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Coordinates, facilitates, implements and participates in care management and quality improvement initiatives/teams across Aurora Health Care in assigned geographical areas. Develops process improvement plans with leadership and departments throughout the organization to analyze, monitor and ensure high levels of quality and performance. Identifies opportunities for improvement, makes recommendations for change, and leads the implementation of best practices to meet established goals. Promotes cross-departmental communication, collaboration, and performance improvement as a means of achieving cost-effective, high quality care.
Job Responsibility:
Coordinates, facilitates, implements and participates in care management and quality improvement initiatives/teams across Aurora Health Care in assigned geographical areas
Develops process improvement plans with leadership and departments throughout the organization to analyze, monitor and ensure high levels of quality and performance
Identifies opportunities for improvement, makes recommendations for change, and leads the implementation of best practices to meet established goals
Promotes cross-departmental communication, collaboration, and performance improvement as a means of achieving cost-effective, high quality care
Coordinates, facilitates and implements best practice strategies for assigned patient populations to meet quality and cost goals
Designs and documents assigned projects to demonstrate the quality levels delivered to patients, while applying Aurora's approach to quality. Uses statistical techniques to analyze and display clinical data using measurement tools and systems, as appropriate
Interprets and communicates care management and quality results in a way that the customer understands. Meets individually with providers and staff to assist with problem-solving, recommend and facilitate improvement strategies. Measures and evaluates attainment of goals. Manages multidisciplinary quality improvement teams and projects to support the accomplishment of care management and accreditation (as appropriate) goals
Completes medical record reviews, compares current practice against best practice guidelines and provides recommendations to improve patient care
Provides leadership and consultative services at least quarterly to departments and services within the organization in achieving regulatory, accreditation, and organizational compliance in quality, safety and in performance management and improvement activities. Serves as a resource on external regulatory requirements relative to care management activities
Maintains awareness of and notifies leadership of actual or potential risk situations. Gathers information and provides input regarding risk management issues as delegated by immediate supervisor. Reviews, trends and reports results at least quarterly of quality and care management related third party visits, chart reviews, surveys, and other data to appropriate committees, departments and administration
Serves as an educator, communicator, and resource to physicians, providers and staff to understand care management, quality improvement and accreditation (as appropriate) objectives. Develops educational programs regarding care management, quality initiatives and strategic objectives. Collaborates with nursing and/or patient education, physicians, providers and staff to review, design, and coordinate the use of patient education materials. Establishes new or utilizes existing mechanisms to communicate patient education resources across sites and departments
Drives development of improved Electronic Health Record tools to support Care Management Quality in collaboration with key functional departments and leadership
Coordinates and/or leads care management and quality committee meetings. Ensures all key stakeholders receive consistent communication across departments and sites. Shares successful process improvement and care management practices
Requirements:
Bachelor's Degree in Quality Management or related field
Typically requires 5 years of experience in health care or clinical quality improvement
Knowledge of quality improvement principles, project management, and team facilitation
Knowledge of federal, state and external health care regulations and standards and ability to research those regulations
Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes
Knowledge and use of process improvement methods, statistical tools and evidence based, best practice resources
Demonstrates strong problem solving, leadership, conflict mgmt. and team building skills
Knowledge of medical terminology, clinical concepts and disease management
Ability to analyze complex data and communicate sensitive information
Excellent interpersonal, written and verbal communications skills
Proficient in the use of Microsoft office suite or similar products. Ability to create reports, graphs and other visual presentation materials, and effectively maintain statistical data
Demonstrated ability to analyze complex data and communicate sensitive information to improve patient care
Detail oriented and able to prioritize and organize data and complex projects
Must be able to drive to various sites so therefore will be exposed to weather and road conditions
Operates all equipment necessary to perform the job
Exposed to normal office environment
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance