LVN Quality Improvement Manager

DHR Health - US:TX:Edinburg - Days Summary: MISSION STATEMENT: Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: The LVN/RN Quality Improvement Manager is responsible for assessing processes and practices for regulatory reporting and conformance to quality standards. Assists in the development, measurement, and evaluation of clinical systems and processes which improve efficiency, quality of care, and health outcomes in accordance with healthcare quality payment programs. Works closely with department leaders, providers, office staff, quality and IT leaders to implement improvements. POSITION EDUCATION/ QUALIFICATIONS : • Texas Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license required • Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians • Experience analyzing complex data and recommending remedial action • Experience regarding the use of Microsoft Office Suite. • Demonstrated leadership experience, prefer education and training experience • Ability to read, write and speak English JOB KNOWLEDGE/EXPERIENCE : • Minimum of three (3) years experience in a hospital, ambulatory, or combination of both settings. Prefer combination of clinical and office support experience. • Experience with Quality Payment Programs (MIPS/ACO/TIPPS/DSRIP) and quality reporting preferred • Must have excellent interpersonal, customer service and organizational skills • Requires reasoning ability and good independent judgement Responsibilities: POSITION RESPONSIBILITES: • Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices • The Manager is responsible for assisting quality management leadership and administration in the planning and execution of reporting for Quality Payment Program standards • Responsible for the oversight and training of Quality Improvement Specialist • Provide feedback, based on reporting to clinics, including: required team members, providers, and management • Provide a weekly/monthly scorecard to be sent to participating clinics and Administration for review of progress • Responsible for data collection and analysis, which drive the organization's compliance with quality payment program standards • Responsible for developing, organizing, managing, and evaluating the RMF's quality payment program participation process. These duties require the ability to apply the specialized principles and practices of health care management • In collaboration with Quality and Operations, develops and updates policies required for quality program compliance • Compiles evidence and reports of compliance with established standards of quality patient care • Promotes collaborative working relationships, creative problem solving, and flexibility • Ability to use sound judgment in decision-making that focuses on meeting and improving quality customer service and the delivery of patient focused outcome orientated health care • Reviews quality and performance measures for process improvement. Implements, evaluates, and monitors these activities giving feedback to the respective parties • Plays a critical support role in developing and coordinating internal review systems to assure that both clinical and administrative staff are in compliance with quality payment program standards and regulatory requirements • Prepares and analyzes data and makes recommendations for improvement. Immediately addresses any discrepancies. • Performs staff support work in short and long-range planning • Other duties as assigned LINES OF REPSONSIBILITES : (Chain-of-command) 1. Director of Lean Operations → 2. Chief Ambulatory Officer Other information: CUSTOMER SERVICE: Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service. AGE SPECIFIC : Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age. AMERICANS WITH DISABILITIES ACT: (ADA) : A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria. The following table provides physical requirements that will be associated with, but not limited to, this position: Light/moderate lifting up to 20 lbs, from the floor to shoulder height. Yes Kneeling Yes Must be able to assist other employees with lifting more than 20 lbs. Yes Walking Yes Light/moderate carrying up to 20 lbs. Yes Standing/Squatting Yes Straight pulling Yes Sitting Yes Pulling hand over hand Yes Pushing Yes Repeated bending Yes Stooping/Bending Yes Reaching above shoulder Yes Climbing Stairs Yes Simple grasping Yes Climbing Ladders No Dual simultaneous grasping Yes Depth Perceptions needed Yes Ability to see Yes Identify Colors Yes Operating office equipment Yes Twisting Yes Operating mechanical equipment Yes Crawling No Ability to read and write Yes Ability to Count Yes Ability to hear verbal communication without aid Yes Operating Personal Vehicle Yes Ability to comprehend written/verbal communication Yes Other: Ability to deal with stress Yes OSHA Category III B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way. D. Aptitudes: HIGH 1 2 3 4 5 6 LOW Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3 Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3 Numerical: Ability to perform arithmetic operations quickly and accurately. 2 Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2 Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3 Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2 Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3 Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3 Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3 Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3 Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3 I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform. If applicable certification will be completed within time frame of hire/transfer date. Employee Signature: Date: Transfer/Hire Date Effective: .