Supervisor - Quality Critical Incident

Presbyterian Healthcare Services

9d•$67,101 - $102,461

About The Position

Lead Patient Support Critical Incident Reporting is a Contractual requirement within the State of New Mexico and Presbyterian Health Plan Medicaid Contract. Critical Incidents include but are not limited to reports of abuse, neglect, and exploitation towards a Member. This position performs supervision in the training, coordination, and daily operational activities of the Critical Incident Reporting (CIR) team to ensure that tasks are assigned and carried out. Ensures that Critical Incidents are processed and handed off to the appropriate workflow to make certain that the healthcare and safety needs of the most vulnerable Medicaid Members are met, and that the contractual required timelines are in compliance. Oversight of teams includes developing and maintaining models for tracking of staff performance. Assists the Manager and Director to apply performance measurements and/or ensure that the Critical Incident Reporting processes meet timeliness and quality standards.

Requirements

Nursing Degree required.
Bachelors degree required
Critical Incident Management experience required.

Nice To Haves

MSN or BSN preferred.

Responsibilities

Under the direction of the Quality Manager, is responsible for and supervises Critical Incident Reporting activities.
Monitors staff case load and distributes daily work assignments to the team to meet regulatory timeliness requirements for critical incident reports
Ensures completion of daily processing of Critical Incidents from all sources including the NM CIR Portal and supervises referrals of all Critical Incidents for appropriate follow up activities with Care Coordination, Providers, and/or other quality workflows as needed
Oversees documentation of all pertinent Critical Incident data and information in the PHP internal database
Ensures all new CIRs are placed under review within 24 hours of receiving them, Monday-Friday excluding holidays
Oversees closure of all CIRs via the HSD Critical Incident Reporting System (CI Portal)
Trains staff in departmental application of systems, processes, policies and procedures, and assist in training of computer activities
Updates and coordinates on-going improvement of CI processes including P&Ps, Desktops, Job Aids, Promise Map, etc
Prepares for and participates in Monthly and Quarterly CI Committee Meetings.
Assists with analysis and writing of HSD Report 36
Attends and actively participates at quarterly HSD/MCO CIR workgroup meetings.