Miami Jewish Health
Quality Improvement and Compliance Manager
Miami Jewish Health, Fort Lauderdale, Florida, us, 33336
Description
Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. We have four adult day health centers that serve participants in Miami-Dade and Broward counties.
Our careers are challenging, meaningful and rewarding. Join us now to do purposeful work in supporting our community's seniors and their families.
Job Title : Quality Improvement and Compliance Manager
Job Summary
The quality manager provides guidance in establishing and monitoring strategy to set and achieve quality goals. That strategy, supported by the development of an annual QI plan, should include specific quality measures and metrics to evaluate progress and guide necessary adjustments. Data collection and analysis are at the heart of quality improvement. Ongoing tracking and analysis of data is imperative to identify performance trends, significant results, and opportunities for performance improvement based on sound methodology. This position manages the PACE performance improvement activities by adapting and implementing PACE Performance Improvement Plan, policies and procedures that will ensure all PACE sites compliance with CMS, AHCA, and Health Insurance Portability and Accountability Act (HIPAA) regulations.
Responsible for the development, implementation, and oversight of the quality dashboard; Leads Performance Improvement teams; Compiles, analyzes and identifies trends to prioritize performance improvement goals and objectives. Investigates incidents, conducts audits, and coordinates preparation and submission of responses/corrective action plans for senior management. Represents Florida PACE Centers at meetings and conferences and provides support to the Florida PACE Centers Associate Vice President. This position reports directly to the Associate Vice President.
Essential Job Functions Designs, implements, and maintains Quality Improvement program for FPC. Trains managers and supervisors in essential monitoring methods and measurement techniques specific to quality indicators. Monitors indicator reports to track trends and ensure that significant trends are being reported to the Associate Vice President Identifies critical control points and preventive measures: establishing critical limits, monitoring procedures, corrective actions, and verification procedures Designs reporting schedule, develops agendas, leads discussions, and records meeting minutes Develops in collaboration with the Associate Vice President, Medical Directors the formulation of the annual Quality and Compliance Plan Represents Florida PACE at meetings and conferences as necessary Responsible for the development of policies and procedures for Florida PACE Centers Serves as Privacy Office for FPC. Oversees Contract Management program for FPC. Responsible for managing all internal QI teams and activities and reporting to regulatory agencies. Enforces continuous compliance with regulatory and contractual requirements Coordinates and leads PI meetings in conjunction with Chairperson Acts as credentialing officer, creates profiles, presents to the credentialing committee, and manages the re-credentialing process in a timely manner as needed Participates in continuing education programs and related community activities Maintains up to date knowledge of current trends, laws, and philosophies in regard to healthcare and management Attends department meetings and in-services as needed Job Requirements
Education:
Bachelor's Degree preferred Experience:
Five years' experience in the Quality Assurance/PI or risk management Licenses/Certifications:
Certified Professional in Healthcare Quality (CPHQ) preferred Abilities Required
Computer knowledge; Power Point, Excel, Visio, Word, Policy Tech, MS outlook, Costumer Service Skills, Bilingual, Regulatory and Accredited Agencies Expertise: AHCA, CMS, DOEA, etc. Functional Demands
Environment Work Conditions:
Normal working condition with adequate lighting and ventilation Infectious Material Exposure:
No routine exposure to blood/body fluids/tissues, but may occasionally require performing unplanned activities which may involve exposure to blood/body fluids/tissues Organizational Expectations
Ensures that resident's/patient's rights are adhered to Demonstrates professionalism and accountability Demonstrates a caring attitude consistent with Miami Jewish EmpathicareSM toward MJH residents, patients, family members, employees, and other facility guests Demonstrates excellent communication skills Ensures confidentiality and security of patients' medical information Identifies and utilizes appropriate channels of communication Able to speak, read and write English Able to think and act calmly to meet unusual occurrences of the job Adheres to the organization's Mission, Vision and Values Participates in departmental activities, meetings and in-services and follows established guidelines Maintains a safe working environment
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you've ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.
Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. We have four adult day health centers that serve participants in Miami-Dade and Broward counties.
Our careers are challenging, meaningful and rewarding. Join us now to do purposeful work in supporting our community's seniors and their families.
Job Title : Quality Improvement and Compliance Manager
Job Summary
The quality manager provides guidance in establishing and monitoring strategy to set and achieve quality goals. That strategy, supported by the development of an annual QI plan, should include specific quality measures and metrics to evaluate progress and guide necessary adjustments. Data collection and analysis are at the heart of quality improvement. Ongoing tracking and analysis of data is imperative to identify performance trends, significant results, and opportunities for performance improvement based on sound methodology. This position manages the PACE performance improvement activities by adapting and implementing PACE Performance Improvement Plan, policies and procedures that will ensure all PACE sites compliance with CMS, AHCA, and Health Insurance Portability and Accountability Act (HIPAA) regulations.
Responsible for the development, implementation, and oversight of the quality dashboard; Leads Performance Improvement teams; Compiles, analyzes and identifies trends to prioritize performance improvement goals and objectives. Investigates incidents, conducts audits, and coordinates preparation and submission of responses/corrective action plans for senior management. Represents Florida PACE Centers at meetings and conferences and provides support to the Florida PACE Centers Associate Vice President. This position reports directly to the Associate Vice President.
Essential Job Functions Designs, implements, and maintains Quality Improvement program for FPC. Trains managers and supervisors in essential monitoring methods and measurement techniques specific to quality indicators. Monitors indicator reports to track trends and ensure that significant trends are being reported to the Associate Vice President Identifies critical control points and preventive measures: establishing critical limits, monitoring procedures, corrective actions, and verification procedures Designs reporting schedule, develops agendas, leads discussions, and records meeting minutes Develops in collaboration with the Associate Vice President, Medical Directors the formulation of the annual Quality and Compliance Plan Represents Florida PACE at meetings and conferences as necessary Responsible for the development of policies and procedures for Florida PACE Centers Serves as Privacy Office for FPC. Oversees Contract Management program for FPC. Responsible for managing all internal QI teams and activities and reporting to regulatory agencies. Enforces continuous compliance with regulatory and contractual requirements Coordinates and leads PI meetings in conjunction with Chairperson Acts as credentialing officer, creates profiles, presents to the credentialing committee, and manages the re-credentialing process in a timely manner as needed Participates in continuing education programs and related community activities Maintains up to date knowledge of current trends, laws, and philosophies in regard to healthcare and management Attends department meetings and in-services as needed Job Requirements
Education:
Bachelor's Degree preferred Experience:
Five years' experience in the Quality Assurance/PI or risk management Licenses/Certifications:
Certified Professional in Healthcare Quality (CPHQ) preferred Abilities Required
Computer knowledge; Power Point, Excel, Visio, Word, Policy Tech, MS outlook, Costumer Service Skills, Bilingual, Regulatory and Accredited Agencies Expertise: AHCA, CMS, DOEA, etc. Functional Demands
Environment Work Conditions:
Normal working condition with adequate lighting and ventilation Infectious Material Exposure:
No routine exposure to blood/body fluids/tissues, but may occasionally require performing unplanned activities which may involve exposure to blood/body fluids/tissues Organizational Expectations
Ensures that resident's/patient's rights are adhered to Demonstrates professionalism and accountability Demonstrates a caring attitude consistent with Miami Jewish EmpathicareSM toward MJH residents, patients, family members, employees, and other facility guests Demonstrates excellent communication skills Ensures confidentiality and security of patients' medical information Identifies and utilizes appropriate channels of communication Able to speak, read and write English Able to think and act calmly to meet unusual occurrences of the job Adheres to the organization's Mission, Vision and Values Participates in departmental activities, meetings and in-services and follows established guidelines Maintains a safe working environment
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you've ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.
Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.