Quality and Risk Coordinator

QUALITY AND RISK COORDINATOR REPORTING/COORDINATING RELATIONSHIP

Chief Medical Officer, Chief Executive Officer

SUPERVISORY RESPONSIBILITIES

The QI Coordinator has primary responsibility for ensuring the safe, effective and efficient management of clinical services, quality assurance and quality improvement activities which includes the functions of all staff. This position also functions in the role of risk management and reduction.

PRINCIPAL RESPONSIBILITIES

1.

Summary:

Supports the mission and goals of Pennyroyal Healthcare Services, Inc. (PHS). In coordination with the delivery of clinical services, the QI Coordinator has primary responsibility for ensuring the safe, effective and efficient management of clinical services, quality assurance and quality improvement activities. The QI Coordinator is actively engaged in the development, initiation and ongoing review of the organizational Quality Assurance (QA)/Performance Improvement (PI) Program, Medical Peer review, Patient Satisfaction, Risk Management, Case Management and implementation of standardized processes for delivery and coordination of care. 2. Essential Duties and Responsibilitiesof the QI Coordinator include, but aren't limited to, the following:

• Provides leadership in design, implementation and reporting of all PHS Quality Assurance/Quality Improvement activities, including active involvement with the reporting on quality indicators promigated by the Bureau of Primary Health Care, Health Resources Services Administration (HRSA), Medicare through Health Care Excel and the Kentucky Medicaid Program (HEDIS).
• Attends all training as approved by CEO in regards to quality improvement/risk management.
• Reviews and manages the protocols, procedures, programs and services related to assuring the quality of health center services, improving access to care and promoting maximum clinical services utilization, and appropriate clinical case management.
• Directs the activities of personnel engaged in the quality assurance/performance improvement review of medical records/chart audits.
• Designs and implements program evaluations for all aspects of health center resources and quality management concerns; develops instruments used in assessing patient and community health care needs; assists in the development of the annual Business and Health Care Plans.
• Works with the Coordinator of IT/CIO to enhance data collection, analyses, reporting and monitoring.
• Compiles statistical data and writes narrative reports summarizing quality management, productivity and utilization findings, as well as risk management.
• Serves as the chair of the Quality Assurance Committee for PHS; makes reports to the Board as directed. Attends Medical Staff meetings, as directed by the CMO or CEO.
• Directs or provides training for all staff, including medical staff, in matters related to Quality Improvement and Risk Management, data collection and reporting.
• In collaboration with the CMO, CEO, and DON will develop, implement and oversee standardization of patient care services in all clinical operations.
• Manage potential risks and liabilities within the facility.
• Create and implement policies that improve both patient and employee safety.
• Serve as the Ombudsman. Note the complaint/accusation, collect the data, access the identified problems and weaknesses, if any, and then present to the CEO and CMO.
• Develop contingency plans to deal with organizational emergencies.
• Must complete ECRI training yearly for FTCA, and make sure the providers are completing this training as well.
• KPCA
• KIC representation regarding quality and Azara.
• In charge of patient center medical home (PCMH)
• Completes the documentation needed for FTCA
• Manages
• CCM, TCM, KPCA, Pharmacy, and Quality Reporting
• SDS Coordinator
• checks on all SDS binders monthly
• Grant programs representation and reporting
• Performs other duties as assigned by the Chief Executive Officer.

3.

Knowledge, Abilities and Skills:

• Knowledge of current local, state and federal laws and regulations related to the delivery of ambulatory health care, safety and risk management.
• Ability to manage and supervise subordinates, as applicable.
• Ability to communicate effectively and persuasively, both orally and in writing.
• Ability to organize, develop, implement, monitor and evaluate professional work plan goals and performance objectives.
• Computer literacy with proficiency and expertise in Microsoft Office, including software applications for WORD and EXCEL.
• Ability to develop, implement and manage individual projects, and those of the QA Committee and Adhoc Teams.
• Ability to perform effectively in a culturally diverse work environment.
• Excellent interpersonal skills and ability to work effectively with others in the workplace.

MINIMUM QUALIFICATIONS

Education and/or

Experience:

A Bachelor's Degree from an accredited program in Health Care Administration or Public Health is preferred. Experience in this field is required. Experience with EMR preferred. Managerial and supervisory experience would be an asset. Knowledge of quality assurance/performance processes and methodologies is desirable.

Pay:

From $50,000.00 per year

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person