Supervisor-Quality Critical Incident (Remote Eligible)

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Supervisor for Quality Critical Incidents to lead a dedicated team in ensuring timely and effective reporting of critical incidents. This role is crucial in maintaining compliance with state regulations while providing oversight and support to staff. The ideal candidate will possess a strong nursing background and supervisory experience in managed care. Join a forward-thinking organization committed to improving community health and providing a comprehensive benefits package, including medical and wellness programs, in a collaborative work environment. This is a fantastic opportunity to make a meaningful impact in healthcare.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Plan

Wellness Program

Employee Wellness Rewards Program

Qualifications

• Supervisory experience in a managed care organization is preferred.
• Nursing Degree required; MSN or BSN preferred.

Responsibilities

• Supervise Critical Incident Reporting activities and monitor staff case load.
• Ensure timely processing of Critical Incidents and oversee documentation.

Skills

Supervisory Skills

Critical Incident Management

Team Coordination

Education

Bachelor's Degree in Nursing

Master's Degree in Nursing (MSN)

Job description

Overview

Now hiring a Supervisor-Quality Critical Incident!

Presbyterian Healthcare is hiring Supervisor-Quality Critical Incident. Critical Incident Reporting is a Contractual requirement within the State of New Mexico and Presbyterian Health Plan Medicaid Contract. Critical Incidents include but are not limited to reports of abuse, neglect, and exploitation towards a Member. This position performs supervision in the training, coordination, and daily operational activities of the Critical Incident Reporting (CIR) team to ensure that tasks are assigned and carried out. Ensures that Critical Incidents are processed and handed off to the appropriate workflow to make certain that the healthcare and safety needs of the most vulnerable Medicaid Members are met, and that the contractual required timelines are in compliance. Oversight of teams includes developing and maintaining models for tracking of staff performance. Assists the Manager and Director to apply performance measurements and/or ensure that the Critical Incident Reporting processes meet timeliness and quality standards.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: Yes
• Job is based at Remote Rev Hugh Cooper Admin Center
• Remote work from home: this job is intended to be conducted in the state of New Mexico.
• Work hours: Weekday Schedule Monday-Friday
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Prefer Qualifications

Supervisory experience in a managed care organization

Qualifications

• Nursing Degree required. Bachelor's degree required, MSN or BSN preferred.
• Critical Incident Management experience required.

Responsibilities

• Under the direction of the Quality Manager, is responsible for and supervises Critical Incident Reporting activities.
• Monitors staff case load and distributes daily work assignments to the team to meet regulatory timeliness requirements for critical incident reports.
• Ensures completion of daily processing of Critical Incidents from all sources including the NM CIR Portal and supervises referrals of all Critical Incidents for appropriate follow up activities with Care Coordination, Providers, and/or other quality workflows as needed.
• Oversees documentation of all pertinent Critical Incident data and information in the PHP internal database.
• Ensures all new CIRs are placed under review within 24 hours of receiving them, Monday-Friday excluding holidays.
• Oversees closure of all CIRs via the HSD Critical Incident Reporting System (CI Portal).

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness: Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinars, preventive screening and more.

Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.

Maximum Offer for this position is up to

USD $47.83/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.