Statewide CQI Coordinator - Maryland

Wexford Health
Columbia, MD
Apr 17, 2018
Apr 18, 2018
Accountant, IT
Full Time
Description Wexford Health Sources, one of the nation's leading innovative correctional health care companies, provides clients with experienced management and technologically advanced services, combined with programs that control costs while ensuring quality. For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services. At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the corrections environment is our venue. Wexford Health has an exceptional opportunity for a Statewide Continuous Quality Improvement (CQI) Coordinator to join our team of healthcare professionals at our Regional Office in Columbia, Maryland. We're proud to offer a competitive benefits package including: * Annual review with performance increase * Generous paid-time off program that combines vacation and sick leave * Paid holidays * Comprehensive health insurance through Blue Cross Blue Shield * Dental and Vision insurance * 401(k) retirement savings plan * Company-paid short-term disability * Healthcare and dependent care spending account POSITION SUMMARY The Continuous Quality Improvement (CQI) Coordinator is responsible managing and monitoring compliance related to all Federal and State Legislation (MCCS, ACA, NCCHS, Programs, etc.), as well as current contract requirements and quality of patient care. The Coordinator provides guidance and consultation to leadership on any processes, policies, or practices that are not in compliance and makes recommendations for improvement. The Coordinator also provides leadership, consultation, and support in the development of a culture of quality and continuous improvement through education of site level management, facilitation of CQI committees, and site visibility. DUTIES/RESPONSIBILITIES * Works with Quality Improvement Physician and State-wide Director of Nursing to oversee the statewide CQI program that ensures compliance with regulatory and contract requirements, and is in alignment with program evaluation findings and goals. * Completes contract compliance audits and provides reports to senior leadership. * Participates in decision-making and provides recommendations to the leadership team on action plans, education, outcome studies, and utilization of services as it relates to the CQI process. * Works closely with the Regional team, site leadership, clinical and administrative managers to establish and maintain CQI standards and measures, and to design and implement effective processes and programs to improve quality of care and ensure compliance, including high volume, high risk areas including but not limited to utilization of onsite and offsite specialties. * Prepares for and presents at the quarterly Corporate CQI Meeting * Monitors Chronic Care and Intake process for compliance with policy and contract requirements. * Reviews and audits documentation in the Electronic Patient Health Record for tracking and trending information. * Collaborates with other vendors to ensure alignment of CQI goals and programs; provides input to program evaluation based on CQI needs and findings. * Ensures policies and procedures comply with regulatory and contract requirements related to CQI process and outcome monitoring and evaluation of services and program. * Collaborates with leadership team to assess performance monitoring and implement improvement plans, and to ensure accountability, feedback loops and monitoring systems. Preforms on site audits as indicated to ensure ongoing compliance. * Collects and analyzes data to identify trends and patterns related to areas of concern. * Maintains strong relationships with leadership and staff by to ensure the quality of activities and projects leads to ongoing improvement. * Actively participates in monthly and quarterly Service Delivery Area CQI committee meetings. * Provides oversight of grievances and complaints for identified trends and improvement strategies. * Establishes and tracks deliverables of all CQI, Morbidity, and Mortality action plans. Prepare action plans for submission to Client. * Works closely with Statewide Educator regarding opportunities to improve selected aspects of clinical care and the specific actions needed in order to achieve goals for improvement on selected clinical quality measures. * Tracks and trends Infection Control data in collaboration with the Epidemiologist. * Organize and facilitate monthly Statewide Infection Control meetings. * Compile and complete monthly CQI summary. * Maintains and distributes CQI Calendar. * Tracks and compiles wound data. * Tracks and trends all inpatient admissions from facility infirmaries. * Provides assistance to sites with audit (NCCHC, ACA, MCCS, Programs, and Quarterly Scorecard assessments) * Participates in pertinent professional education to maintain current knowledge of best improvement practices. * Complies with Wexford Health's and Correctional facility's policies and procedures, including all safety and security regulations. * Maintains confidentiality of inmate records and complies with HIPAA and PHI regulations. * Perform other duties as assigned. The duties and responsibilities outlined herein are for payroll purposes only; employees may be assigned other duties as required. ENVIRONMENTAL CONDITIONS Standard medical setting within a correctional facility, which includes daily interfacing with inmate patients, correctional staff, and health care personnel. Temperature extremes may be encountered while moving throughout the facility outdoors and indoors in buildings without air conditioning. Minimum Requirements TRAVEL: N/A LICENSING: Current unrestricted Maryland RN license required. CERTIFICATION: Current CPR certification. Quality Improvement Certification preferred. EDUCATION: Bachelor's Degree in Nursing Required; Master's Degree in Nursing preferred. PREFERRED EXPERIENCE: * Five-seven (5-7) years of quality improvement experience and 3-5 years of nursing experience. * Correctional experience preferred. * Fundamental knowledge and skill in utilization of computer applications. OTHER PREFERRED KNOWLEDGE, SKILLS AND ABILITIES: * Requires a comprehensive understanding of performance improvement, quality assessment, risk management, and quality improvement. * Ability to work effectively with physicians and other health care providers as well as with multi-disciplinary teams across the contract and organization. * Strong interpersonal, and verbal and written communication skills. * Excellent problem solving skills and strong organizational skills. * Ability to develop and deliver presentations, and facilitate meetings. * Must possess critical thinking skills and ability to independently solve problems and create processes * Must ensure documents are ready for review well in advance of any deadline. * Must be a highly organized and detail-oriented individual who is capable of performing under a variety of requirements and deadlines. * Must have basic computer skills (including software programs like Microsoft Word and Excel), as well as the ability to research information on the internet. EOE/M/F/D/V SDL2017

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