Location:
Avera Queen of Peace Hospital

Worker Type:
Regular

Work Shift:
Day Shift (United States of America)

A Brief Overview

Accountable for the overall operations of: Quality & Performance Improvement, Infection Prevention, Service Excellence, Accreditation, Patient Safety/Risk Management, Compliance, Medical Staff Privileging/Credentialing, and Patient/Family Grievances.

What you will do

• Plans, actuates, evaluates, re-evaluates the activities of the above operations, working closely with other department leaders to develop excellence in all Avera employees and providers.
• Coordinates and attends all Medical Staff Committee meetings and all pertinent regional committee meetings where monitoring functions and activities are performed.
• Serves as a resource for Medical Staff and internal services on quality improvement activities, education, and use of quality principles and tools.
• Coordinates the process of monitoring, measuring, and assessment of patient care and support of systems to achieve high quality, safe, cost effective healthcare services.
• Coordinates and oversees regional Quality Improvement Plan development, QI plans, Medical Staff Quality Assurance/Improvement activities, and Quality Measures.
• Coordinates facility wide compliance with regulatory agencies including CMS, SDDOH and The Joint Commission in conjunction with the Compliance Coordinator.
• Develops, coordinates, and administers regional wide systems for risk identification, investigation and reduction, maintains statistics, ensures that pertinent patient data relative to a claim is accurate, available, and secure.
• Reviews and coordinates trend analysis, claims profiles, worker's comp trends, and analysis of risk data.
• Responds to professional liability and hospital liability questions and maintains knowledge of legislative and regulatory activities related to health care risk management.
• Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• Bachelor's in nursing or related clinical field
• 4-6 years clinical experience
• 1-3 years Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. five years' experience in Clinical setting, Quality Improvement, Risk Management and Patient Safety.

Expectations and Standards

• Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera's values of compassion, hospitality, and stewardship.
• Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship