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  • Altamonte Springs, Florida, Coding Specialist Risk Adjustment  All the benefits and perks you need for you and your family: ·     Benefits from Day One ·     Career Development ·     Whole Person Wellbeing Resources ·     Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that  together  we are even better. Shift :  Monday-Friday  Job Location : 900 Hope Way, Altamonte Springs, 32714  The role you’ll contribute:   The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and concurrent chart reviews in addition to education and chart retrieval for Health Plan audits and reports.   Uses knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.   The value you’ll bring to the team:   Review and assess documentation and accurately translates chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records  Extracts data for Health Plan reports  Inputs data collected from HCC programs  Coordinates audits of Provider coding data  Responsible for scheduling of audits  Sends Provider the list for chart reviews and provides follow-up communication  Assists in obtaining medical records from Providers to support audits requested by Health Plans    Assists in coordinating Physician and staff training sessions Qualifications The expertise and experiences you’ll need to succeed: EDUCATION AND EXPERIENCE REQUIRED : Minimum of three years of healthcare experience Minimum of 3 years’ experience in HCC coding  CPC (Certified Professional Coder) EDUCATION AND EXPERIENCE PREFERRED: Prior risk adjustment and medical record review experience Strong ambulatory background with a focus on diagnostic coding Experience with Medicare risk adjustment, Hierarchical Condition Categories (HCC), coding, billing, auditing and various healthcare payers This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
  • El Paso, Texas, Texas, This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Have a master's degree in social work from a school of social work fully accredited by the Council on Social Work Education (CSWE). Graduates of schools of social work that are in candidacy status do not meet this requirement until the School of Social Work is fully accredited. A doctoral degree in social work may not be substituted for the master's degree in social work. Verification of the degree can be made by going to http://www.cswe.org/Accreditation to verify that the social work degree meets the accreditation standards for a masters of social work. Licensure: Persons hired or reassigned to social worker positions in the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work at the master's degree level. Current state requirements may be found by going to http://vaww.va.gov/OHRM/T38Hybrid/. Physical Requirements. Moderate lifting/carrying (15-44 lbs), Use of fingers, Walking 5 hours, Standing 3 hours, Operation of a crane, truck, tractor, or motor vehicle, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Both eyes required, Depth Perception, Ability to distinguish basic colors, Hearing (aid permitted) English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). May meet this requirement through the Grandfathering Provision Preferred Experience: Experience providing evidence based therapies experience with crisis intervention and risk management clinical proficiencies and suicide risk assessment two years experience working with Veteran and/or military population Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade level. Senior Social Worker, GS-12 Experience and Education. The candidate must have at least two years of experience post advanced practice clinical licensure and should be in a specialized area of social work practice of which, one year must be equivalent to the GS-11 grade level. Senior social workers have experience that demonstrates possession of advanced practice skills and judgment. Senior social workers are experts in their specialized area of practice. Senior social workers may have certification or other post-masters training from a nationally recognized professional organization or university that includes a defined curriculum/course of study and internship or equivalent supervised professional experience in a specialty. Licensure/Certification. Individuals assigned Senior Social Worker must be licensed or certified at the advanced practice level and must be able to provide supervision for licensure. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Skill in a range of specialized interventions and treatment modalities used in specialty treatment programs or with special patient populations. This includes individual, group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management. (b) Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of practice. (c) Knowledge in developing and implementing methods for measuring effectiveness of social work practice and services in the specialty area, utilizing outcome evaluations to improve treatment services and to design system changes. (d) Ability to provide specialized consultation to colleagues and students on the psychosocial treatment of patients in the service delivery area, as well as role modeling effective social work practice skills. (e) Ability to expand clinical knowledge in the social work profession, and to write policies, procedures, and/or practice guidelines pertaining to the service delivery area Physical Requirements: There are no set physical requirements for this position. Use of eyes, hands, walking/standing and hearing may be needed to perform some functions. Mental, emotional, and cognitive stability are required. References: VA Handbook 5005/120 Part II Appendix G39, September 10, 2019 The grade at which an applicant may be selected for this vacancy is GS-12. ["VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU VA Careers - Licensed Clinical Social Worker: https://youtube.com/embed/U_xC25QsN0w Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf Within the El Paso VA Healthcare clinic setting and in the field at local community hospitals; the Senior Social Worker position for the CO-ED High-Risk Program is designed to meet the needs of high-risk Veterans who require case management to prevent hospitalization and to coordinate care. The overall objective of the program is to assist the Veteran/caregiver in managing the disease(s) process, coordinating care and maintaining and/or improving health.The CO-ED High Risk Program Senior Social Worker has specific knowledge of medical and mental health