UNM Medical Group

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Manager, Clinical Quality Programs

at UNM Medical Group

Posted: 6/17/2019
Job Reference #: 1484
Keywords: insurance

Job Description

Location:
UNMMG Truman Health Services

Pay Range:


Job Code:
S0062

# of Openings:
1

Job Code/Title: S0062/ Manager, Clinical Quality Programs
FLSA:  Exempt
Grade: CE12

OPEN UNTIL FILLED

UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNM Medical Group, Inc. is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, paid leave and 403b retirement for benefits eligible employees.

Truman Health Services has provided extraordinary care to individuals living with HIV since 1985. Our NCQA Patient Centered Medical Home offers the highest level of care and the latest treatment options for New Mexicans living with HIV or those seeking gender health services and PrEP.

We are seeking a highly motivated, detail-oriented Manager, Clinical Quality Programs to lead our Quality Management Team in the development and implementation of quality improvement activities to ensure Truman delivers the safest and most effective patient care. The Manager, Clinical Quality Programs will be responsible for regulatory readiness for accreditation ad monitoring site visits. The successful candidate will be responsible for making recommendations to ensure clinic compliance with HRSA/Ryan White Programs and other regulatory entities. The candidate will work directly with leadership to create action plans to correct any identified deficits to include establishing and implementing associated monitoring processes. The successful candidate will oversee data management and conduct analyses to help identify areas for improvement and report patient outcomes.

The Manager, Clinical Quality Programs will be the immediate supervisor for members of the Quality Management team

The following statements are intended to describe, in broad terms, the general functions and responsibility levels characteristic of positions assigned to this classification. They should not be viewed as an exhaustive list of the specific duties and prerequisites applicable to individual positions that have been so classified.

SUMMARY

Develops and manages a Quality Management Program through the design, implementation, coordination and evaluation of national quality initiatives through research, data management, data analysis and data reporting. As a member of the department's leadership team supports the identification and development of goals, objectives, policies and procedures for key strategic plans and process improvement initiatives.

DUTIES AND RESPONSIBILITIES

  1. Develops and manages a quality management program in a multi-faceted complex environment so as to facilitate process improvement and departmental efficiencies and effectiveness.
  2. Collects, develops, analyzes, and communicates a wide range of institutional data that will be used to establish benchmarks and to support decision making, problem solving and planning for continuous quality improvement.
  3. Develops a system to track progress and compliance to meet standards of care for accreditation.
  4. Manages the implementation of quality and process improvement projects in a manner that systematically and consistently integrates all relevant data.
  5. Assesses reporting requirements and develops and disseminates statistical and narrative reports to the leadership team.
  6. Develops and maintains any database(s) necessary for the functions detailed above, and creates system(s) to ensure the integrity of the data therein.
  7. Supervises the data collection, and clinical quality staff.
  8. Coordinates with HS Clinical Practice Excellence and takes part in its centralized initiatives as necessary.
  9. Participates as a member of the health system Quality Council.
  10. Performs miscellaneous job-related duties as assigned.

MINIMUM JOB REQUIREMENTS

Bachelor's degree in a relevant field, with at least 5 years of directly related experience (design, implementation, coordination and evaluation of quality improvement initiatives) at an equivalent level in a health care enterprise preferred. Must have one of the following, or ability to obtain within 1 year of employment; CPHQ, CMQ, or Six Sigma Certification. Verification of education and licensure will be required if selected for hire.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

  • Demonstrated proficiency with Microsoft Office Suite, including WORD, Excel, PowerPoint, and Access. Familiarity with other relational databases such as SPSS...
  • Demonstrated experience in project planning, training, and PDSA improvement model.
  • Demonstrated ability in the assurance of data integrity, accuracy, and consistency.
  • Knowledge of survey design and focus groups.
  • Familiarity with formal quality and process improvement programs such as LEAN and Six-Sigma.
  • Working knowledge of root cause analysis as it relates to core measures of performance, patient safety and quality of life in a health care setting.

CONDITIONS OF EMPLOYMENT

  • Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).
  • Must pass a pre-employment criminal background check.
  • Fingerprinting, and subsequent clearance, is required.
  • Must provide proof of varicella & MMR immunity or obtain vaccinations within 90 days of employment.
  • Must obtain annual influenza vaccination.
  • If this position is assigned to a clinical area, successful candidate will be required to complete a pre-placement medical evaluation/health screen.  Required N-95 mask fitting, testing, vaccinations to include annual TST, Tdap, and Hepatitis B will be determined based on location and nature of position.

WORKING CONDITIONS AND PHYSICAL EFFORT

  • Work is normally performed in a typical interior/office work environment.
  • No or very limited exposure to physical risk.
  • No or very limited physical effort required.

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