Manager, Quality & Risk
Adventist Health is more than an award-winning health system.
We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope.
From Oregon to Oahu, we have a calling to always do more.
Now is your chance to apply your passion to our mission.
We're looking for someone to join our team as a Manager, Quality & Risk who:
Manages and oversees the organization's Quality Management, Environmental and Employee Safety, and Performance Improvement Programs.
Maintains responsibility for implementing, coordinating and monitoring the Quality Assurance, Performance Improvement and Risk Management programs.
Manages professional/general/comprehensive liability programs covered under the Trust.
Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.
Essential Functions:
Directs the development of programs/processes related to Quality Management, Environmental & Employee Safety, Licensure & Accreditation and Performance Improvement.
Develops and maintains policies/procedures relating to Quality Management & Performance Improvement.
Serves as a resource for department personnel and leadership by providing feedback, guidance and performance improvement strategies.
Develops policy/procedure, monitors performance, develops and reviews metrics, assesses/prioritizes risk, conducts mock inspections and reports results to senior management.
Facilitates Performance Improvement Taskforces identified by Quality & Patient Safety Council.
Maintains accurate and up-to-date performance indicator dashboard.
Provides investigation findings/information to claims staff including identity of location/site/clinic involved, identity (full name, job title) of involved parties, witnesses, etc.
, and how they are involved, narrative description of the events, issues identified and recommendation/s for additional investigation.
Communicates and educates staff regarding knowledge/information necessary to ensure Quality, Safety, Licensure/Accreditation and Performance Improvement are actively pursued by staff.
Conducts orientation/training sessions regarding quality and performance improvement.
Educates staff on current evidence-based best practices for quality improvement.
Implements, coordinates and monitors the Quality Assurance & Performance Improvement program.
Responds to management complaints of customers regarding quality of care and services.
Identifies trends in patient complaints and communicates trends concerning risk/patient safety issues to appropriate leadership.
Coordinates collection/distribution of key performance indicators such as Core Measures and other strategic initiatives.
Prepares quality report for monthly operating forecast, governing board and medical staff committees.
Serves as primary contact for defense counsel and corporate claims staff.
Communicates and maintains high performance standards for department organization.
Maintains and meets expectations on time for all competencies, licenses, certifications and education requirements as outlined by local administration, the organization, The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and all other regulatory agencies.
Risk Management / Liability Claims Liaison:
Acts as Site Administrator for RADAR Claims Module (Potentially Compensable Event) and maintains legal case files.
Investigates and reports potentially compensable events (PCEs) and asserted claims (demands for compensation, services or litigation) to the Trust pursuant to the corporate policy for reporting to the Trust.
Provides investigation findings/information to claims staff including identity of location/site/clinic involved, identity (full name, job title) of involved parties, witnesses (how they are/were involved) etc.
, narrative description of the events, issues identified and recommendations for additional investigation.
Provides investigation findings/information to claims staff including identity of location/site/clinic involved, identity (full name, job title) of involved parties, witnesses (how they are/were involved) etc.
, narrative description of the events, issues identified and recommendations for additional investigation.
Investigates and responds (in writing) to requests from patients/visitors for compensation or payment for services, e.
g.
, physical therapy, home health, specialist consultation, etc.
Serves as primary contact for defense counsel and corporate claims staff.
Facilitates/verifies discovery and requests for documents, information, interviews and depositions.
Obtains concurrence for settlement, trial, etc.
Works with legal counsel to coordinate investigations, process and defend claims against the facility.
Obtains/maintains records and documents and provides them to defense attorneys for preparation of testimony in pendingYou'll be successful with the following
Qualifications:
Education:
Bachelor's degree in a healthcare-related field or equivalent combination of education/related
Experience:
RequiredMaster's degree:
Preferred Work
Experience:
Five years technical
Experience:
PreferredOne year's leadership
Experience:
Preferred Adventist Health is committed to the safety and wellbeing of our associates and patients.
Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), etc.
, as a condition of employment, and annually thereafter.
Medical and religious exemptions may apply.
Salary:
$32.
02 - $42.
26.
