Description
General Summary of Position
Manages quality assessment and improvement activities, regulatory compliance, staff education and competency for assigned clinical area. Collaborates with physicians, nurses, and other members of the health care team to review, collect, analyze, and use data that reflects the performance of the organization and its services. Provides direction, support and education in performance assessment, maintenance, and improvement.
PRIMARY DUTIES AND RESPONSIBILITIES
Contributes to the effective management of the department. Establishes and meets annual goals that are developed to assist the department achieving its vision and mission. Attends and actively participates in appropriate and/or assigned department and/or hospitals committees as evidence by meeting minutes. Interacts effectively with leaders, subordinates, and peers to accomplish the goals of the department.
Maintains quality assurance policies and procedures in compliance with all regulatory agencies. Assures that the department plan aligns with the hospital plan. Maintains and monitors operating statistics.
Manages quality assurance activities. Coordinates development, education and monitoring of quality assurance protocols related to department procedures. Coordinates Q.A. audits and reports for department, hospital, and corporate Q.A. committees. Continuously instructs and educates department staff on the necessity of properly completing incident reports on a timely basis.
Directs the department's quality assurance activities. Audits/monitors all systems which impact the quality of department outcomes or service. Develops new processes to improve system performance within allotted resources. Assists in training and implementing performance improvement initiatives. Coordinates an effective communication system for system improvement notices or reminders.
Collects and provides statistical data for hospital related projects. Conducts and documents medical record reviews. Assists in performance assessments and improvement activities on a departmental and/or hospital-wide basis.
Collects data and provides reports to medical staff departments according to established time frames.
Collects, aggregates, displays, and conducts first level analysis of data obtained from monitoring and assessing the quality of patient care.
Educates the medical staff and other health care providers on proper documentation of rendered services.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops. Assists in performance assessments and improvement activities on a departmental and/or hospital-wide basis.
Evaluates progress on effectiveness of performance assessment, maintenance, and improvement.
Facilitates and supports performance improvement teams to improve processes and outcomes.
Gathers and analyzes data. Makes recommendations in collaboration with other health care professionals.
Integrates the patient care delivery system including medical, nursing and support services.
Interacts with medical support staff and/or hospital quality review committees to facilitate the recognition, research, isolation, and resolution of potential of problems for assigned case load.
Participates in meetings and on committees and represents the department and hospital in community outreach efforts as required. Performs other duties as assigned.
Provides staff support to medical staff departmental meetings as assigned. Participates in meetings and on committees and represents the department and business unit in community outreach efforts.
QUALIFICATIONS
Education
Bachelor's degree and/or licensing in a Rehabilitation specialty; knowledge of program development, program evaluation, and accreditation procedures Required and
Master's degree Preferred
Experience
3 years administrative or supervisory experience in a rehabilitation or healthcare setting. Required.
Licenses and Certifications
Clinical license and/or registration as required by discipline. Required.
This position has a hiring range of $72,758 - $123,260
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