diagnoses including, new and/or chronic diseases), as well as insight into the needs of and services required for this vulnerable population. The CO-ED High Risk Program Senior Social Worker performs clinical case management in collaboration with the interdisciplinary team to meet the biological, psychological, social and environment needs of Veterans.The CO-ED High Risk Program Senior Social Worker: Independently performs case finding functions and outreach, identifying and screening patients for psychosocial needs. Independently conducts psychosocial assessments. Assists in the development of treatment plans in collaboration with the Veteran/family and with the interdisciplinary treatment team. Offers psychosocial interventions and measures outcomes to interventions. Coordinates community-based services, including information and referral for additional services from other VA programs, other government programs and community agency programs. Visits community in-patient facilities, establishing rapport with admitted, high risk patients that have been identified and authorized for admission by the El Paso VAHCS. Independently identifies high-risk patients and provides case management services. Incumbent provides crisis intervention services, seeking to address the cause as well as the presenting complaint, coordinates family conferences and serves as liaison to family members. Conducts medical and mental health diagnoses, disabilities and treatment procedures and medical terminology. Establishes and maintains effective therapeutic relationships with veterans and their families. Independently provides consultation services to other staff regarding the psychosocial needs of veterans and the impact of psychosocial problems on health care and adherence to treatment plan. Evaluate self-practice through professional peer review, case conferences and other organizational means. Incumbent can communicate effectively, both orally and in writing, with people from varied backgrounds. Duties are continued in the Education Section of this announcement. Work Schedule: Monday - Friday, 8 AM - 4:45 PM Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized EDRP Authorized: Contact the EDRP Coordinator for questions/assistance at VISN17EDRP2@va.gov. Learn more Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Ad/Hoc Telework may be authorized Virtual: This is not a virtual position. Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
  • Nashville, Tennessee, Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Quality, Safety & Risk Prevent Job Summary: Provides expert leadership in nursing sensitive indicators including all aspects - data integrity, project management and sustainability. Reliably executes on quality improvement projects to empower the staff to deliver the highest quality, safest care to our patients. Effectively communicates and collaborates with multidisciplinary team members within QSRP as well as healthcare teams. . KEY RESPONSIBILITIES * Leads improvement work on Nursing sensitive indicators pillar goals * Leads improvement work on Magnet indicators, NDNQI * Oversight of unit based Quality and Safety champions/resources * Management of committee and rounding infrastructure * Facilitates internal and/or external customer satisfaction. * Expert collaboration with multidisciplinary team members. * Manage and lead quality improvement projects. * Participates in developing and/or revising evidence based practice guidelines. * Portray excellent presentation skills * Participate and lead external collaboratives * Data validation and analysis, integrity, accessibility, and visualization TECHNICAL CAPABILITIES * Evidence-Based Practice (Advanced): Recognizes, Implements, and evaluates practice changes based on published research. Demonstrates expertise in applying evidence-based practices to challenging and complex situations. * Regulatory Compliance (Intermediate): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them. * Improvement Methodology (Intermediate): Lead teams in quality and performance improvement methodology, including facilitating opportunity analysis, key driver diagrams, performance measure requirements, and PDSA improvement cycles (EA, FMEA, CTQ) * Leadership (Intermediate): Formulates a vision while motivating & guiding employees promoting engagement. Leaders state precise goals, ensures the commitment of individuals to those goals, defines the methods of measurement, and provides the incentive to accomplish measureable outcomes. * Quality Management (Advanced): Developing a systematic process of checking to see whether a process or service is meeting specific requirements. * Data Analysis (Intermediate): The ability to analyze data in an accurate manner. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing: Nursing Careers : http://www.vumcnursingcareers.com/index.html Benefits : http://www.vumcnursingcareers.com/benefits.html Our Nursing Philosophy : http://www.vumcnursingcareers.com/philosophy.html Our Nursing Leadership : http://www.vumcnursingcareers.com/leadership.html Shared Governance : http://www.vumcnursingcareers.com/shared-governance.html Education& Professional Development : http://www.vumcnursingcareers.com/professional-development.html Life In Nashville : http://www.vumcnursingcareers.com/nashville.html VUMC Nursing : http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing Core Accountabilities: * Organizational Impact: Plans and sets own objectives to deliver against responsibilities that have a direct impact on the near term results of a system or institution. * Problem Solving/ Complexity of work: Solves highly complex problems and recommends solutions that may have broad impact to the function.* Breadth of Knowledge: Viewed as the technical expert at VUMC within a professional area and a broad knowledge of other professional areas. * Team Interaction: Leads complex project teams; coaches and guides team members and develops strategy for project execution. