Director of Quality Management
Company: USPI
Location: Frisco
Posted on: April 25, 2024
Job Description:
Baylor Scott & White Medical Center Frisco is searching to hire
a Director of Quality Management - $10,000 sign-on bonus.
-
The Department Director is responsible for all quality departmental
functions in support of the hospital mission, vision, and facility
goals. - Identifies the cost-effective systems needed to support
the business of the department taking into account business trends,
resource availability and changes in customers. - Establishes
effective working relationships with all constituencies including
patients, physicians, employees and vendors. - Identifies and
remedies through continuous clinical outcome data and employee
involvement. - The Director has the responsibility and authority of
planning, organizing, controlling, coordinating and evaluating the
activities and functions of the Quality Management Department. -
This position is responsible for assisting the Vice President,
Medical Staff Affairs and the Manager of Peer Review to oversee the
Medical Staff Peer Review process. - This position also consults
with administration on Risk Management issues.
Required Skills:
Position Qualifications:
-
- Current license as a Registered Nurse in Texas.
- BSN Preferred. -
- One to three years' experience in Quality/Resource
Management.
- Relevant clinical experience and previous management experience
preferred.
- Knowledge of hospital organizations, committees, department
functions, and Performance Improvement activities.
- Demonstrate competent administrative, communication and
leadership skills.
- Knowledge of Joint Commission, Medicare, and TDSHS standards a
must.
- Basic computer knowledge. Word Perfect, Word, and Excel
required.
- Possess the ability to make independent decisions, and handle
multiple projects simultaneously.
-
Position Responsibilities:
-
- Develops and implements metrics and performance targets that
assess compliance with CMS, TJC and ISDH regulations and best
practices in medical management.
- Coordinates improvement activities for successful accrediting,
licensing and certification surveys (e.g., Joint Commission,
Department of Health, Centers for Medicare/Medicaid
Services).
- Assists with audits of medical staff for compliance with
policies and procedures and with regulatory and accreditation
requirements.
- Utilizes quality assurance and quality improvement evaluation
methodologies for measurement of protocol compliance and to sustain
survey readiness, including ongoing preparedness reviews.
- Analyzes data to determine trends and resource utilization for
use in optimizing compliance and to prepare reports describing
individual performance.
- Identifies through the analysis process a summary of issues
and/or policies that have the potential to negatively impact
clinical outcomes and/or the delivery of quality
healthcare.
- Assists in the education of providers in the importance of
following the documentation guidelines that have been established
in accordance with state, Federal regulatory and accreditation
requirements.
- Collaborates in the implementation, monitoring and reassessment
of quality improvement plans.
- Maintains working knowledge of CMS, TJC, ISDH and HIPAA
regulation standards as pertinent to the organization.
- Maintains the goals and objectives of the Quality Improvement
Program in line with the Hospital's Mission and goals.
- Monitors cases to identify trends and emerging issues and
presents to quality improvement committee.
- Conducts focused examination of conditions requiring correction
and develop a precise definition of the problem.
- Coordinates with providers to communicate and ensure adherence
to healthcare quality management guidelines.
- Assists in the development of improvement plans with
department/unit managers and supervisors in response to identified
deficiencies.
- Maintains documentation related to oversight including
schedules/calendars of audits and monitoring activities and
electronic and/or paper copies of audits and follow-up
activities.
- Establishes/maintains good relationships with CEO, CFO/COO, CNO
and department leaders to promote a cooperative and constructive
environment for improvement.
- Other duties as assigned.
Employment practices will not be influenced or affected by an
applicant's or employee's race, color, religion, sex (including
pregnancy), national origin, age, disability, genetic information,
sexual orientation, gender identity or expression, veteran status
or any other legally protected status. Tenet will make reasonable
accommodations for qualified individuals with disabilities unless
doing so would result in an undue hardship.
Keywords: USPI, Bedford , Director of Quality Management, Executive , Frisco, Texas
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