DIRECTOR OF QUALITY & RISK MANAGEMENT

GRAYSTONE OPHTHALMOLOGY ASSOCIATES PA•Hickory, NC
•Onsite

About The Position

Management to lead our comprehensive quality improvement and risk mitigation programs, including the development and oversight of a Chronic Care Management (CCM) program. In this critical leadership role, you will play a pivotal role in ensuring exceptional patient care, optimizing clinical processes, safeguarding the organization from potential risks, and improving health outcomes for patients with chronic conditions.

Requirements

  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to write reports, business correspondence, and procedure manuals.
  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
  • Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Ability to apply fair judgment to resolve problems involving several concrete variables in standardized situations.
  • Proficient and accurate typing skills.
  • Excel and Word experience.
  • Telephone etiquette.
  • Attention to details.
  • Proven track record of success in developing, implementing, and maintaining quality improvement and risk management programs in a healthcare setting, including experience with chronic care management programs.
  • Strong analytical and problem-solving skills.
  • Excellent communication, interpersonal, and leadership skills.
  • Ability to work independently and as part of a team.
  • Bachelor's degree in Healthcare Administration, Public Health, or a related field with a minimum of 7 years of experience in healthcare quality and risk management, with experience in chronic care management (or a Master's degree with 5 years of experience).

Nice To Haves

  • Proficient in Microsoft Office Suite and healthcare quality management software (preferred).
  • Master's degree in Healthcare Administration, Public Health, or a related field (preferred).
  • Certified in healthcare quality improvement (e.g., CPHQ, Six Sigma) or a related field (strongly preferred).
  • Registered Nurse (BSN)

Responsibilities

  • Develop, implement, and oversee a comprehensive Quality Management program that aligns with industry best practices, regulatory requirements, and includes the creation and maintenance of a Chronic Care Management (CCM) program.
  • Lead a team of quality specialists and risk management professionals in conducting audits, data analysis, root cause investigations, and program evaluations specifically related to the CCM program.
  • Identify and implement strategies to minimize risks, prevent errors, and ensure patient safety, with a particular focus on managing chronic conditions through the CCM program.
  • Analyze quality data, trends, and performance metrics related to the CCM program to identify areas for improvement and develop corrective action plans.
  • Collaborate with physicians, nurses, care coordinators, and other healthcare professionals to promote a culture of safety, quality, and effective chronic disease management within the organization.
  • Oversee the development and implementation of effective risk management strategies, including incident reporting, risk identification, and mitigation plans, while considering the unique needs of the CCM program.
  • Ensure compliance with all applicable healthcare regulations and accreditation standards specific to chronic care management.
  • Stay abreast of industry trends and best practices in quality, risk management, and chronic care management.
  • Provide ongoing education and training to staff on quality, risk management principles, and chronic care management best practices.
  • Develop and maintain a positive working relationship with internal and external stakeholders, including regulatory agencies, accrediting bodies, and community partners relevant to chronic disease management.
  • Prepare comprehensive reports on quality, risk management activities, and the performance of the CCM program for leadership review.
  • Manage the Quality and Risk Management budget effectively, including budgeting for the CCM program.
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