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Acts upon constructive feedback from all levels of the organization and initiates strategies to develop talent in others. - Builds and Maintains Relationships: Leverages relationships and insight to forecast potential future needs and influence delivery of work to exceed expectations. - Communicates Effectively: Anticipates difference audience concerns, styles and finds mutually beneficial solutions across conflicting and sensitive issues. Delivering Excellent Services : - Serves Others with Compassion: Demonstrates in-depth knowledge of broad-based issues and considers the interests of others to improve satisfaction of services. - Solves Complex Problems: Critically evaluates complex information and identifies trends/risks to make recommendations to improve processes across areas. - Offers Meaningful Advice and Support: Provides ongoing feedback and development discussions to motivate and support team members to maximize performance. Ensuring High Quality : - Performs Excellent Work: Anticipates problems or obstacles which may interfere with quality standards and develops plants to ensure area's quality standards are met.- Ensures Continuous Improvement: Routinely draws upon valuable learning from others, past experiences, and new information to determine key opportunities. - Fulfills Safety and Regulatory Requirements: Develops appropriate corrective actions for unsafe environments in order to ensure operational and safety compliance. Managing Resources Effectively: - Demonstrates Accountability: Identifies potential obstacles to goal achievement and develops solutions to address those obstacles. - Stewards Organizational Resources: Creates the appropriate systems and processes to effectively manage resources. - Makes Data Driven Decisions: Applies in-depth knowledge of data to recommend and implement new approaches to improve decision making capabilities. Fostering Innovation: - Generates New Ideas: Identifies opportunities and leads development of new initiatives that create value across areas. - Applies Technology: Creates the energy and drive for self/others to identify and leverage technology in new, innovative ways to drive greater efficiencies. - Adapts to Change: Anticipates the change process and clearly communicates impact on others/own team(s), assisting them in embracing the change. Position Qualifications: Responsibilities: Certifications: LIC-Registered Nurse - Licensure-Others Work Experience: Relevant Work Experience Experience Level: 3 years Education: Graduate of an approved discipline specific program Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled
  • Durham, North Carolina,   Primary Purpose of Organizational Unit: The Occupational and Environmental Safety Office (OESO) provides the focus for the administration of all safety and environmental programs to Duke University, Duke University Medical Center, and Duke University Health System.  OESO has the responsibility for developing institutional safety and environmental plans and policies; providing information and training to meet all regulatory requirements; providing technical consultation and guidance; conducting exposure and risk assessments; conducting safety and environmental audits; monitoring compliance with all safety and environmental policies; and investigating accidents, injuries, spills, environmental releases, and reported unsafe conditions.   Specific to the Community Hospital and Clinic Safety Division: The Community Hospital and Clinic Safety Division is responsible for developing, organizing, directing, and monitoring activities that minimize occupational health and safety risks and assure compliance with applicable regulations and accreditation bodies for Duke Raleigh Hospital, Duke Regional Hospital, and associated clinics.  The Division accomplishes these objectives through the anticipation, recognition, evaluation, and control of safety and health hazards and through coordination with the other specialized Divisions within OESO.   Primary Purpose of Position:   This position is responsible for the anticipation, recognition, evaluation, and control of safety and health hazards for OESO's, Community Hospital and Clinic Safety Division, to ensure compliance with federal, state and local regulations.  Responsibilities include developing, organizing, directing, supporting, and monitoring activities that minimize occupational health and safety risks and maintain compliance with applicable regulations.  This includes surveillance, reports of the results of the surveys, data collection, assurance of compliance, training as needed, development of site-specific safety plans, and review of employee exposures, injuries, and accidents. This position reports directly to the Director of the Community Hospital and Clinic Safety Division of the OESO.   General Duties and Responsibilities In addition to the primary duties, the Safety and Health Specialist will:   Assist in the occupational safety and health functions and relevant accreditation functions for the Community Hospital and Clinic Safety Division.  Be accountable for developing and implementing policies, procedures, and systems related to the occupational safety and health programs within the Division. Maintain up-to-date knowledge and understanding of new or anticipated regulations or compliance interpretations that may affect or impact the Division.  Prepare analyses and strategies for review by OESO Management. Assist the oversight entities to assure compliance with all appropriate Federal, State, and local regulations and standards such as OSHA, EPA, DOE, DOT, NRC, RCRA, FIFRA, TOSCA, CERCLA, TJC, and CMS.  Provide leadership and direction to technical personnel of the Community Hospital and Clinic Safety Division Identify personnel, institutional and material resources needed to accomplish objectives.  Establish, maintain cooperative relations, work effectively as a member of a team, and communicate effectively with other Duke organizational units. Review planned expansion, modifications, or closures of facilities that impact areas of the Division's oversight. Serve as a representative on the respective safety committees for Duke Raleigh Hospital, Duke Regional Hospital, and other affiliated community sites, as needed. Assist with comprehensive safety and hygiene audits of Duke Departments. Will be able to recognize some deficiencies and hazards independently and will be able to research findings to determine extent of possible hazards. Perform tasks related to various environmental management functions, such as on-site management of hazardous wastes, spill response, hazardous materials treatment or recycling, and environmental compliance program support. Perform sampling to evaluate personnel exposures and engineering controls. Perform accident investigations and work with departments to correct safety hazards and develop preventative procedures. Perform Job Hazard Assessment and, after consultation with more experienced employee, recommend measures to control exposures, including substitution of less hazardous materials, personal protective equipment (PPE), work practice changes, and some engineering controls. Assist with preparing training classes and materials and deliver training courses that have already been developed. Write reports documenting observations, sampling results, and recommendations for supervisor's review. Assist with writing reports to external departments. Document all work in OESO computer files and databases. Able to lift and carry heavy materials and equipment. Serve as a member of the OESO hazardous materials spill response team.   