Manager Quality and Compliance

Job DescriptionJob Description

Position Summary:

The Manager of Quality & Compliance performs clinical, analytical and technical tasks to support the development, implementation, and ongoing monitoring of the local Quality & Compliance programs and activities for the Clinics Operations. This key individual works collaboratively with operational leadership, to ensure measurable improvement in clinical outcomes, operational excellence and customer satisfaction. The Manager of Quality & Compliance ensures that the local Quality & Compliance programs operates in accordance to corporate policies, accreditation standards, and Quality & Compliance processes.

Essential Functions:

1. Development, implement, track and evaluate of the annual Clinics Quality, including program description, program evaluation and program work plan.
2. Manages the Clinics Quality programs at the local service center, to improve Quality activities such as: complaints management, documentation audits, telephone access compliance, and adverse incident reporting, among others.
3. Coordinates clinics Risk Assessments and Sentinel Events investigations.
4. Assists the Corporate Quality & Compliance departments in accreditation and reaccreditation activities, to ensure the local service center obtains and/or maintains mandatory accreditations as by local contract or corporate requirements.
5. Assists with the development, approval, implementation and training of corporate policies to ensure they meet TJC, and any other external regulatory requirements, such as, CMS, ASES, and ASSMCA or other state and federal entities.

Education:

• Master degree in Healthcare Management, Behavioral Science, Nurse or related field required.

Experience:

• Minimum 3+ years of experience in Managed Care, Quality and/or Compliance field.
• Experience in Quality & Compliance in health industry; experience with policy development.

Knowledge:

Knowledge in standard and there application, established by NCQA, CMS, Join Commission and others regulatory agencies.

Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.

English proficiency.