Green Bay, WI
Industry: Hospitals & Medical Centers•
5 - 7 years
Posted 64 days ago
Coordinates, facilitates, and implements care management and quality improvement initiatives. Uses best practice strategies to assist with achieving the goals of high quality, cost effective patient care and service while demonstrating compliance with regulatory agencies.
Coordinates, facilitates, implements and participates in care management and quality improvement initiatives/teams across Aurora Health Care in assigned geographical areas. Develops process improvement plans with leadership and departments throughout the organization to analyze, monitor and ensure high levels of quality and performance. Identifies opportunities for improvement, makes recommendations for change, and leads the implementation of best practices to meet established goals. Promotes cross-departmental communication, collaboration, and performance improvement as a means of achieving cost-effective, high quality care.
Coordinates, facilitates and implements best practice strategies for assigned patient populations to meet quality and cost goals.
Designs and documents assigned projects to demonstrate the quality levels delivered to patients, while applying Aurora's approach to quality. Uses statistical techniques to analyze and display clinical data using measurement tools and systems, as appropriate.
Interprets and communicates care management and quality results in a way that the customer understands. Meets individually with providers and staff to assist with problem-solving, recommend and facilitate improvement strategies. Measures and evaluates attainment of goals. Manages multidisciplinary quality improvement teams and projects to support the accomplishment of care management and accreditation (as appropriate) goals.
Completes medical record reviews, compares current practice against best practice guidelines and provides recommendations to improve patient care.
Provides leadership and consultative services at least quarterly to departments and services within the organization in achieving regulatory, accreditation, and organizational compliance in quality, safety and in performance management and improvement activities. Serves as a resource on external regulatory requirements relative to care management activities.
Maintains awareness of and notifies leadership of actual or potential risk situations. Gathers information and provides input regarding risk management issues as delegated by immediate supervisor. Reviews, trends and reports results at least quarterly of quality and care management related third party visits, chart reviews, surveys, and other data to appropriate committees, departments and administration.
Serves as an educator, communicator, and resource to physicians, providers and staff to understand care management, quality improvement and accreditation (as appropriate) objectives. Develops educational programs regarding care management, quality initiatives and strategic objectives. Collaborates with nursing and/or patient education, physicians, providers and staff to review, design, and coordinate the use of patient education materials. Establishes new or utilizes existing mechanisms to communicate patient education resources across sites and departments.
Drives development of improved Electronic Health Record tools to support Care Management Quality in collaboration with key functional departments and leadership.
Coordinates and/or leads care management and quality committee meetings. Ensures all key stakeholders receive consistent communication across departments and sites. Shares successful process improvement and care management practices.
Bachelor's Degree in Quality Management or related field.RN preferred
Typically requires 5 years of experience in health care or clinical quality improvement.
Knowledge of quality improvement principles, project management, and team facilitation.Knowledge of federal, state and other external health care regulations and standards and ability to research those regulations. Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes.Knowledge and use of process improvement methods, statistical tools and evidence based, best practice resources.Demonstrates strong problem solving, leadership, conflict management and team building skills.Basic working knowledge of medical terminology, clinical concepts and disease management.Demonstrated ability to analyze complex data and communicate sensitive information. Excellent interpersonal, written and verbal communications skills.Proficient in the use of Microsoft office suite or similar products. Ability to create reports, graphs and other visual presentation materials, and effectively maintain statistical data.Demonstrated ability to analyze complex data and communicate sensitive information to improve patient care. Ability to work independently and make effective decisions with minimal supervision with accountability for specific goals/objectives.Detail oriented and ability to prioritize and organize data and complex projects effectively.
We pride ourselves on taking care of our people. And not just our patients—we mean you, too. We help each other live well. When you work at Aurora, you get the chance to work with a dedicated team that's as passionate about the work as you are. Here, you'll find limitless opportunities for ongoing learning, career advancement, competitive compensation and a stable work environment. But more than that, you have the opportunity to change lives—including your own.
Diversity and inclusion matters at Aurora. We celebrate our differences and nurture an environment where everyone feels included. We know that when we reflect the communities we serve, when we embrace differences and bring our whole selves to work every day, we are working as one to build a healthier tomorrow for everyone. Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer.