Quality Risk Management Coordinator
2 weeks ago
Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.
As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:
We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.
The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.
Accountabilities / Responsibilities:
ead, facilitate, and advise the Center Quality Council and internal performance improvement teams:
Set the agenda and maintain meeting minutes
Ensure reporting of all mandatory and center specific monthly and quarterly reports for trends/areas for improvement to the Quality Council and Medical Executive Committee/Governing Body a minimum of quarterly:
Medical Record Audit reports; Monthly or quarterly data collection from ongoing systematic chart review to assess quality of documentation.
Infection Control reports
Hospital Transfer/Complication reports
Patient Safety; measurement of key measures of patient safety and hazard analysis/process redesign (adverse events, root cause analysis).
Life safety (environment of care); Provide for a detailed assessment and evaluation of the Environment of Care (EOC) and the associated conditions, staff education and readiness and the various processes. Framework for the EOC includes the management processes and systems that affect safety, security, hazardous materials, emergency preparedness, life safety, medical equipment, and utilities management.
Risk Management (incident reporting)
Adverse Drug Reaction reports
Cancellation logs
Service Satisfaction reports (patients, staff and physicians)
Center specific quality indicator reports as appropriate
PI reports; Collection, analysis and summary of performance improvement data.
Provides strategic oversight of proactive and reactive patient safety activities:
Root cause analysis.
Clinical practice guidelines
Sentinel Event Alerts
Identification and data collection of center specific quality indicators based on high risk, problem prone procedures as appropriate.
Review and revision of the PI Plan on an annual basis and preparation of the annual report of the PI program to the Medical Executive Committee/Governing Body.
Documentation of all Performance Improvement activities and maintenance of records for a minimum of three years.
Provides strategic oversight of proactive and reactive patient safety activities (continued):
Coordination of the center policies/procedures and processes to be in compliance with the current standards of applicable regulatory and accrediting agencies, and mandatory SCA Corporate policies.
Working with the Administrator/designee to ensure currency of all physician files, medical staff appointments and/or privileges and compliance with credentialing policies and procedures. Coordinating as appropriate the peer review process and aggregate individual peer review data for presentation and review by the Medical Executive Committee and Governing Body at reappointment.
Working with the Administrator/designee to ensure currency and completeness of all human resource and education files for center employees and contract personnel.
Maintain Center Survey readiness:
Assess center compliance with accreditation standards and regulations in collaboration with leadership and staff.
Identify areas of vulnerability and direct the development of strategies to enhance compliance.
Provide the overall direction necessary to ensure that clinical services provided are evidence-based, in accordance with standards established through state and federal regulations and applicable accreditation standards, including the National Patient Safety Goals.
Communicate Effectively Throughout All Levels of the Organization:
Proactively educate and train the leadership and staff regarding regulatory issues, new statutes/guidelines, and safety/quality/performance improvement activities and their respective responsibilities in carrying out the performance improvement program.
Maintain effective communication on current center activities related to Safety/Quality/PI and Accreditation and seek consultation as needed for support from the Regional Quality Coordinator or assigned Group Director.
Other duties as assigned by Center Administrator.
Qualifications:
Licenses or Certifications: Licensed Registered Nurse
Education, vocational training, and experience:
Registered Nurse with training and experience in quality/performance improvement and accreditation and regulatory standards.
Minimum of an Associate’s degree in nursing, Bachelor’s degree preferred
Work in concert with the Regional Quality Coordinator to implement the SCA strategic clinical-quality plan.
Possess excellent written and oral communication skills.
Knowledge of standards, survey methodology and related tools and resources for regulatory and accreditation requirements
Regularly accesses internal and external resources to maintain professional knowledge base.
Min: USD $42.00/Hr. Max: USD $50.00/Hr.
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, KS, United States SCA Health Full timeOverview: Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of...
-
Director of Quality and Risk Management
5 days ago
Overland Park, United States KPC Promise Healthcare Full timeKPC Promise Hospital of OVERLAND PARK: Director of Quality is responsible for organizing, leading, implementing and supervising day to day operations of the performance improvement and risk management programs. The director contributes to the organization's mission and vision by planning, designing, studying and assessing hospital-wide performance...
-
Director of Quality and Risk Management
5 days ago
Overland Park, United States KPC Promise Healthcare LLC Full timeJob DescriptionJob DescriptionKPC Promise Hospital of OVERLAND PARK: Director of Quality is responsible for organizing, leading, implementing and supervising day to day operations of the performance improvement and risk management programs. The director contributes to the organization’s mission and vision by planning, designing, studying and assessing...
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, United States Surgical Care Affiliates Full timeEad, facilitate, and advise the Center Quality Council and internal performance improvement teams: Set the agenda and maintain meeting minutes Ensure reporting of all mandatory and center specific monthly and quarterly reports for trends/areas for im Risk, Management, Coordinator, Registered Nurse, Quality, Medical Equipment, Healthcare
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, United States SCA Health Full timeOverview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, United States SCA Health Full timeOverview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, United States SCA Health Full timeOverview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, United States SCA Health Full timeOverview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Quality Risk Management Coordinator
2 weeks ago
Overland Park, United States SCA Health Full timeOverview: Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of...
