMENT:
- Occasionally required to stand.
- Occasionally required to walk.
- Frequently required to sit.
- Continually required to use hands and fingers.
- Occasionally required climb, balance, bend, stoop, kneel or crawl.
- Occasionally required to lift/push light weights (less than 25 pounds).
TRAVEL REQUIREMENTS:
- Ability and willingness to travel locally and nationally approximately 25% to 50% of the time. Travel may be by car or plane. Weekend and/or evening travel may be required on occasion.
Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Other details
- Job Function Managerial Operations
- Pay Type Salary
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Job Tags
Work experience placement, Local area, Weekend work, Afternoon shift,