ESSENTIAL FUNCTIONS: 1. Know, understand, incorporate, and demonstrate the Mission, Vision, Values and Guiding Behaviors of Trinity Health and LIFE at St. Joseph of the Pines in behaviors, practices, and decisions.2. Consistently demonstrate (leads by example) LIFE at St.
Joseph of the Pines Values to all internal and external customers (participants, visitors, volunteers, and colleagues.) Create and maintain an atmosphere of warmth, propagating a calm environment throughout the office.3. Execute assignments in a culture that is shared and collaborative across all divisions within LIFE at St. Joseph of the Pines.4. Reflects the skills knowledge and abilities serving in the role of a leader.
Define and share a strategy and vision; align resources toward achievement of organization results; grow and sustain the organization; identify, lead, and embrace change.5. Establish and/or maintain as a member of the leadership team a plan to achieve operating goals.6. Promote and maintain collaborative relationships with managers, peers, direct reports and customers by effectively fostering a team environment, building consensus and resolving conflicts.7. Maintain department budget, place orders for equipment and supplies as necessary.
Identify financial vulnerabilities and make cost reduction recommendations as needed.8. Evaluate, develop, mentor, coach, counsel and discipline department staff. Supports other personnel from other departments through coaching and mentoring to help achieve optimum standard of excellence. Addresses issues of concern through courageous conversation and notifies department manager of any interactions requiring attention.9.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, LIFE at St. Joseph of the Pines’ Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.10. In light of a disaster will know your disaster recovery, crisis management and business continuity plans and act within your role that is developed within the business continuity plan. Which may include working at another location, remotely from home, and maintaining constant contact with key personnel.11.
Attend and participate in scheduled training, in-service training, mandatory annual in-service training and educational classes as required/needed. Director, Quality Improvement and Compliance12. In conjunction with Medical Director, initiates, develops, and guides the implementation of the annual Quality Assurance Performance Improvement plan (QAPI). Compiles annual report and shares results with leadership, staff, contractors, administration, the Participant Advisory Committee (PAC), and Board of Directors.13.
Assist with scheduling and coordination of the PACE Quality Management Committee in collaboration with Medical Director. Duties include preparation of meeting agenda, preparation of minutes, and assistance with committee correspondence and presentation materials.14. Assure annual review and approval of Infection Control plan.15. Communicate the QAPI plan to members, staff, contractors, administration, Participant Advisory Committee (PAC), and the Board of Directors.16.
Ensure compliance with CMS regulations. Has overall responsibility for the Medicare Part D fraud, waste and abuse Compliance Program. Assure annual review and approval of Compliance plan. Ensure that colleagues complete the activities and responsibilities identified in the Compliance program and those related to the HIPAA privacy rule.17.
Manage preparation for CMS sites visits, inspections, and all subsequent follow up activities.18. Analyze risk management data and QAPI data in order to identify and control loss.19. Coordinates and maintains all activities pertaining to complaints, service delivery requests, and grievances/appeals, assures regulatory compliance and incident reporting including trend analysis for necessary action plans and quality improvement initiatives.20. Plan, develop, organize, implement, evaluate, coordinate, and direct our infection control program in accordance with current rules, regulations, and guidelines that govern such requirements.21.
Prepare monthly summaries of all participant/personnel infections, corrective action taken, and the results of the corrective action.22. Lead and facilitate Participant Satisfaction and HOS-M survey process and analyze data.23. Ensure accurate and timely reporting to CMS, State, and all other Trinity Health and LIFE at St. Joseph of the Pines reporting requirements.24.
Daily monitoring of HPMS complaints and memorandums for quality and compliance updates. Coordinate any necessary actions per HPMS memorandum guidance.25. Prepare and submit monthly quality metrics reporting to LIFE at St. Joseph of the Pines and participates in initiatives, meetings, and programs as required.26.