Duties and Responsibilities of Level 2:   In addition to the duties and responsibilities for the Level 1 Specialist, Level 2 will:   Perform comprehensive safety audits of Duke Departments. Will be able to recognize most deficiencies and hazards independently and research unfamiliar situations. Perform environmental risk assessments of various property transfers. Manage environmental remedial projects. Develop comprehensive sampling strategies for a specific project. May supervise Safety Technicians who perform monitoring. Provide solutions to a variety of problems where analysis of data requires evaluation of identifiable factors. Exercise judgment within defined policies in selecting methods and techniques for obtaining solutions. Recognize injury and illness trends within the organization and work with Specialist III or Safety Supervisor to develop University-wide policies and training strategies. Demonstrate knowledgeable about control measures, especially engineering controls. Develop new training course material independently. Proactive on the Safety Committee in advocating improvements to department safety policies and work with OESO's Training Coordinator and other OESO divisions to organize safety events within the department. Act as liaison with various officials internal and external to Duke. Maintain documentation and inventory or hazardous materials and equipment and prepare paperwork for license amendments where necessary. Compile and present reports to upper OESO management related to safety and health activities. Enforce regulations governing occupational safety and health. Provide technical leadership to university departments and personnel.   Duties and Responsibilities of Level 3:   In addition to the duties and responsibilities for the Level 2 Specialist, Level 3 will:   Manage compliance with federal, state and local regulations. Determine priorities for safety and health investigations in Duke's diverse work areas and make assignments accordingly. Determine sampling priorities for the institution and request the necessary budget resources to accomplish goals. Develop and recommend appropriate engineering or work process modifications to prevent worker illness or injury. Provide follow-up assessment of recommendations. Develop reports and recommendations independently. Assist lower level employees in developing reports and recommendations. Participate in interdisciplinary team to discuss multidisciplinary approaches to resolving safety & health issues. Make recommendation with respect to equipment purchase, engineering controls, workspace planning and work process planning. Determine training needs and develop new programs as necessary. Oversee training development and delivery by lower level employees. Review sampling strategies and results for Safety Technicians and level 1 & 2 Specialists. As needed, assist in development of strategies and interpretation of results. Serve as expert consultant for safety issues within the institution. Recognize injury and illness trends within the organization and work to address these. Work with EOHW, WC and other departments to reduce occupational injury and illness. Independently develop training materials on new subject matter as needed. Contribute to development of training materials by level 1 and 2 Specialists. Develop and implement University-wide policies with minimal input from Division Director. Provide input to engineers for development or improvement of engineering controls. Contribute to the design of new facilities where hazardous materials will be used or hazardous processes will be located. Work with Departments to develop new safety committees or take leadership role in enlarging the focus/scope of the safety committee's activities. Supervise Safety Technicians, Safety Associates, and Specialists level 1 and 2. This includes orienting employees to the Duke environment, training them on the typical hazards encountered by Duke Employees, and familiarizing them with OESO's record keeping and reporting practices. Coordinate contract agreements with outside agencies. Prepare reports to management on investigations and evaluations of safety management issues. Provide leadership and direction to professional and technical staff and participate in the professional development of staff. Identify personnel, institutional and material resources needed to accomplish objectives.     Minimum Qualifications Knowledge, Skills and Abilities:   Knowledge of federal, state and local laws and regulations pertaining to Occupational Safety and Health and relevant accreditation requirements including The Joint Commission Environment of Care. Knowledge of organizational and personnel management skills. Creative problem solving to recognize and analyze needs and assist in the development of programs to address needs. Excellent written and oral communication skills. Ability to use computer database and spreadsheet programs. Basic knowledge of occupational safety, industrial hygiene principles and/or ergonomics. Ability to locate and use appropriate technical resources in occupational safety and health. Ability to lift and carry heavy materials and equipment. Physically able to serve on a HAZMAT spill response team. Developed professional presentation skills.   Education:          Bachelor of Science in Occupational Health and Safety, Environmental Science, Chemistry, Biology, Physics, Engineering, Fire Protection or related field.   Experience: No experience for level 1; three years' experience for level 2; five years' experience for level 3.   Degrees, Licensure, and/or Certification: Must have a valid driver's license. Must have completed or be able to complete First Responder-Operations Level Training (29 CFR 1910.120). Professional certification preferred for level 2 and 3.   Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.  
