Senior Manager of Organizational Quality and Risk, RN
Full Time
Alpena, MI 49707
Posted
Job description
Senior Manager of Organizational Quality and Risk, RN
Job ID: A23-005
Location: Annex (Alpena, MI)
About Our Family:
Established in 1978, Alcona Health Center (AHC) is a non-profit, Federally Qualified Health Center dedicated to making a lasting impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services. As a member of the AHC family, you will join a team of over 300 coworkers, all devoted to providing quality health care to all residents of our communities, regardless of their ability to pay.
Your Valued Contributions:
The Senior Manager of Organizational Quality and Risk (SMOQR) facilitates, promotes, and effectively monitors continuous Quality Improvement programs and projects essential to patient safety and quality care, compliance, FTCA, Risk Management (RM) and AHC strategic goals within the organization at all levels. The SMOQR provides leadership for Quality Improvement (QI) and RM policy development and works in close collaboration with organizational leadership to ensure that the QI/QA and RM Plans are effectively and appropriately carried out across the organization. This position oversees the QI/QA and RM program established by board-approved policies which includes ensuring the implementation of the QI/QA and RM Plan in accordance with federal and state laws and regulations, HRSA Compliance, and accreditation standards. The SMOQR role focuses on improving operational efficiencies and consistency while promoting high quality, safe, effective, and equitable services and systems that align with organizational goals and reflect the mission and vision of Alcona Health Center.
Job ID: A23-005
Location: Annex (Alpena, MI)
About Our Family:
Established in 1978, Alcona Health Center (AHC) is a non-profit, Federally Qualified Health Center dedicated to making a lasting impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services. As a member of the AHC family, you will join a team of over 300 coworkers, all devoted to providing quality health care to all residents of our communities, regardless of their ability to pay.
Your Valued Contributions:
The Senior Manager of Organizational Quality and Risk (SMOQR) facilitates, promotes, and effectively monitors continuous Quality Improvement programs and projects essential to patient safety and quality care, compliance, FTCA, Risk Management (RM) and AHC strategic goals within the organization at all levels. The SMOQR provides leadership for Quality Improvement (QI) and RM policy development and works in close collaboration with organizational leadership to ensure that the QI/QA and RM Plans are effectively and appropriately carried out across the organization. This position oversees the QI/QA and RM program established by board-approved policies which includes ensuring the implementation of the QI/QA and RM Plan in accordance with federal and state laws and regulations, HRSA Compliance, and accreditation standards. The SMOQR role focuses on improving operational efficiencies and consistency while promoting high quality, safe, effective, and equitable services and systems that align with organizational goals and reflect the mission and vision of Alcona Health Center.
Quality Management:
- Devises and implements the Quality Improvement Plan in accordance with AHC’s mission and goals, federal and state laws, and regulations, HRSA compliance and accreditation standards.
- Facilitates and leads the QI/QA committee, oversees the organization’s quality improvement/assurance (QI/QA) programs and policies.
- Monitor literature and research quality improvement practices to identify opportunities for improving existing processes and makes recommendations to best support the health center’s mission and operating philosophies.
- Develops, implements, and monitors programs for quality improvement; ensures that the programs function as designed, working with management to provide support and encourages program compliance and prompt feedback.
- Analyzes program performance and identifies trends; provides support to managers in administering the programs and develops methods for monitoring progress.
- Develops and administers processes to ensure that quality is consistent with applicable laws and regulations; ensures compliance with program requirements.
- Facilitates, tracks and trains staff on quality measurement and improvement activities, including the Plan Do Study Act (PDSA) cycle and other methods to track implementation of action plans.
- Collaborates to develop and implement procedures and methodologies related to quality management (i.e., data collection methods, outcome performance measures, process improvements chart review procedures and case analysis methods) that support the organization’s strategic plan.
- Collaborates with Directors, departments heads, managers, among others, to gather, enter and/or assist in processing accurate quality improvement/outcome data in adherence to quality standards and monitors for trends.
- Establishes plans, policies, and procedures, to ensure that the organization’s quality program will meet or exceed internal demands and regulatory requirements.
- Analyzes performance metrics related to diagnoses, clinical procedures, and operations performance.
- Knowledge expert for QI processes to work towards continuous improvement activities in all clinical, functional, and administrative areas.
- Engages and empowers employees by giving them the tools needed to do their job successfully and effectively and then to improve upon it.
- Coordinates and implements quarterly peer review process for all licensed disciplines including Medical Providers (MD, DO, FNP and PAC), Behavior Health Therapists (school-based, Substance Use and clinic providers), Dental (DDS and RDH), and Pharmacists.
- Coordinates and facilitates bi-annual patient satisfaction survey process and provides the QI/QA committee with analyzed results.
