Manager, PI and Risk Management

Prime Healthcare•Kankakee, IL

10h•Onsite

About The Position

The Performance Improvement Manager develops, manages and integrates a comprehensive Performance Improvement (PI) Program to achieve unprecedented results in quality, efficiency, safety, satisfaction and value with transparency. The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency; to develop/ maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value; to complete Clinical Assessment, Diagnosis and Treatment for the Service Lines. Responsible for coordinating and managing hospital wide performance improvement activities including continued survey readiness. Responsible for oversight of ongoing publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc. Work collaboratively with Administration and Leadership. Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees. The scope of activities in managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating & sustaining a participatory environment; guiding the group to appropriate & useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care. Team facilitation and experience with hospital accreditation standards and survey process preferred. Knowledge of local regulatory standards & OSHA regulations a plus Responsible for designing, organizing, coordinating and implementing the Risk Management Program with the objective of controlling and minimizing loss to protect the human, physical and fiscal assets of the organization. Is an active participant in performance improvement data collection, activities, and functions to promote an integrated program, which ensures the provision of the highest quality of health care. Collaborates with personnel responsible for safety and security and actively participates in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) through the use of data capture, follow up and trend analysis and presents findings to appropriate committees. Assists with the development and implementation of initiatives, policies and procedures, including staff education activities, regarding risk reduction/elimination throughout the organization. Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures

Requirements

Bachelor’s degree required, preferably in a healthcare related field.
State RN licensure or a License in healthcare field preferred.
4 – 5 years healthcare experience.
1-4 years quality improvement experience.
Experience in reviewing charts for quality care issues.
Detail oriented organizational skills.
Must be able to handle multiple cases, directions and follow-through.
Good communication skills both verbally and written.
Experience with Medical Staff communication.
Coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards.
Minimum of five years of management experience in one of the following venues: Hospitals, Managed Care, Credentialing verification organizations, or Ambulatory Care.
Experience in working with governance processes is essential.
Must have strong computer, communication and writing skills with knowledge of medical terminology.

Nice To Haves

Master’s degree preferred.
Fellow or Diplomat of American Society of Healthcare Risk Managers Association in Risk Management (ARM) or Licensed Healthcare Risk Manager (LHRM), preferred.
Team facilitation and experience with hospital accreditation standards and survey process preferred.
Knowledge of local regulatory standards & OSHA regulations a plus.
Certified professional in healthcare quality preferred.
Experience in Risk Management and/or professional liability claims management preferred.

Responsibilities

Develops, manages and integrates a comprehensive Performance Improvement (PI) Program.
Develops and shares best practices for improving performance in quality, safety, perception of care, value and efficiency.
Develops/maintains scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value.
Completes Clinical Assessment, Diagnosis and Treatment for the Service Lines.
Coordinates and manages hospital wide performance improvement activities including continued survey readiness.
Oversight of ongoing publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc.
Works collaboratively with Administration and Leadership.
Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees.
Creates collaborative customer relationships.
Plans appropriate group processes.
Creates & sustains a participatory environment.
Guides the group to appropriate & useful outcomes.
Builds and maintains professional knowledge.
Employs evidence-based practice.
Integrates best research with expertise & patient values for optimal care.
Works in interdisciplinary teams.
Applies performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care.
Utilizes informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care.
Designs, organizes, coordinates and implements the Risk Management Program with the objective of controlling and minimizing loss to protect the human, physical and fiscal assets of the organization.
Is an active participant in performance improvement data collection, activities, and functions to promote an integrated program, which ensures the provision of the highest quality of health care.
Collaborates with personnel responsible for safety and security and actively participates in risk-related activities in this area.
Provides assistance with claims investigation, management and litigation.
Facilitates reporting of safety data/events.
Evaluates risk management program(s) through the use of data capture, follow up and trend analysis and presents findings to appropriate committees.
Assists with the development and implementation of initiatives, policies and procedures, including staff education activities, regarding risk reduction/elimination throughout the organization.
Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures.