Clinical Quality Patient Safety Manager

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Clinical Quality Patient Safety Manager (2394588)

Clinical Quality Patient Safety Manager - 2394588

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

This position works under the supervision of the Director of Clinical Quality Management (CQM). Oversees the management of patient safety activities, including quality investigations, tracking and trending of quality issues, provider corrective actions, completeness of processes and case review meetings. This individual will be responsible for ensuring all appropriate entities are timely notified of potential and confirmed patient safety issues. Responsible to manage a clinical team of CQM Patient Safety Specialists.

The position will contribute to the annual CQM plan, attend committees, and ensure deliverable submission. This individual will be part of the start-up team for Optum’s Veterans Administration Community Care Network (VA CCN) and will assist with other start up CQM activities.

Primary Responsibilities:

• Initially, is responsible to work with the leadership team in the design, development and start-up activities associated in standing up the business to operate the VA CCN program
• Provides day-to-day supervision of the CQM Patient Safety Specialists to ensure the potential quality issue investigation process is completed through timely closure
• Ensure quality issue investigations meet contractual turnaround time requirements
• Performs team mentoring, goal setting and performance evaluations
• Prepares development plans and performance evaluations
• Reviews and assigns cases appropriately to match staff skill level
• Develops and maintains CQM training modules, policies and procedures, work instructions, other training/guide tools and performs training sessions on relevant subject matter
• Provides reports, facilitates case review meetings, participate in quality improvement projects, request and analyzes data queries
• Assist with preparation of cases for peer review activities and quality committees
• Track time frames/deadlines and collect data to ensure required time frames are met and communicate potential barriers or risks
• Performs audits to ensure quality of case reviews are performed accurately and consistently by each reviewer
• Work cross-functionally and coordinate with other key stakeholders internally or externally
• Analyze and interpret clinical and administrative data to ensure they meet standards and provide rationale
• Manage or actively participate in meetings
• Serve as a resource providing explanations and expertise providing information to others regarding potential quality issues and the CQM investigation process
• Other duties as assigned

Working Conditions:

• Minimal travel

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• RN with current, active license without restriction in required state(s)
• 3+ years of clinical experience
• 2+ years of supervisory/management experience
• 2+ years of direct clinical quality experience

Preferred Qualifications:

• Bachelor of Science in Nursing (BSN)
• Certified Professional in Healthcare Quality® (CPHQ) or patient safety (CPPS)
• Government program experience (TRICARE and/or VA)
• Acute care patient safety/quality experience (i.e., event reviews, RCA, Medical Peer Review)

Knowledge,…