Performance Improvement Manager
(Sitka & Juneau)
SEARHC was established in 1975 under the provisions of the Indian Self-Determination Act as a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. The intent of this legislation was to have Indian Health Service programs and facilities turned over to tribal management. Our contracting with IHS began in 1976 when we took over management of the Community Health Aides Program. In 1982, we took over operation of the IHS Juneau clinic, now the Ethel Lund Medical Center, and took over operation of Sitka’s Mt. Edgecumbe Hospital in 1986. We are one of the oldest and largest Native-run health organizations in the nation.
The PI Manager position assist the PI Director in the effective operations and/ or oversight of the Performance Improvement Division, including quality, risk, patient safety, core measures, data analysis/ review/ trending/ solutions, regulatory and accreditation, and process improvements in the Consortium. This position works closely with Administration, Providers, and Staff to ensure awareness of quality and patient safety, and to facilitate improvement efforts in all areas. Staying abreast of the most current quality, regulatory and performance measures and initiatives throughout the country is vital to the success of this role. This position manages significant clinical events investigations and reporting; coordinates regulatory surveys; facilitates education and training around quality and safety; chairs committees and teams; completes process reviews; oversees PI Data, and serves as the expert for performance and quality improvement. All work is considered confidential and protected from discovery, pursuant to applicable state law.
- PI Plan/ Program: Assist with the development, implementation and maintenance of a strong Consortium wide PI Plan, ensuring that all sites have quality programs that support the overall PI Plan while being integrated into the needs of the various sites. PI/QI measures and initiatives are facilitated and promoted, with compliance monitored and reported in an appropriate and timely manner. Offers feedback, suggestions and problem solving to ensure that the PI Plan and programs guide SEARHC improvement efforts; skilled at using data, chart reviews, and other PI tools/methodologies to carry out an effective PI Plan.
- Regulatory Compliance: Develops, maintains and utilizes sound working knowledge of accreditation and regulatory standards (TJC/ CMS/ GPRA/ UDS) and serves as primary resource for interpretation and application of standards as they pertain to SEARHC; actively involved in continuing education/trainings/conferences to keep abreast of standard changes. Facilitates/coaches/guides managers and staff to better understand regulatory standards and how to meet these in the most proficient manner for the organization and resources allotted. Also responsible for assuring appropriate action plans are developed, implemented and monitored based on data and leading practices as needed to meet regulations.
- Risk Management: Works closely and collaboratively with the PI Director, Medical Director, Legal, and other Leaders on quality assessment and risk management issues. Investigates all concerns, trends, or risk factors that present risks or safety concerns to patients and the organization. Maintains professional relationship with liability insurance carrier and legal counsel when investigating and processing any risk claims. Has a keen understanding of the Incident Reporting system.
- Patient Experience: Assist with investigation and resolution of patient complaints and grievances.
- Leadership: Communicates professionally and effectively with all levels of the organization; serves as a resource, mentor, role model and cheerleader for others as PI is continuously integrated into every day processes within the organization. Must be able to identify key stakeholders, develop relationships, and handle political situations in a strong, but delicate manner in order to move quality/performance improvement ahead.
- Site Specific Responsibilities: Works closely with the Leaders and Staff in the assigned geographical area to ensure that PI is developed and supported as much as possible with the resources available. Takes ownership of the PI Manager role in the specific divisions/departments and becomes the expert that others seek out when assistance is needed (i.e. core measures, EH/IC) Fosters a collaborative environment that encourages others to participate in/take on quality/performance improvement initiatives and tasks.
- Other duties as assigned.
- Bachelor of Science in Nursing, Healthcare Management, or comparable bachelor's degree with other specialized education/training in two or more of the following: infection control or epidemiology, risk management, performance/quality improvement, and/or utilization management OR associates degree with specialized certification in two or more of the following: infection control or epidemiology, risk management, performance/quality improvement, and/or utilization management.
- 3 years experience in health care related activities which include monitoring clinical quality, planning, and coordinating process changes with a Bachelors OR 5 years experience in health care related activities which include monitoring clinical quality, planning, and coordinating process changes with an Associates.
- Licensure by the Alaska Board of Nursing or Certified Professional in Healthcare Quality (CPHQ), Certified in Infection Control (CIC), or similar certification preferred.
At SEARHC, we see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career.
We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
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