Manager - Clinical Operations

aah; New Zealand; On-site; NZD 86,000 - 187,000; Full time

Benefits offered by this job

Benefits Eligible

Job summary

Advocate Illinois Masonic Medical Center - Behavioral Health: IU 631 in Illinois is seeking a full-time Quality Improvement professional to lead CQI initiatives within the unit. The role emphasizes patient care quality, compliance with regulatory standards, and collaboration with Clinical Nurse Specialists.

You will drive performance improvement, develop unit standards, coordinate with medical staff, and mentor teams to deliver safer, higher quality care.

Responsibilities

• Leads hospital committees or task forces related to patient care quality improvement initiatives.
• Facilitates evidence-based practice changes recommended by unit council and other shared governance patient care committees.
• Ensures compliance with regulatory standards (Accrediting Organization; IDPH; CBOH; OSHA; etc).
• Analyzes monthly performance outcomes and implements improvement action plans with Clinical Nurse Specialist and unit council members.
• Develops, implements, evaluates, and upholds unit-based standards of nursing practice.
• Works with patient care area team to develop a continuous quality improvement program in accordance with hospital performance improvement program.
• Works towards CMS core measures and other quality care compliance with zero defect philosophy.
• Facilitates and supports quality care improvement project implementations.
• Communicates quality assurance outcomes to team and mentors associates in CQI.
• Implements a minimum of 1 departmental process improvement per year.

Job description

Department: 34909 Advocate Illinois Masonic Medical Center - Behavioral Health: IU 631

Status: Full time

Benefits Eligible: Yes

Hou rs Per Week: 40

Schedule Details/Additional Information: M-F 8 am- 4:30 pm

Pay Range: $35.50 - $76.60

Major Responsibilities:

Quality - Utilizes the CQI process to achieve outcomes with scope of responsibility. Designs and implements improved processes to achieve quality and superior patient care and services.

1. 1)Leads hospital committees or task forces related to patient care quality improvement initiatives.
2. 2)Facilitates evidence based practice changes recommended by the unit council and other shared governance patient care committees via provision of appropriate management guidance and support.
3. 3)Ensures compliance to regulatory standards (Accrediting Organization; IDPH; CBOH; OSHA; etc).
4. 4)Analyzes monthly performance outcomes and implements improvement action plans as indicated in collaboration with Clinical Nurse Specialist and unit council members.
5. 5)Develops, implements, evaluates, and upholds unit based standards of nursing practice to assure quality patient care in conjunction with Clinical Nurse Specialist and Medical Director as appropriate to department.
6. 6)Works with patient care area team to develop a continuous quality improvement program in accordance with the hospital performance improvement program.
7. 7)Works towards improvement of CMS core measures and other evidence based quality care compliance with a zero defect philosophy in providing appropriate care to all patients.
8. 8)Facilitates and supports quality care improvement project implementations driven by the unit council and shared governance structure.
9. 9)Communicates quality assurance and performance improvement outcomes to team while mentoring associates in CQI philosophy and processes.
10. 10)Implements a minimum of 1 departmental process improvement per year.

Quality - continued...

1. 1)Demonstrates the three Behavior-Based Expectations (BBEs) of Commit to Quality, Critical Thinking, and Communicate Clearly and the Tools associated with each.
2. 2)Works with Medical Staff to integrate medical standards to ensure provision of quality patient care.
3. 3)Assists in patient care activities when needed.
4. 4)In all actions with patients and families, demonstrates behaviors that are age appropriate for the individual in question.

Service - Drives customer satisfaction (Patient, Physicians and Associate) strategies for the scope of responsibility and ensures alignment with IMMC and Advocate Strategic Vision.

1. 1)Drives customer satisfaction strategies for department in alignment with Advocate system vision and directly accountable for results as measured by the Advocate Experience survey tool, e.g. movement of % very good scores.
2. 2)Reviews unit level Advocate Experience Satisfaction results and coaches unit council and team through implementation of appropriate action plans based on trends to achieve defined customer satisfaction goal.
3. 3)Conducts daily rounds in conjunction with the Clinical Nurse Specialist to assess service levels and perception of patients and family members via interviews of customers within own areas.
4. 4)Holds Associates accountable for exhibiting Advocate Service Breakthrough and Patient Safety behaviors and expectations with a zero tolerance for deviation from standards philosophy.
5. 5)Ensures compliance to all regulatory/safety standards to maximize the environment for the customer (Accrediting Organization; IDPH; CBOH; OSHA; etc).
6. 6)Responds to and resolves patient complaints in a timely fashion utilizing service recovery strategies.
7. 7)Develops a partnership with Medical Directors of unit(s) to ensure that goals are established, plans to achieve goals are created, and monitors are put in place to measure outcomes.
8. 8)Develops professional relationships with medical staff that utilize patient care area; strives to meet needs of medical staff to ensure patient satisfaction.
9. 9)Serves as a role model for all customer satisfaction initiative planning, communications and service recovery strategies.
10. 10)Coaches Associates and reinforces use of the BBEs and safety tools in order to reduce errors related to patient safety.

People - Promotes self-development (professionally and personally) and the development of Associates within scope of responsibility .

1. 1)Serves as unit's Chief Retention Officer to develop, implement and evaluate strategies to retain Associates.
2. 2)Utilizes appropriate departmental planning, communication, coaching and mentoring skills to support goals of high Associate retention rates
3. 3)Manages high risk Associate populations prone to turnover to actively manage turnover potentials.
4. 4)Creates a supportive environment for all new graduates on boarding to the unit via effective, efficient and proactive management of the accountabilities outlined for the Versant RN Residency.
5. 5)Evaluates all Associates on at least a yearly basis through the Performance Pathway pr