Director of Policy and Quality Management

1 month ago


Columbia MO, United States Boone Health Full time

Job Description
Additional Job Information
Physical Requirements
•Climbing – 26-75%
•Grasping, Pinching and Holding – 26-75%
•Lifting or Carrying – 26-75%
•Pushing or Pulling – 26-75%
•Reaching Overhead – 0-25%
•Sitting – 76-100%
•Squatting, Bending, Kneeling – 26-75%
•Standing – 26-75%
•Walking or Moving – 0-25%
•Weights Lifted 10-35 lbs.
Overview
Job Responsibilities:
Sets direction for Case Management/Social Services/Utilization Review which supports strategic and operational plans, and overall healthcare trends, by establishing goals and outcomes that are aligned with performance expectations and establishing targets and processes to support initiative of clinical quality and length of stay.
Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.
Ensures that the productivity and actions of that group meet/support the overall operational goals of the department and hospital as established by department leadership.
Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to the changes in the business which may affect the ability to achieve budget goals.
Participates in or leads, multidisciplinary initiatives deemed appropriate for this department’s participation.
Address patient complaints, conducts physician education regarding discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation.
Partners with physicians, quality, palliative care, and other departments to identify strategies to improve the mortality index and readmission of patients.
Identifies initiatives to progress patient care, work with the interdisciplinary team to ensure a safe and efficient discharge plan, as demonstrated by system goals, i.e. avoidable days.
Ensures that outcomes management activities are integrated and maintained in a clinically appropriate manner. Identifies and plans strategies to reduce length of stay and resource consumption while providing excellent customer/patient service.
Plays a leadership role in utilization review committee which includes identification of opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care.
Boone Health has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
Performs Other Responsibilities as Assigned.
Minimum Qualifications:
Degrees: Master's degree in nursing or business or must be able to obtain within one year; must be currently enrolled in a degree program at time of hire/transfer.
Or a current master’s degree in social work.
Experience: 5 Years in CM/SW or UR
Supervisor Experience: Five years of people management experience in a healthcare environment, preferably a hospital or health system.
Licenses & Certifications:
RN - Registered Nurse (preferred) - Missouri State Licensure and/or Compact State Licensure AND
CCM - Certified Case Manager within 1 year OR
ACM - Accredited Case Manager (NBCM) within 1 year OR
ACM - Accredited Case Manager (ACMA) within 1 year OR
ACM - Accredited Case Manager within 1 year OR
If not an RN: MSW-Masters Social Work-Missouri State licensure.
Preferred Qualifications:
Master’s degree
5 Years of CM/SW or UR experience in a hospital setting
5 Years of people management experience
Work Shift
Day Shift (United States of America)
Scheduled Weekly Hours
40
Legal Statement
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal Opportunity Employer



  • Columbia, United States ContinueCARE Hospital at Palmetto Health Baptist Full time

    The Director of Quality facilitates, and manages the ongoing, hospital-wide Quality program to ensure compliance with accrediting and regulatory agencies. Develops, implements and manages Quality Improvement plans, policies, procedures, and programs. Gathers, disseminates, documents and reports information quality metrics to facilitate compliance with...


  • Columbia, United States ContinueCare Hospital at Palmetto Health Full time

    Job DescriptionJob DescriptionThe Director of Quality facilitates, and manages the ongoing, hospital-wide Quality program to ensure compliance with accrediting and regulatory agencies. Develops, implements and manages Quality Improvement plans, policies, procedures, and programs. Gathers, disseminates, documents and reports information quality metrics to...


  • Columbia, United States ContinueCARE Hospital at Palmetto Health Baptist Full time

    The Director of Quality facilitates, and manages the ongoing, hospital-wide Quality program to ensure compliance with accrediting and regulatory agencies. Develops, implements and manages Quality Improvement plans, policies, procedures, and programs. Gathers, disseminates, documents and reports information quality metrics to facilitate compliance with...


  • Columbia, United States State of South Carolina Full time

    Job Responsibilities Do you have a passion to provide meaningful contributions to your community? Would you like to be part of an organization whose central mission is helping to protect, stabilize and strengthen the lives of South Carolina's children, families, and vulnerable adults? If so, the SC Department of Social Services has the right job opportunity...


  • Columbia, United States State of South Carolina Full time

    Job Responsibilities Do you have a passion to provide meaningful contributions to your community? Would you like to be part of an organization whose central mission is helping to protect, stabilize and strengthen the lives of South Carolina's children, families, and vulnerable adults? If so, the SC Department of Social Services has the right job opportunity...

  • Memory Care Director

    3 weeks ago


    Columbia, United States Five Star Quality Care, Inc. Full time

    Key Responsibilities The Opportunity We are looking to add a Bridge to Rediscovery Director (BTRD) to our team. The BTRD is responsible for the leadership of all aspects of the Bridge to Rediscovery (BTR) neighborhood in their community. As the leader of the BTR neighborhood, the BTRD is responsible for ensuring a person-centered culture is implemented and...


