Carson Tahoe Health
DIRECTOR QUALITY AND RISK MANAGEMENT HEALTH SYSTEM RN
Carson Tahoe Health, Carson City, Nevada, us, 89702
DIRECTOR QUALITY AND RISK MANAGEMENT HEALTH SYSTEM RN
Department:
Quality Management
Location:
Carson City, NV, United States
Schedule- Shift - Hours:
FT - Day Shift
Date Posted:
Jul 27, 2024
Description
US:NV:Carson City Quality Management
Full Time Day Shift
About Carson Tahoe Health
CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Summary
Responsible for planning, designing, implementing, and evaluating the performance improvement programs and continuous quality improvement activities to meet the needs of Carson Tahoe Health System. Acts as a resource person to Health System administrative teams, department managers, and medical staff. Oversight responsibility for all regulatory body surveys, such as CIHQ, State Licensing Review, HCFA (CMS) Validation surveys. Maintains oversight responsibility for all quality performance improvement activities conducted throughout the Health System. The goals of this position are to improve patient outcomes and healthcare delivery through the establishment of an integrated and collaborative Health System approach to performance improvement; reduce the incidence of potentially adverse events through the establishment and compliance to aggressive and comprehensive patient quality programs; and provide for the most efficient use of clinical resources in the pursuit of quality patient care.
Responsibilities
Coordinates and facilitates all Quality Improvement (QI) activities throughout the Health System. Oversees the development of all QI functions, ensuring these functions are conducted in accordance with regulatory guidelines and prioritized risk assessments.
Works collaboratively with various System administrative/management/staff, Chief Medical Officer (CMO), Medical Staff/Chief of Staff/Chairs/Medical Directors on QI initiatives, and supervises the development of data-driven action plans to guide quality improvement.
Supervises the development of reports for QI initiative dissemination. Collaborates with the CMO for reporting quality performance throughout the Health System.
Ensures that all quality improvement operations conform to the principles of CQI/Plan-Do-Check-Act (PDCA) and Lean methodologies. Provides training on these concepts.
Monitors and audits internal procedures proactively for safety risks, conducts process flow charting to improve process safety/reliability/quality.
Directs the quality programs for quality assessment and improvement, accreditation and regulation licensing, and compliance by developing, updating, implementing, and ensuring compliance with System Quality Improvement Plans.
Collaborates with leadership, departments, clients, and community in designing processes, tools, and templates that continually improve the quality, efficiency, service, and effectiveness of care and service.
Prepares for surveys and inspections, including educational forums, coordinating mock surveys and assessments, assists in developing response plans.
Develops, implements, and meets the established financial goals. Monitors applicable budget, and identifies and supports solutions to reduce cost structure.
Performs other related duties as assigned.
Qualifications
Required:
Bachelor level degree in an applicable healthcare or business field.
Minimum of five (5) years acute care hospital experience in quality improvement theories, reporting, and practices.
Working knowledge of CIHQ, CMS, State and other compliance standards.
Proven performance in the ability to gather, analyze, and make recommendations based on complex and diverse data.
Preferred:
Masters level degree in an applicable healthcare or business field.
Certified Professional Healthcare Quality (CPHQ) or Green Belt Six Sigma.
State of Nevada Registered Nurse licensure or Interim Permit.
Previous leadership experience in a Quality & Risk Management department setting preferred.
Our Benefits
No State Income Tax
Medical, Dental, Vision, FSA, Telehealth
Paid Time Off, Mental Health, and Volunteer Days
100% Vested 401K & Roth with Company Contribution
Tuition Reimbursement
Referral Bonuses
On Site Education & Certification Programs
Base Wage Increases for Relevant Advanced Degrees
Free Calm App Subscription
#J-18808-Ljbffr
Department:
Quality Management
Location:
Carson City, NV, United States
Schedule- Shift - Hours:
FT - Day Shift
Date Posted:
Jul 27, 2024
Description
US:NV:Carson City Quality Management
Full Time Day Shift
About Carson Tahoe Health
CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Summary
Responsible for planning, designing, implementing, and evaluating the performance improvement programs and continuous quality improvement activities to meet the needs of Carson Tahoe Health System. Acts as a resource person to Health System administrative teams, department managers, and medical staff. Oversight responsibility for all regulatory body surveys, such as CIHQ, State Licensing Review, HCFA (CMS) Validation surveys. Maintains oversight responsibility for all quality performance improvement activities conducted throughout the Health System. The goals of this position are to improve patient outcomes and healthcare delivery through the establishment of an integrated and collaborative Health System approach to performance improvement; reduce the incidence of potentially adverse events through the establishment and compliance to aggressive and comprehensive patient quality programs; and provide for the most efficient use of clinical resources in the pursuit of quality patient care.
Responsibilities
Coordinates and facilitates all Quality Improvement (QI) activities throughout the Health System. Oversees the development of all QI functions, ensuring these functions are conducted in accordance with regulatory guidelines and prioritized risk assessments.
Works collaboratively with various System administrative/management/staff, Chief Medical Officer (CMO), Medical Staff/Chief of Staff/Chairs/Medical Directors on QI initiatives, and supervises the development of data-driven action plans to guide quality improvement.
Supervises the development of reports for QI initiative dissemination. Collaborates with the CMO for reporting quality performance throughout the Health System.
Ensures that all quality improvement operations conform to the principles of CQI/Plan-Do-Check-Act (PDCA) and Lean methodologies. Provides training on these concepts.
Monitors and audits internal procedures proactively for safety risks, conducts process flow charting to improve process safety/reliability/quality.
Directs the quality programs for quality assessment and improvement, accreditation and regulation licensing, and compliance by developing, updating, implementing, and ensuring compliance with System Quality Improvement Plans.
Collaborates with leadership, departments, clients, and community in designing processes, tools, and templates that continually improve the quality, efficiency, service, and effectiveness of care and service.
Prepares for surveys and inspections, including educational forums, coordinating mock surveys and assessments, assists in developing response plans.
Develops, implements, and meets the established financial goals. Monitors applicable budget, and identifies and supports solutions to reduce cost structure.
Performs other related duties as assigned.
Qualifications
Required:
Bachelor level degree in an applicable healthcare or business field.
Minimum of five (5) years acute care hospital experience in quality improvement theories, reporting, and practices.
Working knowledge of CIHQ, CMS, State and other compliance standards.
Proven performance in the ability to gather, analyze, and make recommendations based on complex and diverse data.
Preferred:
Masters level degree in an applicable healthcare or business field.
Certified Professional Healthcare Quality (CPHQ) or Green Belt Six Sigma.
State of Nevada Registered Nurse licensure or Interim Permit.
Previous leadership experience in a Quality & Risk Management department setting preferred.
Our Benefits
No State Income Tax
Medical, Dental, Vision, FSA, Telehealth
Paid Time Off, Mental Health, and Volunteer Days
100% Vested 401K & Roth with Company Contribution
Tuition Reimbursement
Referral Bonuses
On Site Education & Certification Programs
Base Wage Increases for Relevant Advanced Degrees
Free Calm App Subscription
#J-18808-Ljbffr