STGI IS CURRENTLY SEEKING AND REGISTERED NURSE QUALITY AND RISK MANAGER FOR OUR CONTRACT WITH FEDERAL OCCUPATIONAL HEALTH.
In this role you would maintain subject matter expertise in quality, safety, and risk management in order to recommend solutions and resolve quality and safety issues in accordance with TJC standards while serving as the FOH Quality, Safety, Risk Manager and the FOH QRSM Chair.
Primary duties and competencies may include, but are not limited to: Project Management of nationwide projects that ultimately report out to senior leadership of FOH regarding performance improvement and safety. Facilitating and managing day-to-day operational and tactical aspects of performance improvement for a national occupational healthcare organization. Performs research, analyses, executes, manages, and communicates about performance improvement and safety projects. Demonstrating analytical abilities by synthesizing information to develop appropriate solutions. Projects may include but are not limited to the following:
• Researching, benchmarking, and designing projects that take into account the Divisions of FOH program needs to develop cost effective solutions to achieve the best outcomes for FOH.
• Developing and facilitating the creation of high-level reports across projects for senior management of FOH. This may require the use of survey tools, interviews and other means to collect info from staff and customers nationwide.
- Implementing quality improvement procedures in accordance with organizational methodology to ensure customer satisfaction (both internal and external customers).
PERFORMANCE IMPROVEMENT AND SAFETY
- Provides leadership and direction with TJC accreditation efforts to improve the overall quality and safety of services within all FOH service lines
- Responsible for ensuring a constant state of readiness for TJC survey in the areas of Quality/Performance Improvement, Risk Management, Safety, and Complaints Resolution for CHS, EAP, WHPS, and other programs and services within FOH
- TJC Liaison
- Serves as the official FOH TJC point of contact
- Maintain knowledge and understanding of current TJC standards applicable to FOH
- Responsible for Annual Application Update
- Manage Intra-Cycle Review
- Sentinel Event Reporting
- Responds to complaints received via TJC email box
- Quality/PI program
- Provides leadership and overall direction of FOH’s quality, safety, and performance improvement (PI) program
- Revises PI plan annually based on an organizational risk assessment
- Plans, coordinates, implements, and monitors performance improvements according to PI plan
- Identifies potential PI problems and actively participates in creating corrective action plans for problems identified
- Educates staff on PI plan
- Communicates results of PI activities to leadership and staff
- Leads Performance Improvement efforts
- Identifying specific processes to be studied by Service Lines as a result of identified risk and/or opportunities for improvement
- Coordinates PI activities and works with Service Line Directors to assess and address compliance issues associated with The Joint Commission standards including Hand Hygiene and National Patient Safety Goals
- Acts as a resource for service process improvement teams
- Risk Management Program
- Establish and manage a Safety Event Reporting System
- Electronic with paper backup
- Maintains spreadsheets and electronic risk management data system
- Enters data
- Generates reports
- Track all events by ensuring that all events are entered into the event log within 72 business hours
- Investigate events and collaborate with Medical Director and/or other appropriate leaders to formulate resolution and manage risk
- Report serious safety events to GB
- Keep the FOH Director, Medical Director, and Deputy Medical Directors informed of serious safety events and risk management issues
- Promote a culture of safety (safe event reporting)
- Conduct and lead Root Cause Analysis when indicated
- Complaint Resolution Process
- Establish and lead efforts of the FOH Complaint Resolution Process
- Daily monitor complaints
- Assists service lines in resolution of complaints (when appropriate)
- Document and Report compliments and complaints to GB
- Chair QSRM committee
- Collaborates with various committees to address quality and regulatory compliance issues/concerns
- Assists with review, revision, and interpretation of FOH policies to ensure compliance with The Joint Commission standards
- Keeps abreast of drug and equipment recalls that are relevant to FOH and communicates with Medical Director
CUSTOMER SERVICE
- Assists Service Directors with coordination of service line preparation for TJC survey
- Works collaboratively with Service Line Director(s) to identify high-risk areas and trends
- Provides subject matter expertise and consultation to internal customers to support quality, safety, and risk performance improvement initiatives
ADMINISTRATIVE
- Notifies appropriate staffing vendor(s) via the COR about serious safety events, complaints, and/or concerns so that quality issues and safety events within FOH are reported appropriately
- Communicates safety concerns and/or recalls related to equipment, medication, and supplies to the supply chain vendor
STAFFING/REPORTING RELATIONSHIPS
- Reports to Director, Quality Improvement Team (QIT)
- Supervises and delegates responsibilities to the Associate Risk Manager in order to execute the FOH Quality, Safety, Risk Manager duties efficiently and effectively.
- Fosters an environment of continuous learning and development.
- Develops and completes Job Specific Position Descriptions (JSPDs) for self and direct reports in a timely manner
Required Skills
MINIMUM REQUIREMENTS/KNOWLEDGE/SKILLS:
- Registered Nurse
- Background in Risk Management and/or Quality-Performance Improvement
- Experience with Risk Management Software preferred but not required
- Past Participation in The Joint Commission accreditation (hospital or ambulatory care standards) process
- Strong computer skills (Microsoft Office Suite – Word, Power Point, Excel, Visio, Project))
- Strong written and oral communication skills
- Demonstrated ability to create Corrective Action Plans
- Demonstrated ability to select and implement appropriate Data Collection Tools
- Knowledge of occupational health concepts and principles relative to:
- clinical health
- environmental health and safety
- wellness and health promotion
- behavioral health
- employee rights afforded by legislation to provide expert advice and direction to clients, staff, senior management and others to develop and deliver occupational health services specific to client needs nation-wide and across divisions and to oversee program support operations and activities and professional and program support services provided by a variety of private industry sources and individuals.
- Proficiency using Excel and Access databases
- Knowledge of analytical principles and techniques; program and product analysis; and organization principles, concepts, methods, and techniques in order to identify and define areas of need in FOH business portfolio programs and policies pertaining to program administration, education, research and application of occupational health principles in order to assess worksite occupational hazards;
- Perform daily operation, evaluation; and improvement of program management;
- Effectively deal with FOH business activities and programs that cut across geographic as well as organizational lines.
- Demonstrates excellent oral and written communication and interpersonal skills in order to communicate and collaborate with a variety of audiences, including management and support staff; present team and study findings and recommendations to individuals, groups, and boards on a broad spectrum of topics related to FOH products, programs, policies, and procedures in a style that is appropriate and understandable to the target audience
Required Experience
MINIMUM EDUCATION REQUIREMENTS/CERTIFICATION/LICENSURE/EXPERIENCE:
- Current Registered Nurse licensure, Physician Assistant or Nurse Practitioner
- Degree in health sciences is required
- Master’s degree in nursing preferred
STGi Inc, is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission.
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_STGI OFFERS A COMPETITIVE BENEFITS PACKAGE WHICH INCLUDES MEDICAL, DENTAL, VISION, 401K WITH COMPANY MATCH AND A GENEROUS PTO POLICY.
STGi, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.