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  • ID
    #6246291
  • Salary
    TBD
  • Source
    Sheridan Memorial Hospital
  • Date
    2020-09-29
  • Deadline
    2020-11-28
 
Full-time

Vacancy expired!

ABOUT SHERIDAN MEMORIAL HOSPITAL

Sheridan Memorial Hospital is a progressive, state-of-the-art facility nestled beneath the Big Horn Mountains in beautiful Northeast Wyoming. Founded over 100 years ago, Sheridan Memorial is licensed for 88 beds with over 60 physicians who provide primary medical care and specialty care in more than 15 areas. We are proud of our more than 700 employees who provide personalized, patient-centered care in a healing environment. When people think of excellent healthcare, they think of Sheridan.

JOB SUMMARY

The Manager of Quality and Case Management is responsible for management and measurement of standards, programs and practices addressing quality, patient safety and integration of patient care for Sheridan Memorial Hospital in accordance with the overall strategic objectives and applicable regulatory requirements. The Manager of Quality and Performance Excellence directs the quality and performance improvement functions. The incumbent provides leadership necessary to achieve national best practice performance levels in quality improvement while implementing evidence based practices, ensures that the quality of healthcare services rendered meets or exceeds professionally recognized community standards, interfaces with a diverse range of clinical and administrative professionals, resolves sometimes-complex policy and service issues and directs data analytic and reporting activities that are prescribed by customers and regulators, and ensures compliance with state, federal and accreditation requirements. This position is responsible for meeting performance expectations in the areas of quality care, patient safety, service excellence, resource utilization, EHR integration, accreditation, infection control, and employee health.

ESSENTIAL DUTIES/RESPONSIBILITIES

  • Provides leadership and assumes accountability through development, implementation and monitoring of quality improvement programs, systems and initiatives impacting the entire organization to facilitate performance and process improvements in keeping with patient, safety, strategic objectives and regulatory requirements. Oversight and monitoring of Patient Satisfaction data; works with Patient Satisfaction vendor to consult and provide best practices and strategies for SMH.
  • Works closely with the Quality Director, hospital and Medical Staff. , and communicates to the Quality Committee, Executive Team, Medical Executive Committee and Board of Trustees.
  • Cultivates and maintains professional relationships with primary customers including physicians, patients and external entities to foster opportunities for improvement in quality metrics, enhanced customer service and to positively impact core measures.
  • Ensures compliance with legal and regulatory requirements, monitors the effectiveness of current practices and procedures in producing desired results. Keeps abreast of regulatory requirements, professional standards and competitive industry practices, as well as organizational initiatives with potential to impact current strategies.
  • Works with department managers to ensure all departments are working in concert with each other to achieve quality outcomes in safety, satisfaction, service and process improvement.
  • Acts as a champion and a change agent to shift the focus to patient safety and prevention of patient injuries by improving and changing processes, identifying gaps in complex systems and decreasing error prone incidents.
  • Institutes programs that improve quality and patient safety, and reports results to SMH leadership as well as applicable state and federal agencies.
  • Provides guidance and facilitates integration and communication of proactive safety plans to reduce risk within the organization.
  • Develops and implements systems, policies, and procedures for the identification, collection, and analysis of performance measurement data.
  • Provides strategic and operational leadership for the integration and evaluation of the electronic medical record and other technology from the nursing practice perspective.
  • Reviews the validation and verification of the Electronic Medical Record
  • Administers annual operating budget, identifies resources needed to accomplish performance objectives; exercises cost control to stay within budget; identifies variances and develops action plan to address; keeps leadership appraised of budgetary impact issues in conjunction with the Quality Director.
  • Plans, directs and evaluates the work of staff; complies with human resource management policies and procedures; ensures adequate staffing levels, allocates resources; ensures that employees are qualified, trained and meet customer service standards; makes employment decisions, utilize best practices for performance management to include rounding, completes performance appraisals; coaches and develops staff and addresses performance concerns in conjunction with the Quality Director.
  • Responsibility for the following functions: Utilization Review, Care Coordination, Discharge Planning, Denials Management, Access Case Management
  • Expertise in application of CMS Conditions of Participation and other regulations and standards for the Joint Commission and consistently updated the department accordingly.
  • Reviews Medical Management data for trends and opportunities for improvement. Reviews current processes regularly to ensure maximum efficiency and effectiveness including but are not limited to: Length of stay, re-admissions, denials, and RAC.
  • Responsible for the management and overall activities and functions of the Case Management department services include Care Coordination, Discharge Planning, Utilization Review, Denials Management, and Case Management.
  • Provides support/replacement when Care Coordinator, Utilization Review Nurse, or the Discharge Planner are not available or are overtaxed and require assistance.
  • Produces and manages agreed upon metrics and reports for distribution to other stakeholders per policy and procedure.
  • Provides operational leadership to the Utilization Management Committee.
  • Areas of Direct Reporting include: Accreditation and Regulatory Compliance, Infection Prevention, Patient Safety, Case Management / Social Work / Utilization Review and Employee Health / Worker’s Compensation

Supervisory duties and responsibilities include:

  • Writes and conducts annual performance appraisals and ensures regular ongoing feedback, coaching, and communication with staff.
  • Ensures high level of performance standards and achievement to meet organization needs and business goals.
  • Provides development opportunities for staff to broaden and enhance skills and abilities.
  • Administers organization policies and procedures.
  • Ensures compliance with safety policies and good housekeeping.
  • Manages initial training of new employees and ongoing training as required.
  • Promotes an environment that fosters team work and commitment to satisfy customer requirements.

MINIMUM REQUIREMENTS

Education / Experience / License and Certifications

Education / Experience / License and Certifications

  • Minimum of 3 years supervisory experience, preferred.
  • Minimum of 3 years of related experience, preferred.
  • Bachelor's degree in Nursing, Business Administration or health services administration required.
  • Maintains clinical license and certifications, if applicable. ie: RN, PA/NP, Pharmacist
  • Master’s degree preferred.
  • Certified Professional in Healthcare Quality (CPHQ), preferred.
  • Experience in a decision making, change management, performance improvement, quality, patient safety and informatics.
  • Comprehensive (wide base) knowledge of patient care and hospital systems.

Additional Skills

  • Comprehensive knowledge of patient care and hospital systems.
  • Strong analytical and problem solving skills.
  • Ability to multitask in a fast paced environment.

Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, disability or protected veteran status. If you’d like more information about your EEO rights as an applicant under the law, please click here.

Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.

Pre-employment drug and alcohol screening is required.

Vacancy expired!

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