Manager of Quality Improvement

Job Summary:

The Providence Center Manager of Quality Improvement (QI) is responsible for developing, monitoring, and presenting quality improvement initiatives, coordinating QI teams, and providing education on clinical documentation and processes. This includes reviewing patient and staff safety events, preparing reports for internal and external audiences, and ensuring regulatory compliance. The Manager also acts as the Human Rights Officer, leads utilization management efforts, supports incident report reviews, and assists with licensing and accreditation preparation.

The Manager will present an overview of compliance and quality improvement practices during new employee orientation.

This role requires strong analytical skills, the ability to collaborate with leadership, and a focus on continuous improvement and fostering a culture of safety and excellence.

Duties and Responsibilities

Primary responsibilities include conducting quality assurance checks, reviewing and analyzing patient and staff safety events using an electronic reporting system, and preparing summary reports on quality data for internal and external audiences.

The Manager will support and coordinate various quality improvement teams and committees, serve as a resource to leadership, and participate in staff training and orientation.

The Manager acts as the Human Rights Officer (HRO) to advocate for individuals receiving services, conduct investigations, and ensure that clinical documentation meets regulatory requirements.

The position also involves leading utilization management efforts, assisting with incident report reviews, supporting licensing and accreditation preparation, and collaborating with staff and leadership to drive compliance and continuous improvement in clinical practices.

Other duties as assigned.

Quality Improvement (QI):

Assists in the development, monitoring, and presentation of internal quality measures and initiatives.

Assists with supporting, coordinating, and directing quality improvement teams.

Supports clinical teams in planning improvement activities utilizing standardized improvement methodologies.

Prepare reports to appropriate committees on processes for improvement, trends, and actions identified through the QI program and processes.

Lead center-wide efforts to educate staff regarding quality improvement trends, benchmarks, and developments.

Reviews QI tools and surveys and provides technical assistance to staff.

Participate in staff and management meetings as they relate to Quality Improvement activities.

Prepare summary reports of quality data and improvement activities for presentation to internal and external audiences.

Support Quality Improvement teams and committees.

Serve on standing and ad-hoc committees and teams.

Training and Education:

Provide ongoing clinical education and training to staff on documentation and processes.

Conduct new staff hire orientation.

Ensure that clinical staff are provided ongoing training on the reporting requirements of regulatory bodies, third-party payors, and managed care companies.

Lead center-wide efforts to educate staff regarding quality improvement trends, benchmarks, and developments.