Quality Manager - Full Time, Days (Hollywood) in Hollywood at Southern California Hospitals

Date Posted: 7/20/2020

Job Snapshot

Job Description



Quality Manager - Full Time, Days (Hollywood) 

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Quality Manager is responsible for coordinating the day to day operations of the Quality Department, performance improvement efforts for publicly reported clinical measures, assisting with regulatory agency investigations and survey activities, and data analysis related activities.  Investigates and responds to Insurance Grievances and participates in response to regulatory agency deficiencies and validate plans of correction are reported to the Quality Council.  Assists with implementing strategies for best practices, providing educational opportunities and performance improvement support to clinical providers and staff.



Job Responsibilities/Duties

  • Proactively assists the Vice President of Quality in the development and delivery of education programs to all employees, including orientation of employees, which involve all components of the QAPI program and associated regulatory guidelines. 
  • Develops responses to insurance grievances to identify causation, mitigation and improvement opportunities.  Communicates relevant findings to the appropriate leadership team members.
  • Manages, tracks, trends, and analyzes the performance to quality measures.  Assists with managing and analyzing performance improvement opportunities.  Audits medical records and monitors performance measures for sentinel events, reportable events. 
  • Prepares documents and correspondence, demonstrating excellent writing, editing, proofreading skills. 
  • Responsible for the facilitation of Quality Council.  Effectively coordinates activities associated with meeting management, transcription of minutes, report generation, and follow-up as assigned.


Qualifications

Minimum Education: Bachelors Degree or equivalent required. Master’s Degree preferred. 

Minimum Experience: Four (4) years of acute care hospital quality department experience. Excellent verbal and written communication skills. Quality Measure Performance Improvement experience. Computer Literacy and Proficiency in MS Office, specifically Word and Excel required. Ability to maintain flexibility and work well in a fast paced, constantly changing environment. Ability to establish and maintain effective working relationships across the organization.

Req. Certification/Licensure: CPHQ upon hire or within one year of employment required.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

Keywords: Quality, Risk, QM, TQM



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