Patient Safety Nurse Health Plan Manager

2 weeks ago


Irving, Texas, United States Christus Health Full time
Job Summary

The Program Manager Patient Safety Nurse Health Plan will collaborate with the Manager of Health Plan Quality to develop and implement a patient safety program that meets contractual and accreditation requirements. This role will review and assess patient safety medical record reviews, prepare summaries for the Medical Director and Peer Review Committee, and provide feedback to providers, facilities, and credentialing departments.

Key Responsibilities
  • Develop and coordinate educational activities for providers and staff to enhance patient safety.
  • Collaborate with the Manager of Health Plan Quality and other team members to ensure compliance with contractual and accreditation requirements.
  • Conduct routine readiness assessments, evaluations of procedures, and complete all USFHP deliverables related to contractually required Patient Safety reporting.
  • Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Active collaborator with multiple internal departments to create and implement various programs/plans under the Quality program/banner.
  • Observe and identify trends and potential strategies for Patient Safety issues by collaborating with the Health Plan Quality Manager, Director of Health Plan Quality, Chief Medical Officer, and health plan staff.
  • Track and trend barriers/challenges that exist to achieve better outcomes, including access to databases, lack of follow-up, or documentation.
  • Develop and initiate patient safety programs for internal and external customers.
  • Facilitate communication between providers and health plan to optimize patient safety, reduce inpatient admissions, reduce re-admissions, and improve medical stability in the patient population served.
  • Responsible for coordinating patient safety data and evaluating the quality and completeness of clinical documentation processes.
  • Participates in the development and ongoing implementation of quality improvement activities by providing regular and ongoing provider/staff support and education.
Requirements
  • Associate degree in nursing required.
  • Bachelor's degree in nursing preferred.
  • 2 years' experience with Electronic Medical Record required.
  • 4 years of clinical experience preferred.
  • Registered Nurse Licensure required.


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