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Director of Care Management- Quality Assurance and Quality Improvement

Director of Care Management- Quality Assurance and Quality Improvement

Waco Family MedicineWaco, TX, US
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Job Details

Level : Management

Job Location : Waco, TX

Position Type : Full Time

Education Level : 4 Year Degree

Job Shift : Day

Job Category : Health Care

Description

PRIMARY DUTIES

  • Lead and direct all care management activities, ensuring patient care coordination and adherence to clinical protocols and regulatory standards.
  • Develop and implement care management programs, standing delegated orders, transitions of care, management protocols, policies, and departmental strategy in consultation with senior leadership.
  • Supervise a multidisciplinary team of care managers responsible for patient care coordination.
  • Develop and maintain a tracking system for seamless care coordination across medical services, including transitions and referrals.
  • Utilize CM tracking to meet productivity targets.
  • Collaborate with the Director of Population Health to address quality and clinical priorities.
  • Develop and oversee quality management and improvement programs in collaboration with various clinical Chief Officers.
  • Conduct data analysis and reporting
  • Perform internal audits to ensure compliance with organizational and state / federal practices, policies, and regulations.
  • Manage departmental budget and staffing.
  • Lead regular Care Team meetings and departmental meetings.

OTHER DUTIES

  • As assigned by supervisor
  • PHYSICAL AND MENTAL REQUIREMENTS

  • Possess a valid Texas driver's license and appropriate liability insurance
  • Access to personal transportation
  • Visual and auditory accuracy
  • Shift length varies
  • Indoor setting
  • Continuous use of computer
  • Long periods of sitting
  • Frequent use of telephone and / or smart devices
  • Continuous repetitive grasping and manipulation of both hands
  • Continuous conversational communication
  • Occasional reaching, walking, squatting, bending, kneeling, twisting and climbing
  • Occasionally carrying, lifting, pushing and pulling of up to 25 lbs.
  • Occasionally working in confined, noisy, dusty areas
  • Understand / carry out simple / detailed, oral / written instructions
  • Memorize and retain instructions
  • Read and interpret detailed specifications
  • Mental competency
  • Tobacco non-user
  • Physical accommodations will be implemented where necessary and feasible
  • Qualifications

    REPORTS TO : Chief Nursing Officer and Chief Clinical Officer

    EDUCATION & EXPERIENCE

  • Required
  • Bachelor's degree in a related field
  • Certifications : RN
  • Two years of case / care management experience
  • Preferred
  • Outpatient case / care management experience
  • Prior managerial experience in a healthcare setting
  • Certified Case Manager (CCM) designation
  • Certification in Healthcare Quality
  • Quality assurance / quality improvement oversight experience
  • SKILLS

  • Departmental leadership skills
  • Ability to teach and supervise care management, disease management, and patient education skills.
  • Ability to teach knowledge of chronic physical and behavioral health conditions.
  • Ability to teach evidence-based behavioral strategies, including motivational interviewing.
  • Strong interpersonal skills with the ability to build effective relationships across medical teams and with patients.
  • High proficiency in problem identification and care plan development.
  • Professional interaction skills with medical providers and other healthcare professionals.
  • Skillfully conduct health assessments and screenings.
  • Ability to perform the duties of Social Work and Nurse Care Managers
  • Knowledge of quality assurance and quality improvement processes
  • Strong written and oral communication skills.
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    Director Of Quality Assurance • Waco, TX, US