Mgr Quality Care Mgmt
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Job Location:
Knoxville, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
3 hours ago
Vacancies:
1 Vacancy
Job Summary
Overview
Manager Quality & Care Management
Full Time 80 Hours per pay period Day shift
Fort Sanders Regional Overview:
Fort Sanders Regional is part of Covenant Health East Tennessees largest nonprofit health system and a Beckers Top 150 Places to Work in Healthcare. Covenant Health includes nine hospitals and nearly 150 service locations offering employees a comprehensive benefits package with tuition reimbursement student loan assistance certification bonuses and leadership development programs.
Position Summary:
Responsible for the planning organization management and evaluation of operations of quality care management infection prevention performance improvement regulatory compliance and medical staff services of assigned facilities. Responsible for the coordination of care and outcomes of clinical and operational metrics for all patients through the continuum of care. Knowledgeable in quality improvement principles regulatory and Care Management standards. The manager is responsible for budget management staffing hiring discipline and performance management for applicable departments. The Quality Manager/Care Manager is responsible for collaborating with appropriate enterprise leaders when applicable.
When the Quality Manager does not have oversight of Care Management those applicable accountabilities and performance criteria are non-applicable.
Responsibilities
- Develops department budgets that reflect effective management of resources to provide services.
- In collaboration with enterprise leadership facility leadership and medical staff assists in the development of strategic initiatives for the department and facility.
- Collaborates with interdisciplinary groups and leaders to identify and monitor key processes and patient outcomes. Uses various data sources including but not limited to publicly reported data to inform which processes and outcomes to monitor. Facilitates effective communication of results to medical staff and other key stakeholders.
- Identifies opportunities for improvement using Covenant performance improvement methodologies to implement corrective action plans and evaluate results for desired outcomes.
- Manages Care Management functions to ensure the coordination of care for patients so they move seamlessly through the continuum of care.
- Stays abreast of regulatory licensing and certification (Joint Commission CMS Leapfrog State etc.) standards to ensure processes are in place to achieve desired outcomes.
- Collaborates with the Peer Review/PQPR medical staff chair to operationalize assessments of peer review triggers and functions of the facility medical staff.
- Collaborates with clinical and medical staff to implement processes as needed to ensure financial and length of stay metrics are assessed and communicated to applicable medical staff and organizational leaders.
- Operationalizes a Care Management Model to ensure timely and effective throughput through the continuum of care. Serves as a coach mentor and role model for all team members.
- Oversees activities of medical staff credentialing FPPE/OPPE and departmental organization including but not limited to facilitating applicable medical committee meetings to ensure effective patient safety and regulatory compliance.
- Collaborates with enterprise infection prevention management and local leaders to assess and support the infection prevention strategies as needed.
- Oversees survey action plans and ongoing assessments of regulatory readiness for all accreditation certification and state surveys.
- Collaborates with nursing medical staff and other disciplines to assess and improve outcomes related to performance with various measures associated with publicly reported entities.
- Proactively seeks opportunities to reduce waste and redundancy in the utilization of resources.
- At a minimum participates in the Quality Peer Review Regulatory Infection Prevention and Credentials Committees. The Quality Manager may serve as the committee facilitator as needed.
- Communicates with medical staff to improve utilization of resources and compliance with evidenced based care as deemed necessary.
- Collaborates with medical staff and facility leadership to determine the frequency quality and monitoring of multidisciplinary rounds.
- Provides data to stakeholders on an ongoing basis to inform stakeholders on progress towards applicable enterprise and business unit clinical and operational goals.
- Local travel required.
- Follows policies procedures and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Qualifications
Minimum Education:
Bachelors degree or higher in Nursing Social Work Healthcare Administration Public Health or other related field.
Minimum Experience:
A minimum of five (5) years of experience with at least three (3) years in a hospital setting.
Licensure Requirement:
Must have and maintain a valid Tennessee RN license if degree is in Nursing. CCM ACM or CPHQ certification preferred. Employee must have a valid Tennessee drivers license and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.
Required Experience:
Manager
Key Skills
- Senior Care
- Nursing Home Experience
- Hospital Experience
- Acute Care
- Basic Math
- Computer Skills
- Caregiving
- Vital Signs Experience
- Medical Terminology
- Rota Management
- Mentoring
- Leadership Skill
About Company
Covenant Health is the top-performing healthcare network in East Tennessee. Our experienced staff is ready to support your medical needs.
