Director Quality Assurance and Risk Management

Avera•Mitchell, SD

4d•Onsite

About The Position

Accountable for the overall operations of: Quality & Performance Improvement, Infection Prevention, Service Excellence, Accreditation, Patient Safety/Risk Management, Compliance, Medical Staff Privileging/Credentialing, and Patient/Family Grievances. Plans, actuates, evaluates, re-evaluates the activities of the above operations, working closely with other department leaders to develop excellence in all Avera employees and providers. Coordinates and attends all Medical Staff Committee meetings and all pertinent regional committee meetings where monitoring functions and activities are performed. Serves as a resource for Medical Staff and internal services on quality improvement activities, education, and use of quality principles and tools. Coordinates the process of monitoring, measuring, and assessment of patient care and support of systems to achieve high quality, safe, cost effective healthcare services. Coordinates and oversees regional Quality Improvement Plan development, QI plans, Medical Staff Quality Assurance/Improvement activities, and Quality Measures. Coordinates facility wide compliance with regulatory agencies including CMS, SDDOH and The Joint Commission in conjunction with the Compliance Coordinator. Develops, coordinates, and administers regional wide systems for risk identification, investigation and reduction, maintains statistics, ensures that pertinent patient data relative to a claim is accurate, available, and secure. Reviews and coordinates trend analysis, claims profiles, worker's comp trends, and analysis of risk data. Responds to professional liability and hospital liability questions and maintains knowledge of legislative and regulatory activities related to health care risk management. Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Requirements

Bachelor's in nursing or related clinical field
4-6 years clinical experience
1-3 years Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
five years’ experience in Clinical setting, Quality Improvement, Risk Management and Patient Safety.
Visual acuity adequate to perform position duties
Ability to communicate effectively with others
Ability to hear, understand and distinguish speech and other sounds

Responsibilities

Plans, actuates, evaluates, re-evaluates the activities of the above operations, working closely with other department leaders to develop excellence in all Avera employees and providers.
Coordinates and attends all Medical Staff Committee meetings and all pertinent regional committee meetings where monitoring functions and activities are performed.
Serves as a resource for Medical Staff and internal services on quality improvement activities, education, and use of quality principles and tools.
Coordinates the process of monitoring, measuring, and assessment of patient care and support of systems to achieve high quality, safe, cost effective healthcare services.
Coordinates and oversees regional Quality Improvement Plan development, QI plans, Medical Staff Quality Assurance/Improvement activities, and Quality Measures.
Coordinates facility wide compliance with regulatory agencies including CMS, SDDOH and The Joint Commission in conjunction with the Compliance Coordinator.
Develops, coordinates, and administers regional wide systems for risk identification, investigation and reduction, maintains statistics, ensures that pertinent patient data relative to a claim is accurate, available, and secure.
Reviews and coordinates trend analysis, claims profiles, worker's comp trends, and analysis of risk data.
Responds to professional liability and hospital liability questions and maintains knowledge of legislative and regulatory activities related to health care risk management.
Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.