About the position
In addition to the responsibilities listed above, this role is also responsible for guiding others to schedule and perform the site reviews, medical record reviews, and Physical Accessibility Review (PAR) surveys; independently conducting complex site visits for ambulatory care and affiliated sites, as needed; independently creating, planning, and enacting strategy to ensure survey performance is in accordance with all regulatory requirements via rounds with staff, leaders, and providers; building educational complex principles for the relevant topic (e.g., stroke certifications) to aid staff understanding of organizational priorities; evaluating alignment of patient care towards standards and statues within the program as well as compliance with regulatory, accreditation programs, and national guidelines, independently; serving as a consultative resource for complex regulatory and accreditation programs recommendations, relevant program practice guidelines, order sets; conducting the planning and execution of long-term Ambulatory Surgery Centers/Units (ASCs or ASUs) quality and patient safety priorities, in alignment with regional and organization-wide goals; serving as an internal expert resource for aid in development and implementation of regional strategies that include a region-wide plan for routine surveillance of quality and patient safety systems and policy administration in the regions ASCs/ASUs; participating in regional cross-functional teams, as appropriate, to drive clinical improvements and efficient use of resources; driving others to support Graduate Medical Education (GME) for non-physician roles (Hospital Markets Only); independently communicating regulatory, policy, patient safety and quality program status and issues to program leads, business owners, and leadership; may be helping to define issues and provide consultative expertise for regulatory and accreditation programs recommendations, relevant program practice guidelines; and coordinating and maintaining clinical and service quality improvement activity summaries for regulatory oversight bodies.
Responsibilities
- Promotes learning in others by communicating information and providing advice to drive projects forward.
- Builds relationships with cross-functional stakeholders.
- Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members.
- Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit.
- Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback.
- Models team collaboration within and across teams.
- Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies.
- Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results.
- Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals.
- Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
- Serves as the subject matter expert for regulations projects/committees, and internal stakeholders by providing consultation on the interpretation and interaction of current policies.
- Develops data management and reporting processes by entering complex practitioner/provider data and conducts data cleaning as needed.
- Ensures licensing and accreditation by independently reviewing and guiding others to review requirements for new, existing, and expanding facilities/services.
- Identifies and recommends improvements to processes of responding to regulatory audits and survey preparedness efforts.
Requirements
- Minimum three (3) years of experience in a leadership role with or without direct reports.
- Minimum three (3) years of experience with databases and spreadsheets.
- Bachelor's degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND minimum seven (7) years of experience in health care operations, quality, risk management, hospital environment, or a directly related field OR minimum ten (10) years of experience in health care operations, quality, risk management, hospital environment, or a directly related field.
Nice-to-haves
- Knowledge of Health Care Policy.
- Health Care Data Analytics.
- Consulting skills.
- Managing Diverse Relationships.
- Delegation skills.
- Project Management skills.
- Risk Assessment skills.
- Quality Assurance Process knowledge.
- Credentialing Database Systems knowledge.
- Health Care Quality Standards knowledge.
- Evidence-Based Medicine Principles knowledge.
