Director of Quality and Risk Management Job Shrewsbury New Jersey USA,Healthcare

Location 69 Newman Springs Road,Shrewsbury, NJ, 07702,United States
Base Pay $90,000.00 - $ / Year
Employee Type Exempt - FT
Required Degree 4 Year Degree
Travel 100%
Manage Others No

Contact information

Description

Position:
Director of Quality & Risk Management - Northern, Central & Southern , NJ

Pay: $90,000 - $100,000 Annually

Schedule:

Full Time, 5-day work week

HSA, HRA & FSA Accounts
401k w/ a Generous Employer Match!
Medical Discounts
Life Insurance
Tuition Reimbursement
PTO Time
Holidays Off with Pay
Student Loan Forgiveness
Mileage Reimbursement
NJ Family & Medical Leave
Flexible Schedule & Hours
Supportive Work Culture
Paid Training!

JOB DESCRIPTION

The Director of Quality and Risk Management performs a wide range of duties, including, but not limited to the following:

Assist CQO in monitoring the agency wide Quality and Risk Management (QRM) calendar.

Monitor health center compliance with all PPFA standards and guidelines, State, Federal and funder agencies’ regulatory requirements.

Assist CQO in preparing for and responding to State, Federal, funder and PPFA surveys and oversee corrective action plans.

Assist CQO in ensuring that all licenses for Ambulatory Care and Laboratories are renewed and upgraded as needed.

Conduct chart audits on all high-risk areas per PPFA MS&G’s; share findings and communicate with health center staff to ensure deficiencies are corrected.

Oversee compliance with State and Federal Laboratory regulations, including patient testing logs, control logs, and spore monitoring. Train and work with staff to ensure accuracy in lab proficiencies.

Review PPFA Medical Standards and Guidelines for implementation, alignment with NJ regulations and applicability to the affiliate. Work with VP of Medical Administration, Chief Medical Officer to help plan and coordinate implementation.

As assigned, oversee compliance with billing and collection practices. Facilitate coding audits to identify risk areas in coding, billing, and documentation accuracy. Arrange training and work with staff to improve identified areas.

Demonstrate commitment to established Workplace Values:
Trustworthy;
Effective Communication;
Respectful;
Supportive;
Collaborative;
Excellence. Practices behaviors that effectively demonstrate the Affiliate’s Workplace Values and supports goal to co-create a great workplace (see Workplace Values document received upon hire).

Travel throughout the State of New Jersey is required, including travel to health centers, administrative offices, and other affiliate locations as needed.

Participate in the Affiliate’s efforts related to revenue cycle, which includes but are not limited to: coding properly, achieving goals for productivity, meeting or exceeding revenue targets, and expense management as budgeted.

Performs other duties as assigned in support of mission and as required to ensure delivery of consistent high-quality services.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIREMENTS

Commitment and demonstration of excellent internal and external customer service and the ability to model skills to center staff.

Attention to detail; ability to lead and follow processes and procedures from beginning to end.

Recognized excellence in interpersonal and relationship-building, project management, and staff management skills.

Ability to motivate and work collaboratively with staff throughout the agency to affect change.

Strong analytical, operational and organizational skills; ability to balance priorities, make effective decisions, and contribute as a team player within the organization.

Ability to utilize data to inform the decision-making process.

Demonstrated project management skills, including excellent follow-through for multiple projects at multiple locations.

Excellent written and verbal communication…