Facility Health Program Manager

3 months ago

Miami, United States Immigration And Customs Enforcement Full time

DUTIES AND RESPONSIBILITIES:

Health Operations Unit

Administration:

Works collaboratively with the Health Services Administrator as the subject matter expert and key advisor in the day-to-day management, development, implementation and monitoring of the following IHSC directed programs: Accreditation Readiness and Standards Compliance, Quality Improvement (QI), Risk Management (RM), Occupational Health, Environmental Health, Safety and Security, and All Hazards Emergency Preparedness and Response.
Serves as a key member of IHSC National QI, RM, and PHSP program initiatives not limited to attending regional/national meetings.
Monitors, reviews, coordinates, and ensures complete and timely reporting of compliance, incident reporting, risk management, quality improvement, environmental health, safety and security, occupational health, and all hazards emergency preparedness and response activities.
Secures and maintains all files and information in accordance with all established policies, procedures, and regulations.
Updates local operating procedures and forwards to HSA for approval.
Serves as liaison between investigators and facility staff. Provides policy, records, or other documentation required by investigator. Arranges interviews and prepares responses to action items.
Serves as an Acting HSA or AHSA when needed.
Travel required up to 25% as directed by the Unit Chief of Health Operations.

Accreditation:

Monitors and reviews established performance indicators for compliance with national IHSC policies and applicable standards [American Correctional Association (ACA), National Commission on Correctional Health Care (NCCHC), and ICE Performance Based National Detention Standards (PBNDS), and/or Family Residential Standards (FRS)].
Collaborates with the HSA in performing assessments of the health unit for accreditation under the appropriate standards and ensures the preparation of the health unit for any accreditation that the site is expected to obtain.
Prepares the facility for accreditation/re-accreditation audits, by reviewing processes, updating policy, training staff, and building folders for audit preparation, and record keeping for future re-accreditation audits.
Ensures compliance standards, including updates on national and local policies and procedures, are disseminated appropriately to staff in a timely manner.
Develops recommendations for improvements and success action plans (SAPs) if deficiencies are recognized during accreditation audits and health systems assessments.

Training:

Provides leadership, oversight, staff training and education on compliance with standards and accreditation, incident reporting, risk management/patient safety, quality improvement, environmental health, safety and security, occupational health, and
all hazards emergency preparedness and response.

Medical Quality Management Unit:

Quality Improvement/Risk Management

Provides leadership and oversight of the local QI and RM programs including develop, coordinate, implement, and monitor performance measures, associated tasks, and duties; chair local QI committee meetings; conduct data/trend analysis and implement improvement strategies establishing timeframes for continued monitoring.
Assists HSA in developing, coordinating, implementing, and monitoring associated tasks and duties related to the investigation of incident reports and adverse events; preparation of facility responses to correct the identified process issue; and reporting findings/recommendations in writing through established chains of communication within specified timeframes.

Public Health Safety and Preparedness Unit:

Programs

Provides leadership and oversight of the local environmental health, safety and security, all hazards emergency preparedness and response, and occupational health programs including develop, coordinate, implement, and monitor associated tasks and duties; conduct data/trend analysis and implement improvement strategies establishing timeframes for continued monitoring.
Assists HSA in developing, coordinating, implementing, and monitoring associated tasks and duties related to environmental health, and safety and security, including conducting daily, weekly, monthly, quarterly, and annual medical clinic inspections; all hazards emergency preparedness response including fire, emergency, and mass casualty drills documenting findings, identifying and implementing corrective actions; and occupational health including recording and reporting of occupational injuries and illnesses.

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