-
ALTA RISK Renewal Underwriter, Specialty E&S
1 month ago
Overland Park, United States Alta Risk LLC Full timePosition: ALTA RISK Renewal Underwriter, Specialty E&S Location: Overland Park, KS Job Id: 4257 # of Openings: 1 Alta Risk, LLC is looking for experienced Renewal Underwriters for their company headquarters in Overland Park, KS. While adhering strictly to ALTA Risk’s Underwriting Guidelines and operating within the Renewal Underwriters Letter of...
-
RN, Risk Management Coordinator
2 weeks ago
Fresno, CA, United States Community Health System - CA Full timeOverview: *All positions are located in Fresno/Clovis CA*OverviewWe are looking for an RN Risk Management Coordinator to join our growing team. In this fast-paced environment, you will have the opportunity to collaborate with a close-knit team, all while caring for a wide acuity of patients. As the management coordinator, you will provide in-depth clinical...
-
RN, Risk Management Coordinator
2 weeks ago
Fresno, CA, United States Community Health System - CA Full timeOverview: *All positions are located in Fresno/Clovis CA*OverviewWe are looking for an RN Risk Management Coordinator to join our growing team. In this fast-paced environment, you will have the opportunity to collaborate with a close-knit team, all while caring for a wide acuity of patients. As the management coordinator, you will provide in-depth clinical...
-
Director, Quality and Risk
1 month ago
Monterey Park, California, United States tapwage Full timeOverviewMonterey Park Hospital, located in the San Gabriel Valley of Los Angeles, is a 101 bed acute care community hospital. Monterey Park Hospital has provided our community with advanced medical and culturally sensitive healthcare services for over 50 years. Monterey Park Hospital is recruiting for a Full-Time Director of Quality and Risk. This position...
-
Virtus Risk Solutions
4 days ago
Overland Park, United States Virtus LLC Full timeA winner of Best Places to Work in Insurance seven years in a row, Virtus is looking for innovative individuals to join our fast-paced, rapidly growing team headquartered in Overland Park, Kansas. Virtus is a next generation insurance consulting firm that focuses on middle market clients in a variety of lines of coverage. With locations in Kansas City,...
-
Risk Management Nurse/Quality Manager
14 hours ago
Stillwater, OK, United States Bridges Health Full timeThis Job is being Advertised for our Tulsa, OK Location.In nursing, there is a growing need to go beyond bedside care and to look more deeply at systemic opportunities to improve outcomes and quality of life. If you are a Nurse that is passionate about care but equally passionate about asking the question why-and determined to find answers-we would like to...
-
Risk Management Nurse/Quality Manager
12 hours ago
Edmond, OK, United States Bridges Health Full timeThis Job is being Advertised for our Edmond, OK Location.In nursing, there is a growing need to go beyond bedside care and to look more deeply at systemic opportunities to improve outcomes and quality of life. If you are a Nurse that is passionate about care but equally passionate about asking the question why-and determined to find answers-we would like to...
-
Risk Management Nurse/Quality Manager
10 hours ago
Guthrie, OK, United States Bridges Health Full timeThis job is in-person only and not eligible for remote work. The assignment will primarily support our Edmond, OK locations.In nursing, there is a growing need to go beyond bedside care and to look more deeply at systemic opportunities to improve outcomes and quality of life. If you are a Nurse that is passionate about care but equally passionate about...
-
Risk Manager
3 weeks ago
Hot Springs National Park, United States National Park Medical Center Full timeJOB SPECIFICATIONS:Education:RN/BSN other clinical degree or medical/clinical experience preferred. Certification:Certified Professional Healthcare Risk Management (CPHRM) preferred Certified in Healthcare Compliance (CHC) preferred Experience:Healthcare quality, patient care, or case management within a hospital or clinical setting. SKILLS:Leadership...
-
Manager of Coding Quality and Risk
2 weeks ago
Tampa, FL, United States The CSI Companies Full timeDo you want to work for a company that Forbes’ named one of the best employers of 2023? Do you want to fast-track your career by working for one of LinkedIn’s top companies in the US? If so, keep reading!Title of Job: Manager of Coding Quality and RiskCSI Companies is hiring a Manager of Coding Quality and Risk for our Fortune 100 healthcare...
-
Risk Management Nurse/Quality Manager
14 hours ago
El Reno, OK, United States Bridges Health Full timeThis job is in-person only and not eligible for remote work. The assignment will primarily our Bethany, El Reno and Clinton, OK locations.In nursing, there is a growing need to go beyond bedside care and to look more deeply at systemic opportunities to improve outcomes and quality of life. If you are a Nurse that is passionate about care but equally...