GENERAL JOB DESCRIPTION

Plans, organizes, develops, coordinates, and directs our facility's Quality Assurance and Performance Improvement Program in accordance with current federal, state, and local standards, guidelines, and regulations, and as may be directed by the administrator, to assure the highest degree of quality resident care and safety be maintained at all times.

MAJOR DUTIES AND RESPONSIBILITES 1.

Leads the Quality Assurance Performance Improvement Program (QAPI); focuses on instilling a collaborative approach to continuous improvement activities into the culture of the organization. 2. Leads the Quality Assurance Performance Improvement Department; focuses on task assignments, cross-functional project management, and budgeting for the department. 3. Knowledgeable in data collection, data analysis methodology, and performance improvement methods needed to support and lead QAPI. 4. Reviews processes to identify opportunities for improvement and increasing efficiency; may include consultation with leadership, staff, residents, families, and other stakeholders. 5. Identifies high risk, high volume, or problem prone areas of service and develops and tracks a QAPI program for improvement. 6. Maintains audits of systems as needed, to evaluate quality of care and the need for education or process change. 7. Organizes and facilitates the QAPI Steering Committee and its meetings by guiding discussion around performance measures and prioritizing and developing quality efforts. 8. Participates with others in conducting and reporting on business process improvement, systematic reviews, and risk assessments. 9. Leads performance improvement projects, provides education as needed and helps establish indicators for success. 10. Conduct facility meetings as directed. 11. Maintains State Readiness binders. 12. Identifies staff training needs to support QAPI and encourage staff involvement in

QAPI. 13.

Coach staff, management, and practitioners on how to problem solve, including how to analyze causes and contributing factors. 14. Coordinates with all directors/managers to ensure QAPI efforts are integrated into all operations and departments, including staff responsibilities. 15. Works with the administrator to secure resources for performance improvement work. 16. Manages the financial, material, and human resources allotted to carry out QAPI work. 17. Communicates regularly on the process of QAPI work to leadership and staff, including the progress of performance improvement projects. 18. Conducts an annual evaluation of the QAPI efforts and presents to QAPI Steering Committee. 19. Follows code of ethics in procurement, handling of confidential information and personal conduct. Maintains the confidentiality of all resident information including protecting health care information. 20. Participates in continuing education and in-services, relevant to Job Description and LTC, to ensure skills and abilities are maintained and enhanced. 21. Performs all other jobs that may be assigned.

QUALIFICATIONS FOR THE JOB

Education:

Alabama State Registered Professional Nurse License. QAPI Certification preferred.

Experience:

A minimum of 2 years' experience successfully leading employees completing quality related projects and/or departments. Excellent knowledge of clinical and professional standards of practice. Excellent interpersonal and communication skills.

KEY COMPETENCIES

Computer skills, including the use of Microsoft Excel, PowerPoint, and Word Data analysis and analytical skills. Proficient in clinical, management, and communication skills. Positive teambuilding approach to problem solving. Demonstrate strong organizational skills. Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Clean and concise communication skills for interaction with all customers. Must possess leadership and supervisory ability and willingness to work harmoniously with and supervise personnel analytical skills.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Works in office area as well as throughout the facility. Is subject to frequent interruptions. Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of the facility, which include a medical and physical exam. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, you will be regularly required to use hands and fingers to handle, feel, or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to stand, talk, and hear.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Acknowledgment:

I have read this job description and fully understand that the requirements set forth therein have been determined to be essential to this position. I hereby accept the position and agree to perform the tasks outlined in this job description in a safe manner and in accordance with facility's established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants (including tobacco smoke), and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may be exposed to Hepatitis B Virus and that the facility will make available to me, free of charge, the hepatitis B vaccination. I further understand that I may not release/disclose protected health information without proper authorization. I understand that my employment is at-will, and thereby understand that my employment may be terminated at-will either by the facility or myself and that termination can be made with or without notice. About Ridgewood Health Services Inc At this facility, we believe that we exist to deliver the very best health care services available to our residents in a homelike atmosphere. Her you will find support services tailored to meet individual needs, encourage independence and wellness. Our skilled Nursing Staff, Social Services, Dietary Services, Activities, and Therapy Departments provide for the emotional and physical well-being of each resident. The staff of the facility understands that our residents come first. We are dedicated to maximizing the functional outcomes of our residents. We strive to improve the quality life of those we serve. We always treat our residents, their families, and our customers with integrity and honesty. 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