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Quality Assurance Manager (Clinic)

Gardnerville, United States

Position Title

Quality Assurance Manager (Clinic)

Job Type

Full-Time

Classification

Exempt

Grade

E12 (72553.0 - 108830.0)

Department

Clinic Medical

Supervisor

Position Summary

Quality Assurance Manager designs, plans, and implements a comprehensive quality assurance management and quality improvement program encompassing clinical and related disciplines at the Washoe Tribal Health Center. The Quality Assurance (QA) Manager is responsible for the development, coordination, integration, and assessment of quality of care activities in accordance with the mission and strategic goals of the organization and in conformity with applicable regulations, requirements of funding sources, and ambulatory health care standards. The QA Manager will lead the organization in preparing for quality of care audits and accreditation surveys. Maintains confidentiality of all privileged information.
Minimum Qualifications
  • Required to possess and maintain a current Registered Nursing License or other applicable licensure in the State of Nevada (e.g. pharmacist, nurse practitioner, physician, etc.) from an accredited college or university. For out of state applicants; Nevada licensure is required within 180 days from hire.

  • Required to have a minimum of 2 years of work experience in Quality Assurance/Quality Improvement or 2 years progressive work experience in program development, process improvement, and evaluation of quality improvement processes.

  • Required to have knowledge of standard concepts, practices and procedures within medical or the healthcare field, strategic planning, program evaluation and healthcare financial management.

  • Knowledge of quality improvement principles, theories, concepts and clinical practice guidelines, accepted clinical practice, and evidence based medicine.

  • Knowledge, understanding and commitment to the principles and practices of risk management, clinical and tribal governance, patient to staff safety, patient rights and patient satisfaction.

  • Skill in operating business computers and office machines, including in a Windows environment, specifically Word, Excel, Access, and presentation software (such as PowerPoint).

  • Knowledge and proficiency in the use of Electronic Health Records, including analysis and interpretation of data using computer-based disease registries and population health management software, or similar data collection systems.

  • Must possess effective management skills with an emphasis on communication, collaboration, and interpersonal skills that exemplify verbal and written technical skill in a courteous, sensitive and professional manner to various individuals, cultures, and special population groups.

  • Works and interacts effectively and positively with other staff members to build and to enhance teamwork in the clinic and overall Washoe Tribal Health organization.

  • Recognizes, respects, and incorporates diverse views in the provision of care.

  • Analyzes situations with accuracy and takes effective action.

  • Relies on experience and professional judgment to plan and accomplish goals.

  • Must possess a valid Nevada or California driver’s license and reliable transportation.

  • Meets the physical demands of walking, standing, some lifting during the performance of normal duties.

  • Must pass a pre-employment alcohol and drug screening and pass a PL-101-630 Indian Child Protection and Family Violence Act Policy.

Essential Duties & Responsibilities
  • Develop, integrate, and administer a written Quality Management and Improvement (QMI) Program that is broad in scope to address clinical, administrative, and cost-of-care performance issues and patient outcomes.

  • Develop and implement the Continuous Quality Improvement Plan in accordance with the organizations mission, strategic goals, applicable laws and regulations, and accreditation standards. Assess plan periodically.

  • Partner with the Health Director and Clinical Program Managers to identify and establish quality of care priorities selected for ongoing monitoring and improvement.

  • Advises the Health Director on any problems related to the implementation and coordination of Quality Assurance activities and accreditation status.

  • Serve as Chairperson of the Quality Management & Improvement Committee. Lead, facilitate, and support the organization in its quality management & improvement activities. Coordinate meeting logistics, meeting calendar, agenda, minutes, training activities, provide in-service events etc., Provide annual evaluation of the effectiveness of Continuous Quality Improvement activities.

  • Identify opportunities for improvement, lead quality studies, and present findings to the Quality Management and Improvement Committee and Health Director.

  • Oversee the ambulatory health care accreditation process as it relates to quality improvement and risk management activities. Ensure conformity with the quality and safety standards set forth by the Accreditation Association for Ambulatory Health Care (AAAHC). Achieve accreditation readiness by:

  • Establishing and leading the QMI Committee

  • Identifying, monitoring and reporting on QMI Committee goals, activities and objectives

  • Coordinating quality studies

  • Conducting annual patient satisfaction surveys

  • Analyzing reporting data on patient grievances or complaints in partnership with the QMI Committee

  • Offering QMI training and guidance at all levels within the organization to ensure active and ongoing QMI practices; educating staff on the Continuous Improvement Plan, risk management processes, and their respective responsibilities in conforming with clinic policies and accreditation standards.

  • Communicating QMI activities and findings to all stakeholders

  • Providing support to clinic program managers on conducting and reporting Peer Review activities

  • Leading the organization in preparing for quality of care audits and accreditation surveys

  • Actively participate on various committees in order to further the mission of the Health Clinic and the goals of the QMI program, including but not limited to:

  • Privileging Committee

  • Emergency Preparedness Team

  • Employee Safety Committee

  • New Employee Orientation Team

  • Quality Management & Improvement Committee

  • Risk Management and Patient Safety/Infection Control

  • Submit end of month report.

  • Incumbent must remain continually up-to-date on changing legislation, technology, and health care issues in order to implement solutions to problem or to assure the QMI Program is meeting recognized standards, mission, objectives and goals of the organization.

  • Other duties as assigned.

Knowledge, Abilities, Skills, and Certifications
  • Required to possess and maintain a current Registered Nursing License or other applicable licensure in the State of Nevada (e.g. pharmacist, nurse practitioner, physician, etc.) from an accredited college or university. For out of state applicants; Nevada licensure is required within 180 days from hire.

  • Required to have a minimum of 2 years of work experience in Quality Assurance/Quality Improvement or 2 years progressive work experience in program development, process improvement, and evaluation of quality improvement processes.

  • Required to have knowledge of standard concepts, practices and procedures within medical or the healthcare field, strategic planning, program evaluation and healthcare financial management.

  • Knowledge of quality improvement principles, theories, concepts and clinical practice guidelines, accepted clinical practice, and evidence based medicine.

  • Knowledge, understanding and commitment to the principles and practices of risk management, clinical and tribal governance, patient to staff safety, patient rights and patient satisfaction.

  • Skill in operating business computers and office machines, including in a Windows environment, specifically Word, Excel, Access, and presentation software (such as PowerPoint).

  • Knowledge and proficiency in the use of Electronic Health Records, including analysis and interpretation of data using computer-based disease registries and population health management software, or similar data collection systems.

  • Must possess effective management skills with an emphasis on communication, collaboration, and interpersonal skills that exemplify verbal and written technical skill in a courteous, sensitive and professional manner to various individuals, cultures, and special population groups.

  • Works and interacts effectively and positively with other staff members to build and to enhance teamwork in the clinic and overall Washoe Tribal Health organization.

  • Recognizes, respects, and incorporates diverse views in the provision of care.

  • Analyzes situations with accuracy and takes effective action.

  • Relies on experience and professional judgment to plan and accomplish goals.

  • Must possess a valid Nevada or California driver’s license and reliable transportation.

  • Meets the physical demands of walking, standing, some lifting during the performance of normal duties.

  • Must pass a pre-employment alcohol and drug screening and pass a PL-101-630 Indian Child Protection and Family Violence Act Policy.

Physical Demands
  • While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to walk. The employee occasionally is required to operate a motor vehicle, stand, stoop, kneel, crouch, and/or crawl. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment
  • Work is generally performed in an office setting with a moderate noise level.