Remote Supervisor-Quality Improvement/Accreditation

Job title:

Remote Supervisor-Quality Improvement/Accreditation

Company

Presbyterian Health Services

Job description

OverviewNow hiring a Remote Supervisor-Quality Improvement/AccreditationThis position is responsible for supervising the daily operations of the Performance Improvement interventionists, program manager associates, and all program managers. It will provide leadership for complex multi-departmental clinical and business programs supporting Performance Improvement initiatives, programs and regulatory compliance. Coaches, mentors and leads team to ensure accreditation and regulatory requirements are met and clinical and fiscal targets are achieved. Directly reports to the Manager of Quality PHP Performance Improvement.How you belong matters here.We value our employees’ differences and find strength in the diversity of our team and community.At Presbyterian, it’s not just what we do that matters. It’s how we do it – and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.Why Join Us

• Full Time – Exempt: Yes
• Remote Eligible within the US with the exemption of the following states: ND, WY and OH
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Qualifications

• Bachelors degree in Business, Nursing, Healthcare, or related field plus two years direct experience building, developing, coaching and mentoring teams across multiple disciplines. 6 years of additional experience can be substituted in lieu of degree. 4 years of application specific experience.
• Experience in the healthcare/managed care industry with a focus on regulatory compliance and/or auditing required
• Program management experience in the areas of NCQA accreditation and/or HEDIS/CMS Star performance measurement systems required

Preferred: * Masters degree in Business, Nursing, Healthcare, or related field

• Certificate or Licensure in Case Management, Social Work, or Nursing

Responsibilities

• In collaboration with the Director/Executive Director, and Manger, supervises the overall direction, coordination, implementation, execution, and completion of specific clinical & quality programs ensuring consistency with company strategy, commitments, and goals
• Responsible for directing and delegating day to day operations of staff
• Responsible for creating resolutions to employee issues
• Implementing program expectations
• Implementing prioritized focus for team, based on data
• In conjunction with Manager will participate in interviewing, hiring, coaching, performance feedback and mentoring staff
• Provides relevant training and education opportunities to staff
• In conjunction with Manager will complete annual performance evaluations for all direct reports
• Provide input on the resources and participants needed to achieve goals
• Identification of critical issues with process improvement support
• Serves as resource regarding quality theory and practice and recommends process modifications and practice changes to improve efficiency, effectiveness, and reliability of clinical processes and systems
• Promotes PHS system-wide strategies and compliance with PHS policies and standards, adopted accreditation standards and federal/state regulator requirements
• Performs other functions as required

• Planning and coordinating organizational change
• Anticipating & Addressing Customer Needs
• Educating Employees, Customers & Transferring Knowledge
• Functioning as an Effective Contingent Member
• Diagnosing & Resolving Problems
• Acquiring & Applying Superior Skills to achieve Quality Outcomes
• Functioning as an Effective Team Member and Leader

• SKILL-Critical thinking and attention to detail.
• ICD 9 OR 10
• SKILL-Microsoft Office
• Demonstration of high degree of independent problem solving and critical thinking skills.
• SKILL-Ability to deal with all levels of staff and management within the organization, as well as the public, under highly stressful conditions.
• SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
• SKILL-Written communication Education Essential:

BenefitsAll benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.Wellness
Presbyterian’s Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers’ markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state’s largest private employer with nearly 14,000 employees – including more than 1600 providers and nearly 4,700 nurses.Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our .AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.#PHP123Maximum Offer for this position is up toUSD $47.83/Hr.Compensation DisclaimerThe compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Expected salary

$31.32 per hour

Location

Albuquerque, NM

Job date

Thu, 16 Jan 2025 08:36:28 GMT

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