Clinical Quality Patient Safety Manager
About The Position
The Clinical Quality Patient Safety Manager oversees patient safety activities, including quality investigations, tracking and trending quality issues, provider corrective actions, process completeness, and case review meetings. The role ensures that appropriate entities are notified in a timely manner about potential and confirmed patient safety issues and manages a clinical team of CQM Patient Safety Specialists. The manager contributes to the annual Clinical Quality Management (CQM) plan, attends committees, and ensures deliverables are submitted. The role also supports start-up activities for Optum’s Veterans Administration Community Care Network (VA CCN) and other CQM initiatives. Initially, the manager works with the leadership team to design, develop, and launch the business operations for the VA CCN program. The position provides day-to-day supervision, mentoring, goal setting, performance evaluations, case assignment, training development, reporting, auditing, and coordination with internal and external stakeholders. It analyzes clinical and administrative data, tracks deadlines and risks, supports peer review and committee activities, and provides expertise on potential quality issues and the CQM investigation process. The role works under the supervision of the Director of Clinical Quality Management. Remote work is considered, with minimal travel. The position is associated with Eden Prairie, and telecommuting is considered for candidates who meet the stated internet-access or proximity requirements.
Requirements
- Current, active RN license without restriction in the required state(s).
- At least 3 years of clinical experience.
- At least 2 years of supervisory or management experience.
- At least 2 years of direct clinical quality experience.
- Knowledge of accreditation activities.
- Excellent interpersonal, communication, and writing skills.
- Detail-oriented, with strong organization, multitasking, and time-management abilities.
- Broad clinical knowledge and experience.
- Moderate to advanced computer skills, particularly with Microsoft Office software, including Word, Excel, Access, and PowerPoint.
- Experience with new clinical business start-up, including program design, staff hiring, policy and procedure development, staff training, and system design and testing.
- Knowledge of clinical standards of care and practice guidelines.
- Prior oversight of KPIs, performance, and contractual metrics.
- Prior analytical quality or safety analysis experience.
- People leader management experience.
Nice To Haves
- Bachelor of Science in Nursing (BSN).
- Certified Professional in Healthcare Quality® (CPHQ) or Certified Professional in Patient Safety (CPPS).
- Government program experience, such as TRICARE and/or VA.
- Acute care patient safety or quality experience, such as event reviews, root cause analysis (RCA), or Medical Peer Review.
Responsibilities
- Work with the leadership team on the design, development, and start-up of the VA CCN program.
- Supervise CQM Patient Safety Specialists and ensure potential quality issue investigations are completed and closed in a timely manner.
- Ensure quality issue investigations meet contractual turnaround-time requirements.
- Mentor team members, set goals, and prepare development plans and performance evaluations.
- Review and assign cases according to staff skill level.
- Develop and maintain CQM training modules, policies, procedures, work instructions, and other training or guidance tools; conduct relevant training sessions.
- Prepare reports, facilitate case review meetings, participate in quality improvement projects, and request and analyze data queries.
- Assist with preparation of cases for peer review activities and quality committees.
- Track deadlines and timeframes, collect data to ensure requirements are met, and communicate potential barriers or risks.
- Audit case reviews to ensure reviewers complete them accurately and consistently.
- Work cross-functionally and coordinate with internal and external stakeholders.
- Analyze and interpret clinical and administrative data to assess whether standards are met and provide rationale.
- Manage or actively participate in meetings.
- Provide explanations, expertise, and information about potential quality issues and the CQM investigation process.
- Contribute to the annual CQM plan, attend committees, and ensure deliverables are submitted.
- Perform other duties as assigned.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
