Quality and Risk Manager

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's Degree in Business Administration, Healthcare Administration, or related field.

EXPERIENCE:

1. Three (3) years of healthcare, risk management, patient safety, clinical, insurance, quality, or related field

PREFERRED QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. 1. Master's degree

2. Certified Professional Healthcare Risk Management (CPHRM).

EXPERIENCE:

1. Experience in a hospital environment

2. EPIC (EHR) experience

3. Experience with data analysis, trending, and/or dashboard development.

4. Three (3) years' experience in healthcare field within a Risk/Quality Management Department.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Provides oversight and management of event reporting system (Origami).

2. Primary contact for issues related to local fleet management.

3. Local representative to system level risk management initiatives.

4. Develops and coordinates communication to all program stakeholders and other necessary individuals/groups.

5. Develops, prepares, and analyzes various metrics to monitor improvements and/or opportunities as it relates to patient care, risk management, and quality.

6. Assists with analyzing and identifying risk across all domains.

7. Assists in the development and compilation of reports regarding key risks and mitigation plans for Executive Leadership and oversite committees.

8. Provides and/or coordinates intervention and education related to risk management issues to promote safe work practices and quality care and services.

9. Coordinates quality improvement/quality assurance/patient safety activities to maintain and improve patient care services.

10. Performs appropriate concurrent and retrospective quality review studies using methodologies that include but are not limited to electronic and hard copy medical record review, data extraction and aggregation, computer data entry using internet-based software and simple calculations.

11. Analyzes, interprets, and reports data to the appropriate departments and hospital committees.

12. Responsible for leading and directing quality reviews, ORYX/Core Measures/Performance Measures and other performance initiatives and maintains competency with Vizient Quality software for that purpose.

13. Interacts with physicians and staff to improve documentation for data extraction for required Core Measures and other performance/quality measures.

14. Creates reports for Performance Improvement Committee (and other committees as assigned) based on each quarters' data.

15. Investigates and follows through on patient/family complaints received in QRM and assures feedback to patient family in a timely manner as necessary.

16. Assists with PI by assisting/ facilitating Root cause analysis.

17. Assists with Joint Commission activities, as necessary. Assists with OHFLAC/ CMS activities, as necessary.

18. Assists with policy revision/development, as necessary.

19. Consistently documents to ensure that supplies and medications are accurately charged.

20. Actively participates in committees related to clinical risk management, patient safety, and quality improvement.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Prolonged periods of sitting.

2. Some travel may be required.

3. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office environment, competitive environment to be expected, accountability is expected.

SKILLS AND ABILITIES:

1. Relationship building, interpersonal skills, verbal and written communication skills.

2. Ability to develop and maintain positive relationships within teams and external parties.

3. Ability to assist analyze and interpret data..

4. Ability to communicate information regarding service, programs, areas of opportunity, and/or other information.

5. Strong computer and organizational skills.

6. Strategic thinking and process skills are necessary.

7. Experience in project management, data analysis, strong computer and research skills, analytical mind with problem-solving skills, excellent organizational skills and attention to detail.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.