Career Corner: Job Opportunities
Director Quality Assessment & Performance
Improvement (QAPI)
Reports to: VP/Chief Quality & Compliance Officer
Role:
Manages the implementation of the Quality Assessment and
Performance Improvement Corporate Plans; includes Joint
Commission oversight; Patient Safety Standards; Infection
Control and Risk Management Programs. Conducts data analysis
and reports findings. Develops organizational and educational
programs to ensure compliance with regulations and accrediting
standards.
Qualifications:
•
RN – State of Florida License required.
•
Masters degree preferred; bachelor's degree required. 5 – 10
years experience in clinical field, health administration
or other relevant discipline.
•
CPHQ certification preferred.
•
Certified Healthcare Risk Manager preferred.
•
Demonstrated skills in fiscal management, written and oral
communication, statistical tools, management of group dynamics,
and conflict resolution.
•
Ability to manage multiple priorities simultaneously and
effectively handle stress.
•
Able to manage multiple software programs; Computer competent.
•
Valid driver's license and automobile insurance per Company
policy and procedure.
•
Ability to travel to off-site locations.
•
Ability to work with minimal supervision and exercise a
high degree of discretion and judgment.
Competencies:
•
Satisfactorily complete competency requirements for this
position.
Responsibilities of all employees:
•
Represent the organization professionally at all times,
through care delivered and services provided.
•
Comply with State, federal and local government regulations;
maintaining strong position against fraud & abuse.
•
Comply with organization, policies, procedures and standard
practices.
•
Observe the organizations health, safety and security practices.
•
Maintain confidentiality of patients, families, colleagues
and other sensitive situations.
•
Use resources in a fiscally responsible manner.
•
Promote the organization through participation in community
and professional organizations.
•
Participate proactively in improving performance at the
organizational, program, departmental and individual evels.
•
Improve own professional knowledge and skill level.
•
Advance electronic media skills.
•
Support the organization’s research and educational
activities.
•
Share expertise with co-workers both formally and informally.
•
Participate in Quality Assessment Performance Improvement
activities as appropriate for the position.
Leadership Success Factors:
• Communication. Express thoughts and ideas clearly. Adapt
communication style to fit audience.
• Initiative. Originate action to achieve goals.
• Management Identification. Identify with and accept the
problems and responsibilities of management.
• Judgment. Make realistic decisions based on logical assumptions,
factual information and in consideration of organizational
resources.
• Planning, Organizing and Controlling. Establish course
of action for self and/or others to accomplish a specific
goal; plan proper assignments of personnel and appropriate
allocation of resources. Monitor results.
• Leadership. Use appropriate interpersonal styles and methods
in guiding others toward task accomplishment.
• Work Standards. Set high goals or standards of performance
for self and others. Compel others to perform.
• Tolerance for Stress. Maintain stability of performance
under pressure and/or opposition.
• Innovativeness. Generates and/or recognizes imaginative,
creative solutions in work related situations.
• Delegation. Allocate decision making and other responsibilities
effectively and appropriately.
•
Staff Development. Develop the skills & competencies
of subordinates.
• Organizational Sensitivity. Perceive the impact and implications
of decisions on various components of the organization.
• Ethics. Model highest standards of conduct and ethical
behavior, adopting a strong position against fraud and
abuse.
• Regulatory Compliance: Educate and monitor staff regarding
their own and the organization's responsibilities for
regulatory compliance.
Job Specific Responsibilities:
Administration
• Provides on-going evaluation of the impact of audit findings
on regulatory or accreditation requirements on the organization;
suggests appropriate changes to achieve optimal performance.
• Works with other disciplines and departments to develop
statistical reports.
• Manages and integrates compliance, performance improvement,
patient safety and Joint Commission activities for the
organization.
Staff Development
• Provides consultation and acts as a resource regarding
regulations and standards for clinical team coordinators/leaders
and administrative staff.
• Develops and maintains a compliance resource manual.
• Plans content and assists in the orientation of administrative
staff and others.
• Assures standards and regulations are met.
Compliance
• Compiles reports for the Board of Directors and the organization.
• Plans and conducts ongoing compliance, quality, and utilization
audits.
• Publishes compliance newsletter
• Manages departmental and organizational projects
Other
• Promotes the Hospice concept in the community by participating
in the development of educational materials and offerings
for both the public and medical community.
•
Assists VP/Chief Quality & Compliance Officer with
compliance and other organizational issues
• Assures effectiveness of an ongoing Joint Commission readiness
program.
• Facilitates AHCA and Medicare surveys or inquires.
Professional Development
• Enhances professional expertise through attendance at national,
state and local conferences.
• Presents at relevant professional or specialty organizations
and participates at local meetings and national presentations.
• Maintains certifications.
Posted on 3/8/2010