- Facilitates the work of the QI/QA Committee
- Convening regular meetings
- Setting agendas
- Develop and analyze performance improvement data for the committee
- Prepare the annual Quality Plan for review and approval for AHC QI/QA Committee and Board of Directors
- Works with the QI/QA committee to define standards and develop ways to ensure following of these standards identified in the QI Plan.
- Develops processes for the QI committee to effectively monitor the progress of Uniform Data Systems values, Value Based Payment models, Patient Centered Medical Home recognition, and other areas the committee find of value to continually monitor.
Risk Management:
1. Manages the organization’s risk management program, including procedures and policies, providing supervisors and managers with guidance for the independent management of on-going risk management issues.
- Research best practices in risk management; recommends changes to programs to best support the health center’s mission and operating philosophies.
- Develops, implements, and monitors policies and practices for managing and minimizing risk.
- Provides support to managers in administering the risk management procedures and policies; provides interpretation of policies and solicits senior management opinions as needed to resolve outstanding issues.
- Measures and reports on the effectiveness of all safety and risk management programs.
- Maintains all appropriate risk management reports, documentations, and applications.
- Manages the organization’s incident reporting process and monitors events submitted through AHC's Incident Reporting procedure for trends and reporting; follows up as necessary. Leads Root Cause Analysis as indicated.
- Compiles statistical data: develops and maintains reports and documentation as appropriate and provides reports to appropriate parties.
- Reviews and revises risk management plan on an annual basis.
- Assist Corporate Compliance with Federal Tort Claims Act (FTCA) Deeming Application as needed
- Oversight of the organization’s safety program and the Safety Coordinator position including codes, infection control, and safety policies.
- Follow current COVID-19 guidance from applicable agencies as it pertains to the role.
- Exercise discretion and strict confidentiality with all information including but not limited to sensitive personal information, and medical information.
- Consistently adheres to organization rules, regulations, and policies, including but not limited to the AHC Code of Conduct and Compliance policies.
- Attendance
- Ensures attendance and hours worked are accurately recorded.
- Properly manages paid vacation and sick leave.
- Responsible for regular, predictable attendance and to work hours as scheduled.
- Accepts and performs other job-related duties, projects, and responsibilities, as required.
Required Training & Experience:
- Word, Excel, and Powerpoint.
- Electronic Health Records System.
- Event Reporting System.
- Possesses a current State of Michigan driver’s license and valid automobile insurance.
- Possesses a Registered Nurse license
We’re Here For You:
Supporting Balance: As a part of our family, you will work full time (40 hours per week) with a negotiable starting wage, dependent on education and experience, with predicable scheduling, numerous holidays, generous vacation time and sick days.
Supporting Your Health: Low deductible Medical, Rx, Vision & Dental insurance at a minimal cost for employees, as well as professional courtesy within our clinics.
Supporting Your Future: Retirement Savings Plan, FSA, Life, AD&D, & Short/Long Term Disability Insurance.
Supporting Your Education: Continuing Education Assistance program. Employment with AHC may also qualify you for student loan forgiveness under the Public Service Loan Forgiveness program.
Ready To Get Started?
Only applications through our Careers page at www.alconahealthcenter.org/careers/ will be accepted.
Resumes and cover letters are accepted and welcomed in addition to your completed application.
Questions can be sent to careers@alconahc.org
Fighting Against Discrimination:
Alcona Health Center is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Alcona Health Center is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Alcona Health Center are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Alcona Health Center will not tolerate discrimination or harassment based on any of these characteristics. Alcona Health Center encourages applicants of all ages.
Supporting Balance: As a part of our family, you will work full time (40 hours per week) with a negotiable starting wage, dependent on education and experience, with predicable scheduling, numerous holidays, generous vacation time and sick days.
Supporting Your Health: Low deductible Medical, Rx, Vision & Dental insurance at a minimal cost for employees, as well as professional courtesy within our clinics.
Supporting Your Future: Retirement Savings Plan, FSA, Life, AD&D, & Short/Long Term Disability Insurance.
Supporting Your Education: Continuing Education Assistance program. Employment with AHC may also qualify you for student loan forgiveness under the Public Service Loan Forgiveness program.
Ready To Get Started?
Only applications through our Careers page at www.alconahealthcenter.org/careers/ will be accepted.
Resumes and cover letters are accepted and welcomed in addition to your completed application.
Questions can be sent to careers@alconahc.org
Fighting Against Discrimination:
Alcona Health Center is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Alcona Health Center is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Alcona Health Center are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Alcona Health Center will not tolerate discrimination or harassment based on any of these characteristics. Alcona Health Center encourages applicants of all ages.
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