AK System Director of Quality Management and Accreditation Juneau

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profile Job Location:

Juneau, AK - USA

profile Monthly Salary: Not Disclosed
Posted on: 2 hours ago
Vacancies: 1 Vacancy

Job Summary

$25K Sign On and $10K Relocation Assistance

Shift: Mon-Fri

Responsible for the leadership strategic direction and management of the day-to-day activities of all Quality Management & Accreditation/Quality and Risk Management program including accreditation infection prevention and control employee health screening patient safety risk management compliance credentialing coordination of regulatory and accreditation compliance survey and all other quality related activities.

Responsibilities:

  • Develops and maintains the structure of the Quality Management & Accreditation division and fosters cross-disciplinary cross-department and cross-jurisdictional relationships.
  • Develops and manages the facility Quality Management & Accreditation/Quality Management program; leads and integrates quality improvement beyond the clinical setting to all divisions.
  • Formulates analyzes and implements Quality Management & Accreditation policies programs and procedures in alignment with facility objectives.
  • Manages facilitys accreditation requirements to ensure compliance with accrediting body standards; provides guidance regarding credentialing issues; serves as subject matter expert for interpretation and application of accreditation standards.
  • Approves and ensures compliance by applying consistent quality improvement processes; understands and utilizes rapid PDSA (Plan-Do-Study-Act) cycles as part of the performance/quality improvement initiative; implements facility Quality Management (SQM) concepts and perfect performance/quality improvement measures; promotes the facility Seven Standards of Excellence.
  • Works with Electronic Health Record (EHR) staff to incorporate capacity for quality measure; trains staff providers etc. to input quality measurement data; develops quality measurement reports.
  • Provides technical and/or administrative support to staff patients and others in resolving complaints and/or administrative problems; investigates complaints and concerns by collecting pertinent information; provides summary and recommendation action to the COO or directly respond to patients staff or others as appropriate; reports findings to Executive Leadership Team and/or facility Board of Directors.

Required

  • RN License or comparable clinical degree with experience and other specialized education/training in Quality Management / Performance Improvement.
  • Masters degree in health related or business field preferred
  • Certified Professional in Healthcare Quality (CPHQ) required within 18 months of hire

Experience Required

  • Five years health care administration or performance improvement management experience
  • Three years experience supervising health care professionals

$25K Sign On and $10K Relocation Assistance Shift: Mon-Fri Responsible for the leadership strategic direction and management of the day-to-day activities of all Quality Management & Accreditation/Quality and Risk Management program including accreditation infection prevention and control employee he...
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