  • Beaumont, Texas, Description Summary: In collaboration with other clinical leaders in the Regional Group, is responsible for ensuring that patient care is delivered within the framework of evidence-based practice throughout the health system continuum and for understanding existing and emerging requirements in healthcare quality, safety, service/experience, and operational improvements. Responsible for researching and recommending the annual quality management objectives. Facilitates medical staff and other committee meetings that are conducting quality and peer review activities. Directs the daily activities of the Quality Management Department and its staff responsible for the region. The Quality Management Department consists of quality, infection prevention, regulatory, risk management, and patient safety. Designs the measurement techniques, audits, and data reports that evaluate the attainment of the quality objectives of the hospital, region, and system. Educates the hospital and medical staff on matters related to quality. The Regional Director of Quality Management oversees and coordinates the process of regulatory accreditation including preparing and monitoring the hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety. In collaboration with CHRISTUS Health & CHRISTUS Hospital Senior leaders, facility leaders, physicians, and the Board of Directors, he/she collaborates with other leaders to develop the strategic direction for the overall delivery of high-quality patient care across the continuum of health care service specifically related to improving organizational performance. This position is responsible for the design, implementation, tracking, and reporting of clinical quality of care and patient safety efforts in alignment with the corporate strategies for performance improvement. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Regional leaders are responsible for effectively collaborating with local leadership teams to meet accountability measures including, but not limited to, labor productivity standards, quality metrics, associate engagement, and retention efforts, as well as service level agreements to the consumer. Provides expertise in quality management for inpatient and hospital outpatient department delivery settings. Works collaboratively with the Chief Medical Officer and Chief Nursing Officer on quality management initiatives. Provides leadership and expertise for integrating CHRISTUS multidisciplinary activities into quality management processes that include the utilization of national benchmarks, internal goals, and local targets. Works collaboratively in a team environment to promote patient quality of care and safety. Oversees continual compliance readiness with regional leadership in providing Joint Commission and other accrediting or licensing body reviews and education. Provides oversight for the facilitation of the Quality Council, Infection Control Council, and the Patient Safety Council. Provides quality management reports to the Quality Management Committee, a sub-committee of the Regional Board of Directors. Language Ability: Excellent communication skills. Ability to write reports, business correspondence, and policy and procedure manuals. Ability to effectively present information to Associates, Executive Leadership, Committees, and the Board. Reasoning Ability: Ability to use critical thinking. Computer Skills: Must be proficient in the use of Microsoft Excel, Word, PowerPoint, and the Internet. Source: NAHQ Workforce Accelerator Competency Framework 2022: Eight Domains Quality Leadership and Integration- Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Advanced. Performance and Process Improvement- Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Advanced. Population Health and Care Transitions- Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Proficient Health Data and Analytics- Leverage the organizations analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Advanced Regulatory and Accreditation- Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities. Domain Level: Advanced Patients Safety- Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Advanced Quality Review and Accountability- Direct activities that support compliance with organization-wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Advanced Professional Engagement- Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Proficient Requirements: A. Education/Skills · Bachelor's degree in Health Care Administration, Nursing, or a relevant clinical discipline with evidence of additional training in Quality required. · Master's degree in Nursing or other healthcare related profession is strongly preferred. B. Experience · 5 years of experience in a strategic quality position in a complex healthcare environment required C. Licenses, Registrations, or Certifications · Current Certified Professional in Health Care Quality (CPHQ) required or actively seeking the certification within 1 year of hire date. · Current Texas license in a relevant clinical discipline is required. Work Type: Full Time EEO is the law - click below for more information:  https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

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