Mgr Quality Care Mgmt

Join to apply for the MGR QUALITY CARE MGMT role at Covenant Health

4 days ago Be among the first 25 applicants

Join to apply for the MGR QUALITY CARE MGMT role at Covenant Health

Get AI-powered advice on this job and more exclusive features.

Mgr. Quality and Care Management
, Quality Management

Type
:
Full Time, 80 Hours Per Pay Period, Day Shift

Some local travel required. Flexibility for some late nights and early mornings required.

Morristown-Hamblen Healthcare System has 167 licensed beds and 23 emergency suites. The hospital offers outstanding ancillary services including Laboratory, Radiology and Therapy services. At our Breast Imaging Center of Excellence, women can have their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women’s Center offers six newly remodeled labor and delivery suites and has a secure nursery for the care of our newborns.

It serves an eight-county region in the Lakeway Area and is equipped with modern technologies and expert staff to provide the best possible patient care. Learn more about our amazing facility at

Responsible for the planning, organization, management, and evaluation of operations of quality, care management, infection prevention, performance improvement, regulatory compliance, and medical staff services of assigned facilities. Responsible for the coordination of care and outcomes of clinical and operational metrics for all patients through the continuum of care. Knowledgeable in quality improvement principles, regulatory, and Care Management standards. The manager is responsible for budget management, staffing, hiring, discipline, and performance management for applicable departments.

The Quality Manager/Care Manager is responsible for collaborating with appropriate enterprise leaders when applicable.

When the Quality Manager does not have oversight of Care Management, those applicable accountabilities and performance criteria are non-applicable.

• Develops department budgets that reflect effective management of resources to provide services.
• In collaboration with enterprise leadership, facility leadership, and medical staff, assists in the development of strategic initiatives for the department and facility.
• Collaborates with interdisciplinary groups and leaders to identify and monitor key processes and patient outcomes. Uses various data sources, including but not limited to, publicly reported data to inform which processes and outcomes to monitor. Facilitates effective communication of results to medical staff and other key stakeholders.
• Identifies opportunities for improvement using Covenant performance improvement methodologies to implement corrective action plans and evaluate results for desired outcomes.
• Manages Care Management functions to ensure the coordination of care for patients so they move seamlessly through the continuum of care.
• Stays abreast of regulatory, licensing, and certification (Joint Commission, CMS, Leapfrog, State, etc.) standards to ensure processes are in place to achieve desired outcomes.
• Collaborates with the Peer Review/PQPR medical staff chair to operationalize assessments of peer review triggers and functions of the facility medical staff.
• Collaborates with clinical and medical staff to implement processes, as needed, to ensure financial and length of stay metrics are assessed and communicated to applicable medical staff and organizational leaders.
• Operationalizes a Care Management Model to ensure timely and effective throughput through the continuum of care. Serves as a coach, mentor, and role model for all team members.
• Oversees activities of medical staff credentialing, FPPE/OPPE, and departmental organization including, but not limited to, facilitating applicable medical committee meetings to ensure effective patient safety and regulatory compliance.
• Collaborates with enterprise infection prevention management and local leaders to assess and support the infection prevention strategies as needed.
• Oversees survey action plans and ongoing assessments of regulatory readiness for all accreditation, certification, and state surveys.
• Collaborates…