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Provides executive leadership over the hospital’s quality improvement process and programs.: Leads the organization's medical quality improvement programs and processes. Provides training and guidance to staff to ensure understanding and that quality, accreditation, and performance improvement are actively pursued. Defines methodologies and directs the collection and analysis of data. Implements processes and methodologies for the identification and sharing of best practices. Promotes support for best practices and evidence-based medicine. Coordinates and oversees quality improvement efforts in operating units. Develops strategic initiatives and transforms initiatives into action plans. Develops and fosters effective collaboration between departments and other affiliated services to ensure an integrated approach to quality management. Facilitates and coordinates the redesign of processes and systems for improvement with a central focus on patient centered care and services, customer satisfaction, safety, resource efficiency, quality, and employee satisfaction. Develops new strategies to improve overall performance. Hires, develops and motivates a qualified quality management/improvement staff. This position requires a Medical Doctor.

Quality Improvement Director

Plans, implements, and directs the quality improvement activities of all departments involved in direct patient care and/or services, including medical staff departments, to enhance the quality of service. Reports directly to the CEO or VP of Quality and Patient Services.: Initiates clinical and service performance improvement projects. Establishes strategic plans, policies, and procedures at all levels with all critical operations departments to ensure quality programs will meet or exceed regulatory requirements. Manages the risk management program to control and minimize risks and losses. Ensures that facility meets all accreditation and regulatory requirements and that best patient care practices are implemented and followed. Monitors service indicators, grievance and appeals data, accessibility and availability of provider network, member and provider satisfaction, and over- and under-utilization of services. Conducts focused chart review audits of medical records and assists with the data collection process.

Quality Improvement Supervisor

Assists management in the implementation of continuous improvement objectives in the areas of quality, delivery, and cost. Leads teams to execute projects using a variety of continuous improvement tools and methodologies. Leads, coaches, and supports others, including managers and supervisors, in their continuous improvement activities.: Assures compliance with established quality standards, National Committee for Quality Assurance standards, and URAC standards when appropriate. Assures the maintenance of accurate documentation of all quality improvement activities, such as surveys, audits, peer reviews, etc. Prepares the agenda and manages the activities of the health plan's Quality Improvement Committees, in conjunction with Medical Affairs. Remains current with new developments in the field of quality improvement. Develops new Quality Improvement activities in the health plan. Oversees the annual Medical Record Documentation/Preventive Services clinical study. Assures that all quality improvement activities are conducted according to CQI and URAC standards and that appropriate data and documentation are kept. Ensures that quality improvement information, including the monitoring and evaluation of indicators, is collected and reported to the Quality Improvement Committee from the various health plan departments, including credentialing, provider relations, health services, customer services. Maintains data collection for HEDIS measures and identifies opportunities for improvement based on the HEDIS results.

Quality Improvement Manager

Manages all quality improvement activities of the health plan and assists the director in developing and implementing plans to ensure accreditation. Develops and implements the organization’s quality improvement plan in accordance with the strategic goals of the organization, regulatory standards and accreditation standards. This position typically requires a graduate of an accredited School of Nursing or a Registered Health Information Administrator (RHIA) with experience in direct patient care or in health information.: Manages all quality improvement activities of the health plan and assists the director in developing and implementing plans to ensure accreditation. Develops and implements the organization’s quality improvement plan in accordance with the strategic goals of the organization, regulatory standards and accreditation standards. Provides expertise and technical assistance, consultation and training to staff and service providers regarding laws, statues, rules, regulations and standards. Develops and implements systems, policies, and procedures for the identification, collection and analysis of performance measurement data. Educates and trains executive leadership, staff and business associates on the quality improvement plan. Hires and develops a qualified quality improvement staff. Develops and monitors a departmental budget. Leads, facilitates and advises internal quality improvement teams. Collects and summarizes performance data, identifies opportunities for improvement, and presents findings. Manages monitoring and evaluation of facility and clinical quality improvement activities. Analyzes customer survey data to identify opportunities for improvement and presents findings to appropriate departments. This position typically requires a graduate of an accredited School of Nursing or a Registered Health Information Administrator (RHIA) with experience in direct patient care or in health information.

Documentation Supervisor

Supervises and coordinates activities of workers engaged in preparing shipping documents and related reports and in classifying and rating cargo according to established tariff rates: reviews ships' schedules and booking records to plan and schedule work activities. Assigns rating activities to workers and reviews ratings to ensure that cargo has been classified in accordance with established tariff rates. Verifies codes assigned shippers against bills of lading and assigns codes to new accounts. Assigns documentation activities to workers, such as preparing dock receipts, bills of lading, and manifests, and compiling tonnage, demurrage, and storage reports. Examines reports and documents for completeness and accuracy and gives instructions to workers regarding corrections. Issues bills of lading to shippers upon verification of documents. Confers with other supervisory personnel and shippers' representatives to clarify problems and resolve complaints. May supervise and coordinate activities of workers engaged in passenger baggage handling. Performs other duties as described under supervisor.

Quality Improvement Coordinator

Assists in the implementation of a quality improvement program within a health plan by performing medical record site and provider site reviews, compiling statistics, developing methodology, and assisting in the development of indicators for quality monitoring activities. Performs on-site audits of practitioners and medical records and gives feedback where changes or enhancements may be made. Performs on-site credentialing or recredentialing audits of practitioner applicants and sites. Typically requires a graduate degree from an accredited School of Nursing or a Registered Health Information Administrator (RHIA) with experience in direct patient care or in administration of health programs.: Assists in the monitoring and evaluation of areas identified for focused studies. Assists in the preparation of quality improvement reports. Assists in the evaluation of over-utilization and under-utilization of services. Provides assistance in preparation of the quality improvement portion of all surveys by external review organizations. Performs special clinical medical record reviews.

Documentation Engineer

Plans, directs, and coordinates preparation of project documentation, such as engineering drawings, production specifications and schedules, and contract modifications, to ensure customer contract requirements are met. Typically requires a degree in construction engineering or a closely-related field.: Reviews contract to determine documentation required for each phase of project, applying knowledge of engineering, construction, and manufacturing processes. Schedules due dates for drawings, specifications, software, technical manuals, and other documents. Monitors status of project to ensure documentation is submitted according to schedule. Reviews and verifies project documents for completeness, format, and compliance with contract requirements. Submits project documentation to management for approval, and transmits approved documents to customer. Confers with engineers, managers, customers, and others to discuss project, prepare documents, or modify contract schedules.

Engineer Documentation

Instructor Self Improvement

Instructs individuals and groups in techniques and methods of self-improvement, utilizing principles of modeling, such as visual poise, wardrobe coordination, and cosmetic application: analyzes appearance of individual to determine self-improvement considering factors, such as figure, complexion, and body posture. Explains and demonstrates methods and techniques of self-improvement. Observes student, such as ascending and descending stairs, walking, and in cosmetic application sessions to ensure conformance to classroom instruction. Instructs students in selecting and coordinating wardrobe.

Public Improvement Inspector

Inspects construction and excavation of gas or electric sites to ensure precautions are taken to prevent damage to company facilities: interprets blueprints and work order specifications and marks location of underground facilities and dimensions of trenches to be dug, using stakes and chalkline. Observes progress of work and reports extent of damages, such as broken or exposed pipes and cables or caved-in vaults, and urgency of repairs required. May coordinate gas or power construction and maintenance projects with underground work of municipal departments and other utilities.

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