Clinical Quality Manager Job in Richmond 23226, Virginia Us
Virginia Women's Center
Job Description
Job Title: Clinical Quality Manager
Reports To: Clinical Applications Director
FLSA Status: Exempt
Approved Date: 11/04/2011
Summary Interprets and implements Safety Standards and facilitates process improvements, projects and initiative that ensure practice-wide patient safety by performing the following duties:
Essential Duties and Responsibilities include the following. Other duties may be assigned.
1. Implements safety training and improvement initiatives; participates
in new safety endeavors; Evaluates effectiveness of patient safety program
materials, reviews patient safety standards, studies existing office policies and
procedures, drafts new patient safety polices and procedures and evaluative
tools as indicated, compiles and presents recommendations for workflow
changes and additional training to Clinical Applications Director and
management staff.
2. Performs quality review based on standards of care developed by Medical
Practices Committee, national standards, accreditation and regulatory agency
requirements, assist in and/or conducts root cause analysis. Conveys findings
to nursing personnel, providers and site managers as applicable
· Compiles, manages and analyzes data summarizing patient safety findings.
· Reviews logs for accurate charges and documentation in regard to gardasil, rhogam, NST’s and IUD’s; distributes “Missed Charges” report.
· Reviews EDC report for completeness of data and need for prorates
· Runs IP, Pap Surveillance, Labcorp and Viewpoint Reports; reviews, investigates and reports on findings.
· Compiles and distributes monthly Patient Safety Report
· Reviews and audits OB Patient Safety Application on a weekly basis
· Audit patient charts for completeness and accuracy of documentation including nursing documentation, secure messaging and phone notes
3. Develops and maintains clinical training process and program manual; verifies
training of new hires; conducts employee testing to assess and verify
comprehension of clinical and patient safety policies and procedures.
4. Provides ongoing evaluation of system performance; ensures that required
documentation for activities within areas of responsibility is performed in an
accurate and timely manner, works to streamline and improve data collection
and reporting
5. Receives notification of drug and clinical device recalls. Collaborates with
Clinical Applications and Operations Directors to communicate internal
process for managing recalls.
6. Participates in FMEA process as applicable.
7 Engages in continuous study of quality improvement and safety science to maintain the professional competence, knowledge and skills necessary for the satisfactory performance of all assigned responsibilities; tracks quality
trends in ob/gyn care.
8 Complies with Virginia Women’s Centers policies and procedures. Follows
guidelines as required by HIPAA, OSHA and Red Flags regulations.
Maintains appropriate attendance and punctuality as defined by Virginia
Women’s Center.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education, Experience and/or Licensure
Bachelor’s degree in health, nursing or related field. Current RN license in Virginia. Minimum 4+ years of experience in the Quality field within the life sciences industry. Experience performing process and documentation audits.
Knowledge, Skills and Abilities
Knowledge of Microsoft Office
Knowledge of medical records and clinical care processes.
Knowledge of organizational policies, regulations and procedures to administer quality assurance.
Skill in collecting, measuring and analyzing data.
Skill in maintaining clinical department quality assurance and quality control standards.
Skill in preparing and maintaining records, writing reports and responding to correspondence.
Skill in demonstrating sensitivity to the interpersonal, group dynamic, organizational, political, and perceptual issues associated with change
Skill in presenting regulations, changes and corrections to employees
Ability to utilize Power Point to make presentations
Ability to utilize to track and analyze data
Ability to develop training programs and successfully train personnel
Ability to collaborate and interact effectively with providers, senior level management and staff members
Ability to address and resolve non-compliances
Ability to analyze patient safety data and identify trends and corrective actions.
Ability to maintain strictest patient confidentiality.
Ability to understand the recording of information in patients charts, computer medical records, in laboratory testing and results.
Ability to organize activities to report and continuously evaluate progress/changes.
Ability to effectively communicate in verbal and written form in informal and formal settings.
Ability to organize time and work activities efficiently and independently.
Ability to work independently, manage multiple priorities and meet timelines.
Physical Demands
Varied activities including sitting, standing, walking, bending and reaching. Requires eye-hand coordination. Requires visual acuity and normal color perception. Requires use of independent knowledge and judgment. Occasional stress from deadlines and multiple projects.
Work Environment
Work is performed in a medical office. Minimal travel required.