Quality Manager

POSITION SUMMARY: The Quality Manager is responsible for supporting the Quality and Compliance department, while managing the day to day activities. A successful QC Manager will help develop and support a culture of quality, has advanced relationship management skills and attention to detail that ensures RMHCS participants are receiving the highest quality of care possible. This QC Manager interacts with all levels of the organization so advanced interpersonal communication skills are vital for the success of this position.

MISSION: Improving lives, Optimizing wellness, Promoting independence

COMPETENCIES:

• Effective Supervision
• Balanced Decision Making
• Strategic Focus
• Manages Conflict
• Effective Communication
• Facilitates Change
• Problem Solving
• Quality Focus
• Personal Credibility
• Decisiveness

RESPONSIBILITIES AND DUTIES:

ESSENTIAL JOB FUNCTIONS:

• Reviews outcomes data prior to its submission to Medicare/Medicaid or any other entity to ensure accuracy and communicates the findings to the Quality and Compliance team
• Maintains a working knowledge of continuous improvement processes as they relate to regulatory and accreditation agencies to work with senior management on ways to improve the quality of RMHCS services
• Assists with Federal and State survey readiness. Assists with completion, submission and follow up on corrective action plans
• Develops infrastructure designed to monitor and improve the quality and performance of evidence-based healthcare and maximize effectiveness and efficiency of health care practices
• Assists Quality and Compliance Analyst with the analysis, synthesis and representation of data resulting from audits and helps QC team develop a plan to address trends and patterns
• Creates and distributes regular reports assigned by the Officer of Quality and Compliance
• Supports Q&C Department with root cause analysis activities
• Leads Quality projects based on data utilizing the Plan, Do, Study, Act model and Lean Six Sigma strategies
• Supports departmental projects, as needed
• Leads and Facilitates the Quality Initiative (QI) Committee along with other members of Rocky Mountain Health Care Services (RMHCS) leadership and ensures that all activities of committee are executed as prescribed in the RMHCS manual and by internal standards
• Supervises the Administrative Assistant, Quality and Compliance Specialist, and Quality and Compliance Analyst
• Managing day to day departmental operations
• Other duties as assigned

ORGANIZATIONAL (CORE RATING FACTORS):

• Demonstrates support of the Companys Mission, Vision and Core Values
• Provides Exceptional Customer Service
• Ensures discretion with confidential information in accordance with HIPAA guidelines
• Supports a collaborative work environment including courteous, helpful and professional behavior
• Embraces Organizational Excellence through practicing individual time management, efficiency and effectiveness and participating in continuous improvement efforts
• Adheres to and supports all Company policies and procedures
• Supports and practices safe work habits in accordance with policies and procedures
• Brings ideas, problems and concerns forward and participates in resolution and implementation
• Participates in and completes regulatory compliance trainings within the prescribed deadlines
• Attends required meetings
• Maintains skills and knowledge required including written and verbal communica