Reporting to the Executive Director of Post-Acute Services, the Manager of Quality and Performance Improvement plans, organizes, and coordinates all aspects of the Continuing Care Center Continuous, Home Health, and Hospice Quality Improvement program and Quality Assurance Performance Improvement program, ensuring that the Distinct Parts Skilled Nursing Facility (d/p SNF), also known as the Continuing Care Center, is prepared for regulatory bodies surveys including but not limited to the Centers for Medicaid and Medicare Services (CMS), and California Department of Public Health (CDPH) surveys.
Key Result Areas 1. Quality: ï¿½ The employee demonstrates accuracy, and reliability, and assumes responsibility for the quality of work performed. ï¿½ Follows Hospital rules and regulations maintaining appropriate licensure, certification, and authorization required for employment. ï¿½ Follows all infection control regulations and uses standard precautions appropriately. ï¿½ Uses proper body mechanics and safety equipment. Performs duties in a safe manner. ï¿½ Follows all safety, fire and disaster regulations. Is knowledgeable about hazardous materials and Material Safety Data Sheets (MSDS) for chemicals used in the work area. ï¿½ Reports safety hazards and injuries immediately to supervisor.
2. People: ï¿½ The employee works independently and requests assistance/direction when needed. ï¿½ Assumes responsibility for a clear and orderly work area. ï¿½ Dresses appropriately for work assignment as per dress code.
3. Economics: ï¿½ The employee makes good use of time and resources, and completes works assignments. ï¿½ Appropriately and consistently uses the time keeping system and completes corrections in a timely manner. ï¿½ Performs work in a cost efficient method. Uses Hospital resources appropriately. ï¿½ Meets or exceeds Hospital rules on attendance and tardiness.
4. Service: ï¿½ The employee meets or exceeds customer service expectations.
5. Innovation: ? The employee pursues appropriate training opportunities to learn job related skills, policies and procedures.
Primary Duties 1. Establishes mechanisms for the department to design, measure, assess, and improve the quality and customer service of the Service Line. 2. Identifies priority quality improvement and customer satisfaction initiatives. 3. Schedules the collection of data for these initiatives, and other ongoing reviews, which serve as quality trending. 4. Monitors and reviews the results with Service Line staff on a regular basis. 5. Achieves measurable improvement in key quality initiatives, which include both processes, e.g., documentation, and outcome measures. 6. Achieves measurable improvement in customer service 7. Assures department compliance with regulatory agencies and other accrediting body standards, as they are updated or revised. 8. Maintains personal current knowledge and expertise in the specialty field of the department, and of regulatory requirements of the department. 9. Leads by example to promote excellence in resident care. Models professional demeanor and acts as a mentor. 10. Demonstrates ability to delegate and achieve results through others. 11. Demonstrates understanding of and ensures compliance with all State and Federal requirements. 12. Assumes leadership role for daily operations and takes appropriate action. 13. Assists with writing and revising, and ensures staff understanding and compliance with policies, procedures and standards. 14. Demonstrates the ability to coordinate response to emergencies in a calm and efficient manner. 15. Understands and demonstrates ability to work within the departmental budget. Assists Administrator to prepare operational and capital budget annually. 16. Leads the Service Lines monthly CQI and Quarterly CCC meetings with appropriate P.I. goals. 17. Monitors organizational compliance with all regulatory requirements. Reports deficiencies and recommendations for improvement to the Executive Director. 18. Meets regularly with the medical director and other staff physicians to ensure proper communication is maintained. 19. Ensures that communication with the Acute Hospital is accurate and cooperative. 20. Accepts call rotation after hours and on weekends with the Executive Director and other managers. Varies hours worked to accommodate unit needs. 21. Other duties as assigned Position Specifications
Working Conditions: ? Contact with residents/patients under a wide variety of circumstances ? May be exposed to infections and contagious diseases ? Regularly exposed to the risk of bold borne diseases
Bachelorï¿½s degree required, Masterï¿½s degree preferred in a health-related field.
Experience in facilitating regulatory surveys and surveyor visits for Joint Commission, California Department of Public Health, and Centers for Medicare and Medicaid.
Certified Healthcare Quality Practitioner (CHQP) certification required within one year of hire.
Experience in providing education, team facilitation and coaching.
Excellent interpersonal, communication skills and presentation skills.
Proficiency in Microsoft Office
Primary Location: Joshua Tree, California
Facility: Hi-Desert Continuing Care Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005030659
About Hi-Desert Continuing Care Center
Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.