Providence Health & Services Quality Management Specialist in Mission Hills, California
Providence is calling a Quality Management Specialist (Full Time/Day Shift) to the Providence Facey Medical Foundation in Mission Hills, CA.
We are seeking a Quality Management Specialist , who will assure quality patient care standards are met throughout the organization and to identify those instances in which there is a breach on those standards requiring system or policy changes.
In this position you will have the following responsibilities:
Deliver upon the service expectations of both our patients and fellow staff members by listening to their needs; engaging in positive interactions; and following through on promises made in a thoughtful, efficient, timely and courteous manner so that their total outcome is better than expected
Respect the dignity, confidentiality and privacy of patients
Work in a safe manner, adhering to general safety precautions and standards. Reports any unsafe conditions to their supervisor and/or the safety hotline
Act as a resource for medical and ancillary staff in quality and risk management issues.
Systematically and objectively monitor, evaluate and document the quality and appropriateness of health care. Report all findings to the Quality Management Manager and Quality Assurance Medical Director and appropriate administrative staff
Monitor clinical performance for improvement and investigate problems identified concerning the organization. Track and trend grievances, appeals and quality issues
Record minutes of Quality Improvement Committee and perform follow-up activities
Support staff through in-services and individual instruction
Assure compliance with regulatory and accreditation standards including performing site audits within the organization and contracted Health Delivery Organizations
Assist Quality Management Manager with all health plan audits and regulatory accreditation audits as needed
Identify any potential liabilities resulting from patient complaints and/or care rendered. Alert administration and Director of Risk Management
Responsible for any other assigned task in addition to the above
Write and/or updates procedures for Quality Management as needed
Coordinate activities with the Educators, Patient Care Delivery, Patient/Community Educator and Human Resources, as well as other education efforts supported by the organization
Receive and document patient grievances and appeals. Review with QM Medical Director and follows-up to ensure feedback from persons involved
Maintain appropriate licensure/certifications
Assist in the coordination of the pay for performance and CMS 5 Star clinical measure improvement activities as directed by the Administrative Director
Required qualifications for this position include:
At least 3 years experience in an acute care or ambulatory care setting with Quality Management experience
Experience in developing educational programs and procedures
Knowledge of Title XXII, NCQA, AAAHC requirements and standards, CDC and infection control standards, building codes, fire department safety standards, OSHA requirements (Title VIII)
Must possess excellent teaching skills including presentation, syllabus and handouts
Preferred qualifications for this position include:
Bachelor's Degree in Healthcare Administration
Master's Degree in Healthcare Administration
At least 2 years in ambulatory care experience and/or hospital experience
Quality Assurance/Risk Management experience
Experience with HMOs and health plans
About the hospital you will serve.
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys. The group began as a single medical practice over 90 years ago.
Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Quality/Risk/Safety (Non-Clinical)
Location: California-Mission Hills
Req ID: 246706