Quality Improvement Manager

University of Maryland Medical System•Bel Air, MD

5d•$45 - $67

About The Position

GENERAL SUMMARY This role is responsible for overseeing a variety of quality improvement programs. Leads clinical quality programs and improvements initiatives that align with organizational and strategic objectives. Utilizing improvement methodology, this role will facilitate and lead projects to achieve intended clinical or operational outcomes. Under the general guidance of the Senior Director for Quality, fosters a Zero Harm environment while promoting the principles of a High Reliability Organization.

Requirements

Bachelor’s degree in healthcare field required.
Current CPHQ certification or successfully obtain certification within 18 months of hire is required.
Valid RN license in the local area serving (State of Maryland); or, other licensure in healthcare related field is required.
A minimum of (4) four years’ experience in acute care required.
Minimum of (2) two years’ experience in Quality Improvement or related fields required.
Demonstrate organization, problem-solving skills and team leadership skills.
Strong, current clinical knowledge and experience in an inpatient acute care setting
Proven ability for collecting, tracking and analyzing quality metric data that includes a relevant understanding of data output in support of organizational and system goals.
Strong written and verbal communication skills

Nice To Haves

Master’s degree in healthcare field preferred.
Previous experience with Maryland’s Pay for Performance and Quality Based Reimbursement (QBR) programs preferred.
Program or project management experience preferred.
Pervious leadership or supervisory experience preferred.

Responsibilities

Under guidance and partnership with the leader, supports various Pay for Performance programs including, but not limited to, MHACs, QBR, PSIs and Mortality, to achieve high performance.
Perform retrospective chart audits for key quality metrics (PPCs, PSIs and unexpected deaths) and identify improvement opportunities in clinical and/or documentation processes.
Analyzes performance metrics in clinical procedures and operational performance to identify potential trends or root causes.
Works collaboratively with department leadership to develop and implement the hospital level strategic plan for quality and safety.
Partners to facilitate and implement improvements in all clinical and documentation practices in support of organizational and departmental objectives.
Participates in regulatory activities including Joint Commission and CMS Surveys.
Primary support and leads Leapfrog action item planning and survey completion.
Leads or facilitates clinical improvement teams to identify, plan, implement, and sustain change for identified improvement opportunities using relevant quality tools and timelines.
Prepares formal presentations of the quality results and presents to the appropriate committee(s).
Responds to requests for explanation from Payors for Quality of Care letters or clinical concerns.
Represents the team and offers quality improvement expertise in committee meetings as needed.
Manages and supervises quality team members including hiring, performance management, evaluations, directs and reviews work, and terminations.
Promotes an engaged, healthy work environment for team members by establishing a climate of support, growth, challenge, and development of all team members
Develops and recommends department operating budget and manages resources according to approved budget.
Performs other duties as assigned.