- Health Clinic
- Kenai, AK, USA
- Full Time
KENAITZE INDIAN TRIBE JOB DESCRIPTION
POSITION TITLE: Quality System Manager
TYPE OF POSITION: Full Time, Exempt
REPORTS TO: Director of Operations
SUPERVISES: Health Information Technician and Clinical Applications Coordinator
INDIAN PREFERENCE: Native preference under P.L. 93-638
POSTING PERIOD: 8/14/13 - Open until filled
KENAITZE INDIAN TRIBE'S PURPOSE, VALUES & VISION
To assure Kahtnuht'ana Dena'ina thrive forever.
Kahtnuht'ana Dena'ina Values
These are the beliefs and principles that define our people and will assure our future as tribe:
• Family: honoring and sustaining health and happiness of family as a first responsibility
• Stewardship: respectful use of land, resources and all creations
• Spiritual Beliefs: acknowledging the existence of a higher power and respecting spiritual beliefs
• Education: passing down cultural knowledge and traditions and supporting formal education
By 2025, the Kahtnuht'ana Dena'ina have enhanced & strengthened the prosperity, health, and culture of their people & Tribe by:
• Working towards united effort with Native organizations & other governments that impact our people
• Developing & implementing a Tribal education system
• Living our traditional values & practices
• Empower our sovereignty
• Continuing to demonstrate resiliency
• Striving for excellence in all of our programs
• Elevating the wellness of our people
• Using our talents & resources to ensure we are able to take care of ourselves & share with others
The Quality System Manager will ensure standard practices, laws and regulations are being met within the ambulatory care setting, will oversee the implementation of quality procedures and policies, interpret and implement quality management policies and procedures, and will work closely with all Dena'ina Wellness Center staff to ensure strong quality systems and system caregiver interfaces for the delivery of quality care to all Dena'ina Wellness Center customers.
(Consideration may be given for equivalent knowledge, skills, abilities, education, and experience)
• Must hold an associate degree in nursing (ADN), associate of science in nursing (ASN) or a bachelor of science, nursing (BSN) degree or an equivalent healthcare or business administration degree with at least three years' experience in an ambulatory care setting.
• Certified Professional in Health Care Quality (CPHCQ) or similar certification strongly preferred
• Fundamental knowledge of software and understanding concerning concepts, equipment and various other quality management techniques in a health clinic.
• Must possess excellent organizational, communication and conflict management skills.
• Must be "team" oriented and possess the ability to work within established protocols, policies and procedures and accept direction and constructive advice.
• Must possess knowledge of regulatory requirements within the healthcare industry for accreditation application and maintenance. Joint Commission accreditation for medical, dental, and behavioral health familiarity preferred.
• Experience in quality improvement methods, such as developing a systematic measurement for evaluating the delivery of services. This would include measure, analyze, improve, and control
• Knowledge of professional nursing care principles, practices, and procedures in patient care.
• Knowledge of principals of effective risk management.
• Knowledge of available resources within the Alaska Tribal Health System and community.
• Knowledge and experience working with Alaska Native/American Indian people preferred
Major Duties and Responsibility and Expectations:
• Assigns, reviews, and evaluates the work of professional, technical, and clerical staff as it relates to quality management activities.
• Interprets and implements quality management standards.
• To monitor unusual occurrences, report follow-up procedures, and report monthly and year-to-date comparisons.
• Monitor and coordinate the activities of the organizations customer feedback program.
• Provide for the integration and support between the organizations quality and risk management activities.
• To assist the director with records form revisions and procedures.
• Reviews quality management standards, studies existing policies and procedures, and interviews personnel and customers to evaluate effectiveness of quality management program.
• Assists in establishing and managing quality management policies and procedures in cooperation with clinical staff and Health Services Leadership.
• Reviews and evaluates patients' medical records, applying quality management criteria.
• Performs quality-management functions to accomplish business coordination, monitoring, and reporting of quality-management studies according to the QA/Utilization Review (UR) plan.
• Responsible for knowing current quality related regulations and informing the Director of any new and/or revised regulations imposed.
• Works with Clinical Director to select specific topics for review, such as problem procedures, drugs, high volume cases, high risk cases, or other factors.
• Compiles statistical data and writes narrative reports summarizing quality management findings.
• Assists departments with the coordination of audit information, and recommends appropriate data-gathering mechanisms, procedures, etc. with the goal of moving towards concurrent quality management.
• Responsible for achieving a satisfactory working environment between other departments performing quality-management studies.
• Coordinate all activities associated with the Wellness Center's Safety and Infection Control Plans.
• Reviews testing, quality control, and other testing reports for accuracy, completeness and compliance to requirements to ensure that quality management standards and regulatory requirements are met.
• Assists the Operations and Clinical Director with the coordination, integration and revision of all quality related plans.
• Maintains current and accurate records of all relevant communications, audits, corrective action plans, and effectiveness monitoring.
• Attend staff meetings for information sharing, continuing education activities, and participate in continuous improvement efforts as required.
• Promotes a team environment to resolve any operational or clinical quality concerns.
• Identify, create, maintain, organize and coordinate educational tools as needed as well as updating existing tools for DWC to meet quality standards.
• Other duties as assigned.
This Job Description reflects Kenaitze Indian Tribe's best effort to describe the essential functions and qualifications of the job described. It is not an exhaustive statement of all the duties, responsibilities or qualifications of the job. This document is not intended to exclude an opportunity for modifications consistent with providing reasonable accommodation. This is not intended to be a contract.
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