Quality Improvement Director

The Quality Improvement (QI) Director would be responsible for developing and implementing the Agency’s QI program

• Assure high quality of care to all consumers.
• Continuously monitor and improve the quality and safety of consumer care and clinical delivery services by all practitioners with delineated clinical privileges.
• Continuously monitor and improve behavioral health care (includes care for both mental health disorders) through education and collaboration with appropriate health care practitioners.
• Oversee and assess clinical care systems, processes and outcomes.
• Oversee and assess components of clinical service delivery.
• Oversee the credentialing and re-credentialing of all health care practitioners and providers.
• Implement standards of care and practice guidelines.
• Communicate standards and guidelines to practitioners and providers, when appropriate.
• Review and/or update criteria, guidelines and standards of care and services at least annually.
• Monitor compliance with standards of care and services.
• Monitor compliance with Medical Record standards.
• Implement improvement interventions as necessary.
• Monitor consumer and practitioner complaints and appeals, the reasons for the complaint and appeal, and the Plan’s resolution turnaround time.
• Conducting Satisfaction surveys for consumers receiving services.
• Develop and maintain a monitoring system to detect trends.
• Assess effectiveness of improvement interventions.
• Establish and maintain a preventive process that identifies potential risk management issues.
• Recognize and evaluate new services, technologies, procedures, and treatments, as well as their application for the population served.

• Demonstrate a commitment to improving safe clinical practice by fostering a supportive environment to help practitioners improve the safety of their practices. This may be accomplished through the distribution of information to practitioners to assist in facilitating a safer clinical environment.
• Distribute information to staff to improve their knowledge about prevention of illness as it relates to their own health care. Also to distribute information regarding clinical safety to facilitate informed decision making.
• Address consumer safety issues, potential disparities in clinical care and service, and needs associated with complex health conditions in existing QI activities and health management programs through prevention and educational activities.

Additional Compensation:

• Bonuses

Work Location:

• One location

Benefits:

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off

This Job Is Ideal for Someone Who Is:

• Dependable — more reliable than spontaneous
• People-oriented — enjoys interacting with people and working on group projects
• Adaptable/flexible — enjoys doing work that requires frequent shifts in direction
• Detail-oriented — would rather focus on the details of work than the bigger picture
• Achievement-oriented — enjoys taking on challenges, even if they might fail
• Autonomous/Independent — enjoys working with little direction
• Innovative — prefers working in unconventional ways or on tasks that require creativity

This Company Describes Its Culture as:

• Detail-oriented — quality and precision-focused
• Innovative — innovative and risk-taking
• Aggressive — competitive and growth-oriented
• Outcome-oriented — results-focused with strong performance culture
• Stable — traditional, stable, strong processes
• People-oriented — supportive and fairness-focused
• Team-oriented — cooperative and collaborative

Schedule:

• Monday to Friday
• Weekends required