Director (RN) Quality Management

Quorum Health; Deming (NM); On-site; USD 95,000 - 130,000; Full time

Benefits offered by this job

Competitive salary

Healthcare coverage

Retirement plan

Paid time off

Professional development

Student loan repayment

Job summary

Mimbres Valley Medical Center in southwestern New Mexico seeks an experienced Director of RN Quality Assurance to lead the facility's quality and patient safety programs. You will align improvement initiatives with the hospital's strategic plan, oversee data collection and reporting, coordinate Core Measures and HCAHPS, and guide multidisciplinary teams toward better outcomes.

The role requires RN background, 3+ years in hospital quality/risk leadership, and a master’s degree; travel is

Qualifications

• Registered Nurse preferred.
• 3+ years experience in a hospital facility required; Quality/Risk leadership experience preferred.
• Master’s degree in nursing, healthcare administration, or a similar field with strong analytics preferred.
• CPHQ (Certified Professional in Healthcare Quality) preferred.
• Travel is infrequent.
• Understanding Healthcare.
• Strong accounting knowledge and experience.

Responsibilities

• Facilitates alignment between improvement initiatives and the organization’s strategic plan; directs day-to-day execution of strategies to improve outcomes.
• Maintains the facilities system-wide Quality program; data collection, analysis, policies, and reporting to administrators, Medical Staff, and the Board.
• Works with Clinical and Non-Clinical teams to improve KPI performance and design new processes.
• Acts as internal consultant on regulatory, process improvement, performance monitoring, and statistics.
• Focuses on better healthcare value and quality, including clinical outcomes, patient experience, safety, costs and efficiency.
• Coordinates Core Measures, ACO/MIPS/MACRA and meaningful use measures and other quality metrics.
• Collects and reports HCAHPS data.
• Organizes Quality Management meetings; maintains minutes and recommends actions.
• Conducts internal audits and risk analyses.
• Participates in nursing and physician peer review processes; supports FPPE/OPPE data collection.
• Analyzes areas for improvement and recommends process, system and operational changes.
• Establishes performance measurements and monitors trends; uses data systems as needed.
• Manages performance improvement projects and documents results.
• Participates in the Grievance Committee and resolves investigations.
• Evaluates the quality management system effectiveness.
• Designs and maintains patient safety and risk management programs.
• Investigates incidents for risk and loss prevention; suggests interventions.
• Mobilizes support to address high-risk practices.

Skills

Quality leadership

Excel skills

Analytical thinking

Communication

Risk management

CPHQ

Nurse background

Healthcare knowledge

Problem solving

Education

Master’s degree in nursing or healthcare administration

Job description

Director (RN) Quality Assurance

Mimbres Valley Medical Center is your community medical provider, serving southwestern New Mexico area and its residents with inpatient, outpatient, medical, surgical, diagnostic and emergency care. We are your family, friends and neighbors, and we work with and for our community to provide quality healthcare that fits your life and lifestyle.

Job Details

Description

Director (RN) Quality Assurance

Mimbres Valley Medical Center is your community medical provider, serving southwestern New Mexico area and its residents with inpatient, outpatient, medical, surgical, diagnostic and emergency care. We are your family, friends and neighbors, and we work with and for our community to provide quality healthcare that fits your life and lifestyle.

We’re making a difference in our friends’ and families’ lives; if this is something you believe in, we would like you to join our team.

Job Summary

• Facilitates alignment between improvement initiatives and the organization’s strategic plan; directs the day-to-day execution of the strategies and tactics necessary to successfully improve the outcomes and results of the organization.
• Responsible for maintaining the facilities system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures, and reporting to administrators, Medical Staff, and the Board.
• Works closely with Clinical and Non-Clinical teams for improvement on key performance indicators, designs processes for new initiatives, services and other targets identified by Hospital leadership.
• Serves as an internal consultant to administration, staff, and physicians in the areas of regulatory, process improvement, performance monitoring, and statistical analysis.
• Focuses on better healthcare value and quality, including the improvement of clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.
• Coordinate, manage and report Core Measures, ACO/MIPS/MACRA and meaningful use measures and other quality metrics as assigned.
• Collects and reports HCAHPS data for the facility.
• Organize all Quality Management meetings, maintain minutes and make recommendations to the committee based on best practice and current regulatory standards.
• Conduct internal audits and risk analysis as determined by the Quality Committee.
• Participate / Coordinate in nursing and physician peer review processes and chart reviews, as necessary.
• Mange and support physician peer review processes by ensuring the collection and analysis of data for provider FPPE/OPPE, scorecards, quality metrics, etc.
• Analyzes all assigned areas for opportunities of improvement and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality ie: Core Measures, Hospital Acquired Conditions, etc.
• Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, efficiency, etc. using available information systems data. Where other data is necessary but not readily available, will design and implement appropriate data collection. Uses data from appropriate external sources, including comparative databases.
• Manages performance improvement projects, flow and alignment to assure milestones and key performance indicators are met within defined parameters. Documents the results of projects, and submits other documentation as requested.
• Participates in the Grievance Committee and works with department leaders to resolve investigations within the incident reporting system.
• Evaluate and document the effectiveness of the quality management system.
• Design, coordinate and maintain various aspects of the patient safety and risk management programs for all of the Hospital and its affiliated clinics.
• Review, investigate and analyze incidents for risk and adverse event identification, loss prevention and claims management purposes, including both potential and actual patient injury. Recommend interventions which will enhance the safety and well-being of patients, staff and organization at large.
• Mobilize departmental or administrative support to address unresolved high-risk practices.

Qualifications

• Registered Nurse preferred.
• 3+ years experience in a hospital facility required, Quality/Risk leadership experience, preferred.
• Master’s degree in nursing, healthcare administration, or a similar field of study with a strong analytical base, preferred.
• CPHQ (Certified Professional in Healthcare Quality), preferred
• Travel is infrequent.
• Understanding Healthcare
• Strong accounting knowledge and experience.
• Good communicator.
• Excellent in Excel (pivot tables, V-lookup’s, etc.)
• Critical thinking and problem-solving abilities.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development and advancement.
• Supportive work environment with a collaborative team.
• Comprehensive healthcare coverage.
• Retirement savings plan.
• Paid time off and flexible scheduling options.
• Student loan repayment program.