Quality Assurance Manager

Job Title: Manager, Quality Assurance

Job Status: Full-time

Functional Areas/departments Where This Position May Be Located

• Community Health & Research Center
  
  

Job Summary: Under limited direction from a senior level manager, the Manager of Quality Assurance uses specialized knowledge in health care administration and skills obtained through experience, specialized training, or certification to coordinate, interpret, and implement quality assurance standards in the Community Health and Research Center (CHRC) to ensure quality and appropriate care to patients. Employee reviews quality assurance standards, studies existing policies and procedures and interviews personnel and patients to evaluate the effectiveness of the quality assurance program.

Essential Duties And Responsibilities

• Interpret, formulate, and maintain quality assurance programs and perform quality assurance reviews designed to ensure quality services consistent with national (Commission on Accreditation of Rehabilitation Facilities - CARF) industry standards, and compliance and state regulations
• Conduct utilization reviews, productivity and policy analyses using statistical process methods
• Consistently review agency policy and ensure consistency in implementation
• Analyze and track productivity and performance charges and reimbursement levels consistently assessing ways to improve the financial position of department
• Collaborate with auditors on accreditation and compliance related audits
• Prepare regular reporting based on organization and grant related requirements
• Prepare and present technical and program information and other training programs designed to educate staff on quality standards and requirements
• Prepare and monitors department budget and ensure operation within budgetary constraints
• Plan, assign, monitor and manage the work of others
• Review performance and evaluate results achieved by subordinates
• Supervise, coach and mentor subordinates
• Interpret, apply, and recommend changes to organizational policies and procedures
• Review progress of assignments with senior management
• Balance conflicting resource and priority demands
• Prepare and deliver written and oral presentations to senior management
• Maintain currency in quality assurance standards including national standards, compliance, and state regulations
• Follow the funding sources requirements and CARF standards applicable to the services provided
• Operate standard office equipment and use required software applications
• Perform other duties and responsibilities as assigned
  
  

Knowledge Of

Knowledge, Skills, and Abilities:

• Advanced concepts, principles and practices of national and state compliance and quality assurance standards
• Intermediate concepts, principles, and practices of health care law
• Advanced concepts, principles, and practices of qualitative analysis techniques
• Principles and practices of supervision
  
  

Skill In

• Keen analytical abilities
• Effective oral and written communications
• Multi-tasking
• Deep understanding of quality standards and systems
• Operating standard office equipment and using required software applications for program area and other applications, including Microsoft Office
  
  

Ability To

• Partner with other functional areas to accomplish objectives
• Facilitate meetings, ensuring that all viewpoints, ideas, and problems are addressed
• Attend to detail while maintaining a big picture orientation
• Gather information, identify linkages and trends, and apply findings to assignments
• Incite enthusiasm and influence, motivate, and persuade others to achieve desired outcomes
• Interpret and apply policies and identify and recommend changes as appropriate
• Organize and prioritize multiple tasks and meet deadlines
• Communicate effectively, both orally and in writing
• Work independently as well as collaboratively within a team environment
• Establish and maintain effective working relationships at all levels of the organization
  
  

Educational/Previous Experience Requirements

• Minimum Degree Required:
• Master’s degree
• Required Disciplines:
• Science or Public Health Administration or related field
  
  

~and~

• At least 5 years of health care administration experience or any equivalent combination of experience, education and/or training approved by Human Resources
  
  

Licenses/Certifications

• Licenses/Certifications Required at Date of Hire:
• Project Management
  
  

Working Conditions

Hours: Normal business hours, some additional hours may be required

Travel Required: None generally required, some local traveling may be required.

Working Environment: Climate controlled office