Must have the following in order to apply:
- Bachelor’s Degree
- Minimum of five (5) years of nephrology and three (3) years of quality improvement experience, with project management skills
- Current Registered Nurse (RN) licensure in the United States and have the ability and means to seek and get granted reciprocity to practice nursing in the State of Florida
- End-Stage Renal Disease (ESRD) experience
- Verbal and written communication skills
- Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals
- Customer service skills
- Computer skills
- Ability to lift up to 25 pounds
- Able to work a flexible schedule and extended hours, including weekends and holidays, as needed
- Proficient in Microsoft Office Suite
- Knowledge of data base navigation
Preferred Skills: Master’s degree in a healthcare related field is preferred, but will consider a bachelor’s degree with appropriate background and experience. Multi-lingual.
Required Screenings: Drug testing/screening; background checks; reference checks; Department of Motor Vehicle record check; credit checks. Drug Free Workplace.
Job Description: The Quality Improvement Manager is responsible for the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact provider compliance to regulatory and accreditation standards. The incumbent drives key quality improvement projects requiring the ability to work effectively in a matrix environment in order to receive needed data that reflects the overall health of the community. The Quality Improvement Manager is responsible for the development, implementation, evaluation and coordination of all clinically focused quality improvement (QI) activities within AIMS 1, 2, and 3 (e.g., vascular access management, infection control surveillance, immunizations, QIP).
Essential Job Functions:
- The Quality Improvement Manager provides primary staff support to the quality improvement committee or the medical review board
- Contributes to required administrative reports, e.g., monthly progress reports and annual reports.
- Maintains relations within the renal, surgical and interventional clinical communities as well as QI/clinical liaison to entities such as CDC, QIOs, SSA and other associated organizations (ANNA, NKF, RPA; etc.)
- Maintains a strong networking background with end stage renal disease (ESRD) providers and possess the ability to engage reticent groups to work together. Encourages groups to come to consensus despite competition between care providers
- Develops relationships with local, regional and state disaster preparedness coordinators and act as the point person for Network provided education and disaster preparedness activities for providers and patients, including the coordination, development and distribution of annually updated, state-specific disaster preparedness manuals and ID cards to all dialysis and transplant facilities in the service area
- Together with the Patient Services Manager, the QI Manager works to coordinate measure-driven activities developed by the MRB with the patient perspective and education pieces recommended by the patient advocacy committee. These on-going activities serve as a base for the development of additional collaborations with a broader range of participation as well as stronger patient and direction
- Ability to assess current health care provider processes and barriers related to the focus of quality improvement activities (QIAs). Based upon assessment findings and in collaboration with the beneficiary protection team, determines appropriate interventions and/or modifications to QIAs, and shares these with healthcare providers
- Ability to effectively communicate with Medicare beneficiaries, physicians, administrators, attorneys and other professional staff on case review processes and findings as appropriate
- Ability to educate providers and beneficiaries on Medicare requirements as they relate to ESRD Network oversight activities
- Recommends methods to improve network provider compliance to health plan QI Program policies and procedures, including profiles/scorecards and efforts to increase provider compliance to practice guidelines, such as through medical record review
- Acts as knowledge expert for continuous quality improvement activities, educating staff of other functional areas regarding the QI process and accreditation requirements
- Recommends strategies to improve member compliance to QI program activities, addressing methods to change knowledge, attitudes and behaviors, such as handbook content, newsletter articles, member outreach interventions, and member focus groups
- Ability to lead and direct process improvement activities that provide more efficient and streamlined workflow in the ESRD environment. Presents results of improvement efforts and ongoing performance measures of clinical processes within the ESRD community to peers, CMS and senior management
- Develops strategic plans for the health care improvement function within the facility in collaboration with the administrative and clinical leaders of the dialysis and transplant centers. Familiar with a variety of the field’s concepts, practices, and procedures
- Manages and monitors clinical quality studies to include receipt and analysis of trended data, assessment of national benchmarks as available, development of improvement recommendations (to include ROI and best practice interventions as appropriate), presentation to senior leadership, implementation of plan, and evaluation for desired result
- Relies on extensive experience and judgment to plan and accomplish goals. Performs a variety of tasks. Leads and directs the work of others. A wide degree of creativity and latitude is expected. Reports to the Executive Director
- Ability to adhere to strict CMS and HSAG confidentiality guidelines
- Accountable for accurate and timely completion of all assigned functions and tasks
- Must possess the ability to correlate detailed medical information with approved criteria and/or standards of care
- Must be able to read handwritten and electronic medical records
- Is accountable for appropriate communication and problem solving behavior with health care providers, Medicare beneficiaries, CMS and other professional staff
- Must possess the ability to communicate, present, and teach, through written and verbal means, information in a clear, concise and accurate manner
- Must possess the ability to use individual discretion and professional judgment to initiate actions
- Must possess the ability to work independently or as part of a team
- Regularly attends staff meetings and in-service presentations
Days & Hours: Full time position; 40 hours per week; Monday through Friday; 8:00am to 5:00pm. Complete schedule will be discussed with the applicant.
Stephen P. J. Gilman, MA-HRD
Professional Recruiter & REACT Coordinator – Business Services
Professional Networking Group
CareerSource Tampa Bay
9215 N. Florida Avenue, Tampa, FL 33612
[email protected]
(O) 813-930-7583 (F) 855-503-2977
