DIRECTOR - QUALITY ASSURANCE 2019-R0269179
Full Time, Days
The Director of Quality Operations is responsible for directing and coordinating quality and performance improvement initiatives that provide more efficient and streamlined workflow in the ambulatory environment.
Responsibilities include but are not limited to standardization of clinical operations, identification of efficiencies, financial oversight for areas of accountability programs/services, integration of performance improvement strategies, support of strategic business initiatives, processes and communication plans which support quality initiatives while fostering patient, physician and employee satisfaction.
Works collaboratively with IT/operational leaders to identify, research, and implement information technologies to support quality improvement activities.
Ability to conceptualize in unstructured, dynamic environments requiring analysis, foresight, intuition and mature judgment as well as knowledge of theories, principles, and practices to find solutions to unusual or unprecedented problems.
Collaborates with Corporate Responsibility to coordinate and support monitoring and auditing programs related to patient confidentiality, documentation, billing/coding of medical services to reduce vulnerability and identify potential areas of fraud, waste, and abuse.
Coordinates investigations of alleged violations of standards.
Monitors compliance efforts and makes recommendations for systems improvement.
Leads and directs the work of others. Direct management of compliance staff, quality leaders, and practice staff as assigned.
Models appropriate behavior as exemplified in the Memorial Health Care System Mission, Vision and Values.
Job Responsibilities: Provides leadership to ensure that goals and objectives are in alignment with quality initiatives.
Implements and evaluates established integration strategies for overall performance/process improvement, quality measurers/indicators, medical management, and standardization/consolidation of current and new services within areas of accountability.
Participates in the development and implementation of the operating strategic plans and programs necessary to meet strategic direction established by CHI/MHCS/MMS including but not limited to involvement new payment methodologies/incentive programs.
Collaborates with Leadership to determine, best practices to support the design of most effective/efficient patient care delivery models to meet the needs of targeted patient populations.
Implements established policies/procedures, programs, and standards of care, working in collaboration and partnership with appropriate leadership teams.
Ensures legal compliance with all applicable regulatory agencies.
Develops, implements and evaluates retention strategies which reinforces organizational commitment to focusing on providing quality patient care while fostering optimal employee and physician satisfaction.
Serves as resource and liaison to practice leadership providing consultative services in designated areas of clinical operations.
Supports professional competency and personal growth of staff through ongoing educational programs.
Manages operational budgets and evaluates variance analysis and resource utilization management using prescribed financial targets and productivity standards for areas of accountability.
Supports programs which focus on new methods of care delivery shifting focus to coordination of activities across the continuum.
Promotes development of collaborative relationships with members of the medical staff, hospital leadership, and practice staff.
Participates in the development of orientation, training and educational initiatives.
Assures such strategies are implemented to ensure competence in designated area.
Effective interpersonal skills necessary to cultivate relationships with key stakeholders and communicate, facilitate, and negotiate with a wide variety of healthcare personnel and external constituents.
Ability to work independently, exercise appropriate action and good business judgment.
Strong facilitation skills with proven ability in leading and facilitating teams to desired outcomes.
Ability to lead and motivate individuals and groups toward the accomplishment of organizational goals.
Maintain acute care connectivity to drive shared goals
Align with operations to drive strategic objectives.
Expand role within CIN to manage new contracts.
Early involvement in practice acquisitions to communicate expectations on quality, safety, patient experience and compliance.
CSH quality oversight at the division level.Education:
RN, BSN required.
Masters preferred. Minimum of two years in health care related management
Registered nurse licensed in TN &/or GA.
Experience: Seven to ten years experience in healthcare accounting.
Masters Degree Strongly preferred.
Additional Responsibilities: Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits our core values:
Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers
This position requires a criminal background check.
Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
Additional Information Requisition ID: 2019-R0269179
Schedule: Full-time Shift: Day Job
Market: CHI Memorial About Us
CHI Memorial is a not-for-profit, faith-based healthcare organization dedicated to the healing ministry of the Church.
Founded by the Sisters of Charity of Nazareth and strengthened as part of Catholic Health Initiatives, it offers a continuum of care including preventative, primary and acute hospital care, as well as cancer and cardiac care, orthopedic and rehabilitation services.
CHI Memorial is a regional referral center of choice with 3,400 associates and more than 700 affiliated physicians providing health care throughout Southeast Tennessee and North Georgia.
Equal Opportunity Employment Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers.
Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic
About this company
Memorial Health Care System is a not-for-profit, faith-based healthcare organization dedicated to the healing ministry of the Church. Founded by the Sisters of Charity of Nazareth and strengthened as part of Catholic Health Initiatives, it offers a continuum of care including preventative, primary and acute hospital care, as well as cancer and cardiac care, orthopedic and rehabilitation services. Memorial is a regional referral center of choice with 4,000 associates and more than 700 affiliated physicians providing health care throughout Southeast Tennessee and North Georgia. Memorial Health Care System is recognized as one of the nation's 100 Top Hospitals® by Thomson Reuters, the health care industry's leading source of information on hospital quality.
Location/Region: Chattanooga, TN (37404)