Director of Quality

4 weeks ago

Tampa, United States CareerBuilder Full time

Job Description

Job Description

Are you ready to embark on a career journey that's more than just a job? At Tampa Family Health Centers (TFHC), we're redefining healthcare, and looking for

Director of Quality

to be part of our dynamic team.

Position Summary
The Director Quality is responsible for all aspects of quality for Tampa Family Health Centers (TFHC). This role includes Quality Assurance, Quality Improvements, and is responsible for total Quality Management, Clinical Quality Care, adherence to State, Federal accreditation agencies regulations, patient safety and culture of safety, disease management and creating, implementing, and monitoring policies and strategies to ensure TFHC quality goals are met.

Essential Duties & Functions
Responsible for development, implementation, monitoring, and analysis of appropriate methods of quality

assessment/assurance

and quality improvement projects as part of the QI Program; maintains the Quality Improvement Plan (QIP)
Leads and directs process improvement activities that provide more efficient and streamlined workflow.
Ensures compliance with industry standard risk management guidelines overseen by regulatory agencies.
Creates and implements audit plans; risk assessments - prepares departmental reports for the Chief Operating Officer, Chief Regulatory Officer, Director of Regulatory and Compliance, and Chief Medical Officer, as needed.
Interacts with the Compliance Committee and Legal Counsel as needed.
Conducts quality and risk assessment activities which includes conducting field work at Health Center locations.
Creates and may conduct education programs related to compliance and risk-related topics.
Complies with federal, state, and local legal requirements by studying existing and new legislation; enforcing adherence to requirements; advising the Compliance Officer on needed actions.
Evaluates, trends and communicates quality related data and reports; present results of improvement efforts and ongoing performance measures of clinical processes within TFHC to senior leaders timely and accurately.
Responsible for timely completion of chart reviews and audits; has ownership for measurable results including HEDIS

goals/expectations,

patient experience, employee engagement, and quality improvement.
Resource expert for departments in area of process improvement as it relates to quality improvement activities.
Acts as the Infection Control Coordinator, ensuring infection control requirements are met.
Collaborates with senior leaders to process and monitor risk management review and investigations; responsible for investigating all issue, trends or risks factors that present potential risk to patients and staff.
Adhere to all HIPAA, OSHA and accreditation agency rules and requirements.
Ensure annual and new hire health screenings are performed.
Supervision of staff in Quality Programs Department; carries out supervisory responsibilities in accordance with TFHC policies and applicable law; responsibilities include interviewing, hiring and training employees; planning assigning and directing work; coaching and annual appraisals.
Maintains professional and technical knowledge by reviewing professional publications; benchmarking industry best practices; participating in professional societies; professional educational opportunities.
Maintain risk management certification annually.
Support the Mission, Vision, and Values of TFHC
Work closely and collaboratively with senior leaders in quality

assurance/improvement

and risk management issues.
Leads the customer service program by evaluating, trending and communicating customer service information and trends.
Implements and manages annual mandatory employee education to assure compliance with all State, Federal and accreditation agency requirements.
Works with TFHC data analyst(s) in reviewing, trending, and communicating QI related data and outcomes.
Conduct chart reviews for functions related to Quality Managements, Risk Management, billing, audit processes and other quality related areas.
Other duties as assigned.

Required

Education, Certifications, Licenses, & Training
Graduate of an accredited nursing school
MSN preferred.
Current and unencumbered nursing license in State of Florida
Current BLS Certification
CPHQ preferred.

Required

Years of Experience
Minimum of (2) years experience in a primary health care setting, community health or public health nursing
Minimum (2) years experience as a supervisor in a primary health care setting

Required Knowledge, Skills, and/or Abilities
Proficient in the use of an electronic health records system and applicable software applications, i.e. Microsoft Word, Excel, and PowerPoint
Ability to read, analyze and interpret common scientific and technical journals, financial reports and legal documents.
Strong communication skills, both written and oral
Demonstrated presentation skills.
Reasoning ability: able to effectively define problems, collect data, establish facts and draw valid conclusions
Comprehensive knowledge of medical diagnostic and procedural terminology
Knowledge of Stated and Federal regulations and requirements related to patient care

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