Director of Quality Management
2 weeks ago
Job Summary:
The Director of Quality will lead the implementation of quality goals and objectives for designated locations within the Allegheny Health Network. This role oversees the Quality function, collaborating with other Quality and Safety Divisions, including Patient Safety, Infection Prevention, Regulatory Preparedness, and Pay for Value. The Director will drive results to achieve top performance for clinical and pay for value measures, including Hospital-associated Infections, Core Measures, Patient Safety Indicators, CMS, and P4V program measures. Additionally, the Director will support Lean improvement efforts to realize efficiencies and maximize resource utilization.
Key Responsibilities:
1. Lead and/or facilitate internal quality initiatives to achieve successful outcomes and minimize harm to patients and staff.
2. Maximize the impact of P4V programs, CMS, Payor, and Public Reporting, including focused efforts on opportunities for improved documentation within the record.
3. Collaborate with Institute/Departments/Centers and Facility representatives to design and implement best practices and drive highest performance outcomes.
4. Provide ongoing communication on progress, opportunities for improvement, and direction on areas of focus throughout the year to various stakeholders and forums.
5. Provide ongoing educational support for departments in areas of performance improvement, including quality models, lean instruction, analysis, facilitation, etc.
6. Ensure capture and management of all quality-related data, ensure timely reporting and transmission of information, and provide useful quality analytics to inform decision-making.
Requirements:
1. Master's degree in Nursing, Health Administration, or similar degree.
2. 3-5 years' experience in developing, implementing, and anchoring outcomes in process improvement results.
3. Clinical experience in nursing, pharmacy, or PT/OT.
4. Preferred: Lean or Six Sigma Certification, CPHQ Certification, 1-3 years' experience with CMS, Insurer-based pay for value programming, 1-3 years' experience with Joint Commission and CMS Regulations, and 1-3 years' experience with work in a matrix organization and successfully driving results.
Disclaimer:
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct, including but not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact HR Services Online.
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