  • Columbia, United States Five Star Quality Care, Inc. Full time

    Key Responsibilities The Opportunity We are looking to add a Bridge to Rediscovery Director (BTRD) to our team. The BTRD is responsible for the leadership of all aspects of the Bridge to Rediscovery (BTR) neighborhood in their community. As the leader of the BTR neighborhood, the BTRD is responsible for ensuring a person-centered culture is implemented and...


  • Columbia, South Carolina, United States CSL Behring Full time

    The OpportunityThe Assistant Manager Quality (AMQ) reports to the Associate Director Quality.This position is located on site at our center in Columbia, SC.The Role Ensure the center is "inspection ready" by managing adherence to Standard Operating Procedures (SOPs), compliance policies and the quality system. Manage the Quality Control program,...


  • Columbia, United States Five Star Quality Care, Inc. Full time

    Key Responsibilities The Opportunity We are looking for a Dining Service Director to join our team. The Dining Service Director has the responsibility for leading the dining service team members toward client satisfaction with food quality and meal service. The successful leader will be responsible for developing effective working relationships with...


  • Columbia, United States Five Star Quality Care, Inc. Full time

    Key Responsibilities The Opportunity We are looking for a Dining Service Director to join our team. The Dining Service Director has the responsibility for leading the dining service team members toward client satisfaction with food quality and meal service. The successful leader will be responsible for developing effective working relationships with...


  • California, MO, United States Twist Bioscience Full time

    Director of Digital Product Management The Director of Digital Product Management will oversee the development, growth, and success of digital products and solutions within the organization. This individual will work closely with business stakeholders to define the vision, strategy and roadmap for digital products, processes and experience alignment with...

  • Registered Nurse

    2 weeks ago


    Columbia, United States Department Of Veterans Affairs Full time

    Summary This is an OPEN AND CONTINUOUS ANNOUNCEMENT. This announcement will remain open until September 30, 2024 (or when positions filled). The initial cut-off date for referral of eligible applications will be September 28, 2024. Eligible applications received after that date will be...

  • Registered Nurse

    2 months ago


    Columbia, United States Department Of Veterans Affairs Full time

    Summary This is an OPEN AND CONTINUOUS ANNOUNCEMENT. This announcement will remain open until September 30, 2024 (or when positions filled). The initial cut-off date for referral of eligible applications will be September 28, 2024. Eligible applications received after that date will be...


  • Saint Peters, MO, United States St. Croix Hospice Full time

    The Manager of Clinical Services is responsible for ensuring that patient care is coordinated and managed appropriately. This position is responsible for ensuring that care and services are delivered appropriately and for the supervision of clinical personnel Essential Job Functions/Responsibilities Receives case referrals. Reviews available patient...


  • Columbia, United States Johns Hopkins Howard County Medical Center Full time

    Johns Hopkins Howard County Medical Center is a private, not-for-profit, community health care provider, governed by a community-based board of trustees. Since its founding in 1973, the original 59-bed, short-stay hospital has grown into a comprehensive acute care medical center with 232 licensed beds. We specialize in women’s and children’s services,...


  • Columbia, South Carolina, United States Johns Hopkins Medicine Full time

    Johns Hopkins Howard County Medical Center is a private, not-for-profit, community health care provider, governed by a community-based board of trustees. Since its founding in 1973, the original 59-bed, short-stay hospital has grown into a comprehensive acute care medical center with 232 licensed beds. We specialize in women's and children's services,...


  • Columbia, South Carolina, United States Johns Hopkins Medicine Full time

    Johns Hopkins Howard County Medical Center is a private, not-for-profit, community health care provider, governed by a community-based board of trustees. Since its founding in 1973, the original 59-bed, short-stay hospital has grown into a comprehensive acute care medical center with 232 licensed beds. We specialize in women's and children's services,...


  • Columbia, United States Johns Hopkins Medicine Full time

    Johns Hopkins Howard County Medical Center is a private, not-for-profit, community health care provider, governed by a community-based board of trustees. Since its founding in 1973, the original 59-bed, short-stay hospital has grown into a comprehensive acute care medical center with 232 licensed beds. We specialize in women’s and children’s services,...

  • Assistant Director

    2 weeks ago


    Columbia, United States Celebree School of Columbia-North Full time

    **Benefits**: - Free Uniform Items - Team Building Initiative - Employee Referral Bonuses - Child Care Discounts - Paid Holidays - Free Continuing Education Units - Career Development - 401(k) - Paid time off **Hours**: Monday through Friday: 6:30 am to 3:30 pm or 9:30 am to 6:30 pm (Alternating shifts) **Job Summary** Get ready to embark on an exciting...


  • West Columbia, United States CSL Behring Full time

    The Assistant Manager Quality (AMQ) reports to the Associate Director Quality. This position is located on site at our center in Columbia, SC. The Role. Ensure the center is "inspection ready" by managing adherence to Standard Operating Procedures (S Assistant Manager, Manager, Quality, Assistant, Technology, Plasma