Assist staff in establishing process evaluation, including root cause analyses and performance improvement initiatives.27. Provide oversight of Quality and Compliance staff, including developing annual performance reviews, if applicable.28. Maintain confidentiality of participant information.MINIMUM QUALIFICATIONS1. Bachelor’s Degree in Nursing or healthcare related field required.
Master’s Degree preferred. Five (5) years or more of progressive work experience that includes the development and implementation of programs for the elderly population, service operations, and staff development. Prior supervisory experience preferred.2. Minimum of one (1) year of documented experience working with a frail or elderly population.3.
State of North Carolina – Must have Employee Medical Statement that meets the requirements of the Standards Director, Quality Improvement and Compliance completed prior to beginning employment, signed within previous 12 months by an MD, NP or PA, indicating that the employee has no illness or health condition that would pose a risk to others and can perform the duties assigned in the job.4. Must be action-oriented, have business acumen, manage conflict well, be customer focused, have high decision quality, flexibility to adapt to ongoing change and have organizational agility. Ability to work with minimal supervision and exercise independent judgment.5. Possess interpersonal skills to drive collaboration, commitment and productivity when working with cross-functional teams, customers and end users.
Must be comfortable functioning in a virtual, collaborative shared leadership environment.6. Demonstrates superior written and verbal communication and presentation skills appropriate for audience comprehension. Well-developed communication skills, both written and oral, that may be used either in an on-site or virtual environment is required. Able to communicate effectively with individuals and groups representing diverse perspectives.7.
Comprehensive to expert proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.); basic knowledge and experience with electronic mail and calendaring system. Knowledge of systems necessary, experience preferred. Ability to type with speed and accuracy. Ability to use other software as required to perform the essential functions of the job.8.
Possesses a high degree of personal accountability, responsibility and independent decision-making abilities with the skills to plan, organize, develop, implement and interpret programs, goals, objectives, policies and procedures of the organization in line with mission, vision, and philosophy of LIFE at St. Joseph of the Pines.9. Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.
Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills.10. Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge.
Must exhibit critical thinking skills and possess the ability to prioritize workload.11. Position may require 10% travel within the Centers geographic region and to home office in Livonia, MI.PHYSICAL AND MENTAL REQUIRMENTS AND WORKING CONDITIONS1. Must be able to adapt to frequently changing work parameters and adapt to work priorities that frequently change. Must be able to work on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.2.
Must be able to see and hear or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.3. Primarily works inside with frequent kneeling, crouching, reaching, lifting, sitting, walking, bending and lifting. Must be able to push, pull, move and or lift a minimum of 20 pounds if applicable. Physical mobility that includes movement from place to place. Must be able to sit for long periods of time. Physical agility, that includes ability to maneuver body while in place. Dexterity of hands and fingers. Coordination, including eye-hand, hand-foot. Must possess the above ability with or without the use of prosthetics that will enable adequate functionality so that the requirements of this position can be fully met.4.
Subject to exposure to noise, infectious waste, diseases, conditions, etc. including TB, HIV, HEP B viruses. May be subject to the handling of and exposure to hazardous chemicals. Director, Quality Improvement and Compliance.5.
Must be able to speak, read and write the English language in an understandable manner.6. Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile customers. Must possess the ability to deal tactfully with personnel, participants, family members, visitors, government agencies/personnel and the general public.7. Must not pose a direct threat to the health or safety of other individuals in the work place.8.
Must be able to cope with the mental and emotional stress of the position. Must be able to comply with organizational policies and procedures.9. Must be able to spend majority of work time utilizing a computer, monitor, and keyboard. Must be able to work with frequent interruptions and perform detailed tasks.10.
Must meet the general health requirements set forth by the policies of this organization, which include a medical and physical examination.11. May be required to work beyond normal working hours, on weekends and other positions temporarily when necessary and may be subject to call back during emergency conditions. May be required to work on shifts other then those which originally hired.Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes.
We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Source: Indeed.com
Click Here To Apply
