Clinical Quality Manager

Description

JOB SUMMARY: The Clinical Quality Manager provides leadership in identifying clinical quality management and continuous   quality activities with demonstrated improvement outcomes, enhancing BestCare Treatment Services delivery of care. The role works independently under the direction of the Director of Quality and Accreditation to ensure supervision, coordination, education and management of agency quality efforts; identifying and implementing standardized quality metrics aligning with national and state effort that satisfy CARF and CCBHC Clinic-led metrics to identify quality improvement opportunities where   performance or risk is key, and to be the catalyst for continuous quality improvement opportunities based on the data of these key metrics.  

ESSENTIAL FUNCTIONS:

• Utilizes State and National resources to identify quality metrics and key performance indicators to measure and demonstrate quality of services provided; 
• Participates in the creation and implementation of the Quality Improvement Program for BestCare Treatment Services;
• Manages the Quality Improvement Work Plan:  
• Identifies, develops, and implements quality improvement projects through analysis of data;
• Develops performance improvement projects working collaboratively with the agency Program Directors and Director of Quality, Compliance & Accreditation;
• Assists in the development, compliance, and monitoring of quality initiatives related to CARF, OHA, CCBHC, and other regulatory agencies or grant requirements, presenting dashboards to leadership on a regular basis; 
• Collaborates with leadership and quality team to adopt and test new initiatives; 
• Assists Quality Improvement Specialists in identifying opportunities for improvement, defining what the strategy will be and monitors for improvement; 
• Produces quarterly analysis of agency Incidents and Grievances, providing leadership in root cause analysis;
• Uses quality improvement methodologies such as PDSA to test new strategies and monitor ongoing performance;
• Understands CARF Standard M in meeting Performance Measurement and Management needs; 
• Partners with Data and Analytics team to scope new metrics, perform data validation and monitor data performance;
• Assists in preparation of State or CARF survey’s; selecting charts, producing reports, etc.;
• Uses innovative, solution-oriented strategies to address system needs as they arise;   
• Maintains confidentiality of all quality/performance improvement documents, data, and meeting discussions;
• Manages assigned projects within the agency in an organized, professional, and timely manner, including work plans, ongoing evaluation of progress and reporting the results and reasons for variances to appropriate leadership; 
• Other related duties as assigned.

ORGANIZATIONAL RESPONSIBILITIES:

• Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration;
• Supports the organization’s commitment to equity and inclusion, fostering an environment of cultural awareness and respect for all individuals;
• Aligns department goals with organizational strategic initiatives;
• Complies with Code of Conduct, Business Ethics, Employee Handbook, and all relevant policies and OARs;
• Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes;
• Attends required meetings, completes required trainings, and ensures certifications and licenses remain current;
• Works independently and collaboratively as a positive member of the BestCare team;
• Performs other organizational duties as assigned.

REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: 

• Knowledge and understanding of CARF M, OHA, and or CCBHC or other regulated healthcare regulations;
• High proficiency in MS Office 365 (Word, Excel, Outlook), EHS platforms (Epic preferred), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
• Strong interpersonal and customer service skills;
• Strong communication skills (oral and written);
• Strong organizational skills and attention to detail, accuracy, and follow-through;
• Excellent time management skills with a proven ability to meet deadlines;
• Critical thinking skills
• Ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
• Ability to build and maintain positive relationships;
• Ability to function well and use good judgment in a high-paced and at times stressful environment;
• Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
• Ability to work effectively and respectfully in a diverse, multi-cultural environment;
• Ability to work independently as well as participate as a positive, collaborative team member.

Requirements

QUALIFICATIONS:

EDUCATION AND/OR EXPERIENCE:

• Bachelor's degree in business or a related field, required plus 5 years of related experience 
• With at least 2 years of experience in a regulated health field

LICENSES AND CERTIFICATIONS:

• CPHQ, Certified Professional in Healthcare Quality certification, or within 2 years of employment
• Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization’s auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations)

PREFERRED:

• PMP, Project Management Professional, preferred
• Experience in a CARF organization, preferred
• Experience in a CCBHC organization, preferred