Memorial Health Care Systems, an award-winning Critical Access Hospital is seeking a full-time candidate as Director of Quality Programs responsible for Quality Programs and Risk Management efforts.
SUMMARY: Plans, organizes, directs, and evaluates resource and quality management services related to Quality Assurance Programs including Process Improvement and Risk Management performing the following duties at Memorial Hospital.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below; other duties may be assigned.
Actively demonstrate support for the Customer Service Standards of Practice by using CPR(Communication, Professionalism, and Rights & Compliance) in your daily interaction with patients and residents, supervisors, subordinates, co-workers, and the general public.
Responsible for continued compliance with Critical Access Hospital conditions for participation.
Acts as resource for department heads in area of process improvement as it relates to departmental quality improvement efforts. Provides education for MHCS staff in proper method of process improvement.
Works closely & collaboratively with department heads in quality assurance and risk management issues as requested/required.
In collaboration with the MHCS Safety Committee, manages and implements employee annual mandatory education to assure compliance with federal and state requirements.
Manages, evaluates, and communicates data on occurrence reports.
Works with Health Information Management Systems in reviewing, trending, and communicating various outcome data.
Use resources offered through various networks and alliances. Works with Critical Access Network Hospitals to assure compliance with Critical Access QA regulations.
Delivers the quarterly quality programs report to the Board, Medical Staff & Senior Management Team.
Works closely with the MHCS Administration to monitor and process various risk management reviews and investigations. Investigates identified concerns, trends, or risk factors that present risk to patients.
Maintain professional relationship with MHCS liability insurance carrier and legal counsel when investigating and processing any risk claims. Acts as contact person for insurance carrier in regard to claims. Identifies quality improvement through risk services.
Occasionally conducts chart reviews for various functions related to risk management and quality programs.
Serve on MHCS Safety Committee.
Facilitate the medical staff peer review committee activities related to process improvement.
Other duties as directed.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: Graduate of accredited school of professional nursing. Bachelor of Science degree in nursing is preferred. Three years related experience and/or training.
Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.
Mathematical Skills: Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis.
Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Computer Skills: To perform this job successfully, an individual should have knowledge of spreadsheet and word processing software, and Internet applications.
CERTIFICATES, LICENSES, REGISTRATIONS: Current Nebraska Nursing License. Individuals are required to update their licensure to their Department Director & Personnel file / HR Dept. upon renewal.
Internal Number: Quality
About Memorial Health Care Systems - Seward, NE
Memorial Health Care Systems
A NRHA Award Winning Critical Access Hospital located in Seward, NE with Family Medical Centers in Seward, Milford and Utica. At the heart of MHCS are ten physicians who specialize in family practice and 14 specialty physicians providing services regularly at the MHCS Specialty Physicians clinic.