Estimated Salary: $20 to $28 per hour based on qualifications.
We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope.
From Oregon to Oahu, we have a calling to always do more.
Now is your chance to apply your passion to our mission.
We're looking for someone to join our team as a Manager, Quality & Risk who:
Manages and oversees the organization's Quality Management, Environmental and Employee Safety, and Performance Improvement Programs.
Maintains responsibility for implementing, coordinating and monitoring the Quality Assurance, Performance Improvement and Risk Management programs.
Manages professional/general/comprehensive liability programs covered under the Trust.
Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.
Essential Functions:
Directs the development of programs/processes related to Quality Management, Environmental & Employee Safety, Licensure & Accreditation and Performance Improvement.
Develops and maintains policies/procedures relating to Quality Management & Performance Improvement.
Serves as a resource for department personnel and leadership by providing feedback, guidance and performance improvement strategies.
Develops policy/procedure, monitors performance, develops and reviews metrics, assesses/prioritizes risk, conducts mock inspections and reports results to senior management.
Facilitates Performance Improvement Taskforces identified by Quality & Patient Safety Council.
Maintains accurate and up-to-date performance indicator dashboard.
Provides investigation findings/information to claims staff including identity of location/site/clinic involved, identity (full name, job title) of involved parties, witnesses, etc.
, and how they are involved, narrative description of the events, issues identified and recommendation/s for additional investigation.
Communicates and educates staff regarding knowledge/information necessary to ensure Quality, Safety, Licensure/Accreditation and Performance Improvement are actively pursued by staff.
Conducts orientation/training sessions regarding quality and performance improvement.
Educates staff on current evidence-based best practices for quality improvement.
Implements, coordinates and monitors the Quality Assurance & Performance Improvement program.
Responds to management complaints of customers regarding quality of care and services.
Identifies trends in patient complaints and communicates trends concerning risk/patient safety issues to appropriate leadership.
Coordinates collection/distribution of key performance indicators such as Core Measures and other strategic initiatives.
Prepares quality report for monthly operating forecast, governing board and medical staff committees.
Serves as primary contact for defense counsel and corporate claims staff.
Communicates and maintains high performance standards for department organization.
Maintains and meets expectations on time for all competencies, licenses, certifications and education requirements as outlined by local administration, the organization, The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and all other regulatory agencies.
Risk Management / Liability Claims Liaison:
Acts as Site Administrator for RADAR Claims Module (Potentially Compensable Event) and maintains legal case files.
Investigates and reports potentially compensable events (PCEs) and asserted claims (demands for compensation, services or litigation) to the Trust pursuant to the corporate policy for reporting to the Trust.
Provides investigation findings/information to claims staff including identity of location/site/clinic involved, identity (full name, job title) of involved parties, witnesses (how they are/were involved) etc.
, narrative description of the events, issues identified and recommendations for additional investigation.
Provides investigation findings/information to claims staff including identity of location/site/clinic involved, identity (full name, job title) of involved parties, witnesses (how they are/were involved) etc.
, narrative description of the events, issues identified and recommendations for additional investigation.
Investigates and responds (in writing) to requests from patients/visitors for compensation or payment for services, e.
g.
, physical therapy, home health, specialist consultation, etc.
Serves as primary contact for defense counsel and corporate claims staff.
Facilitates/verifies discovery and requests for documents, information, interviews and depositions.
Obtains concurrence for settlement, trial, etc.
Works with legal counsel to coordinate investigations, process and defend claims against the facility.
Obtains/maintains records and documents and provides them to defense attorneys for preparation of testimony in pendingYou'll be successful with the following
Qualifications:
Education:
Bachelor's degree in a healthcare-related field or equivalent combination of education/related
Experience:
RequiredMaster's degree:
Preferred Work
Experience:
Five years technical
Experience:
PreferredOne year's leadership
Experience:
Preferred Adventist Health is committed to the safety and wellbeing of our associates and patients.
Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), etc.
, as a condition of employment, and annually thereafter.
Medical and religious exemptions may apply.
Salary:
$32.
02 - $42.
26.
Estimated Salary: $20 to $28 per hour based on qualifications.
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