Quality Manager

3 weeks ago


Show Low, United States ChangePoint Integrated Health Centers Full time

**Job Code**

040

**Status**

Exempt

**Lines of Authority**

This position is under the direct supervision of the CEO. This position supervises the Quality Data Analyst and Medical Records Coordinator.Works collaboratively with executive leadership and management to provide feedback regarding quality management, information technology, utilization management, primary care administrative and clinical operations, and clinical medical record information.

**Position Summary**

The Quality Manager is responsible for oversight and management of all Quality Management and Medical Records and performs Special Projects as requested. Works cooperatively with all staff throughout ChangePoint

This position oversees clinical record reviews for monitoring compliance with regulatory agencies and payers and the monitoring and evaluation/revision of the Quality Management Plan. Activities include but not limited to CARF Accreditation, CMS, AHCCCS, grants, training, and development activities. This position is responsible for the implementation and coordination of the Quality Management & Information Management Plans, surveillance, reporting, analysis, investigation, program evaluation, education, audit activities

This position also takes on special projects such as marketing designs and campaigns, community engagement and advertising

**Duties and Responsibilities**
- Adheres to personnel policy and complies with agency requirements for ethical and professional behavior.
- Provides management and oversight of all Quality Management Employees & Patient Safety and Medical Records programs. Provides on-going review and implementation of the organization's Quality Management, Utilization Management & Information Management Annual Evaluation and Plan.
- Works closely with others to assure organizational compliance with standards. Facilitates, tracks performance, monitors and consults on all quality and utilization management, documentation standards and compliance, and employee and patient safety.
- Provides support of the Medical Office Clinic. Provide support for the operational performance of the clinic and provider quality metric performance.
- Inspects environment and observes personnel activities for the purpose of detecting patient safety. Monitors and evaluates compliance with standards.
- Serves as a liaison between facility and state/local agencies.
- Monitors, investigates, and reports all incident reports within ChangePoint for both employee and patient populations. Conducts ongoing surveillance of all quality and safety issues and concern, gathers and interprets data and keeps accurate records of all findings.
- Able to produce verbal and written reports and visual graphs to reflect data analysis.
- Provides and develops training, in-services and orientation programs concerning for quality and patient safety, privacy and security issues
- Assists and participates with any selection and purchase of all equipment and/or supplies that relate to patient safety
- Promotes quality and safety to help maintain a safe and pleasant work environment, follows safety regulations, and actively contributes towards a safe workplace. Make recommendations to supervisors related to employees' performance, training needs and level of comprehension
- This position manages all organization complaints and incident reports through a organized reporting system and procedure. Collaborates with appropriate executive leadership and managers on area of concerns. Investigates, tracks all communication, problems and maintains accurate complaint and incident reporting documentation and resolution.
- Participates in ongoing education and training including but not limited to Quality & Patient Safety, Health Information Management, Privacy and Security
- Perform other duties as may be required by COO.

**Primary Contacts**

Frequent interaction with staff, vendor, patients (and families).

**Position Requisites**

Qualifications and Experience

Required:

- Bachelor's Degree in social work, psychology, computer technology or healthcare leadership (or 5 years equivalent experience)
- Valid Arizona Driver's License
- Comply with a Drug Free workplace
- Fingerprint Clearance.

Preferred:

- 7 years equivalent experience
- Nursing techniques
- Excellent understanding of computer systems, security, network and systems administration, database

and data storage systems, and telecommunications systems
- Management experience.
- CPHQ, ITIL and/or RHIA certification

Skills/Abilities

Required:

- Fluent in English both verbally and in writing.
- Literate.
- Able to effectively employ analytical and problem-solving skills.
- Possesses knowledge of the basic principles of epidemiology and the infectious disease process.
- Possesses a working knowledge of agents which cause disease, reservoirs, knowledge of spectrum of disease, disease carriers' modes of transportation, host factors that enhance susceptibility, colonization of infection, and approaches to



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