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VP Quality & Risk Management - Behavioral Health 901
VP Quality & Risk Management - Behavioral Health 901Telecare Corporation • Alameda, CA, United States
VP Quality & Risk Management - Behavioral Health 901

VP Quality & Risk Management - Behavioral Health 901

Telecare Corporation • Alameda, CA, United States
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Description

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.

At Telecare, we believe the strength of our organization sits in the hands of our leaders. We believe having a strong, capable, and motivated leadership team is of foundational importance to the organization's success. The VP Quality and Risk Management is a key position in driving the organization's success. They are responsible for the leading, directing, and developing our quality assessment and performance improvement and risk management programs, which contributes to the overall success of both Telecare and those we serve. Our clinical staff are a key element in ensuring we are providing high quality care to those we serve. The VP Quality and Risk Management is responsible for setting the strategic development and implementation for quality and risk management, ensuring our workforce are equipped to deliver on our promise of delivering excellence to those most in need.

Full Time | DAYS 8 : 00 am - 5 : 00 pm | Monday - Friday

Expected starting wage range is $203,934 - $251,978. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.

THE IDEAL CANDIDATE

The ideal candidate for the VP Quality and Risk Management role is someone that is a strong complement to the Telecare culture and exhibits behaviors that demonstrate alignment with Telecare's values. The ideal candidate is someone who has a successful track record of developing and delivering excellence in quality assurance, performance improvement, and clinical risk management. We define operational excellence in 4 key areas :

  • Clinical Quality and Risk Management Excellence . First and foremost, the care we provide to those we serve is paramount. Demonstrating consistency in care by ensuring staff are well trained, prepared for their work, able to deliver excellent care and respond to the needs of our clients that maximizes clinical outcomes while reducing adverse events within the programs.
  • Workforce Engagement . Having a workforce that is highly engaged translates into the quality-of-care Telecare is able to provide its clients. Being able to maintain low turnover and have staff that stay and grow with the organization are key measures of success.
  • Customer Satisfaction . Our customers are important. The VP Quality and Risk Management needs to be able to regularly interact with customers and ensure awareness of Telecare's commitment to delivering high quality care and minimizing unintended outcomes.
  • Financial Security . Knowing how to successfully operate within a budget and drive fiscal responsibility through the organization is vitally important to the organization's success.

COMPETENCIES FOR THE IDEAL CANDIDATE

The ideal leader for Telecare is someone that has a high level of self-awareness, seeks, and integrates feedback from others and is able to reflect on matters that impact those around them. They know how and when to collaborate, are skilled at navigating complex situations and able to develop the talent and build the team around them to be able to do the same.

The ideal candidate will bring strong patient care administration knowledge, quality assessment and improvement and risk management development and implementation to this role, and the ability to hold themselves and others accountable for their work product. Ultimately, the ideal candidate will be someone who is passionate and committed to the vision and purpose of Telecare and is able to lead the organization, guided by our values to drive both clinical and financial results.

POSITION SUMMARY

The VP Quality and Risk Management oversees the development and the implementation of the organizations quality assessment and performance improvement and risk management programs in alignment with regulatory requirements and directs activities related to quality control including strategies, staffing, scheduling, coordinating, quality assurance standards, and planning. The VP Quality and Risk Management is responsible for planning, developing, and implementing policies and as well as establish objectives of the organization's quality control functions in accordance with organization's objectives. This individual is the highest role in patient care and leads quality improvement, infection prevention, patient and associate safety, clinical risk management, regulatory and accrediting agency reporting and continuous survey readiness throughout Telecare. This role involves extensive coordination and collaboration with the SVPs, VPs, and program leaders.

QUALIFICATIONS

Required :

  • Bachelors' degree in a healthcare related field
  • Five (5) years' experience as a VP or Director of Quality and Safety a large single site acute care facility
  • Two (2) years' experience as a VP of Quality and Safety of a region or multi-site health care facility
  • Ten (10) years' experience in healthcare
  • Certified in Risk Management (CPHRM) and / or Certified Professional of Healthcare Quality (CPQH)
  • Advanced training and expertise in healthcare quality, safety, improvement methods and reporting
  • Demonstrates expert knowledge of improvement methods in the care site clinical setting
  • Demonstrates significant health care management and operational knowledge / experience with a focus on improving the quality and safety of care
  • Proven experience working with health care data issues, regulatory readiness, change management and process improvement
  • Current knowledge of regulations and standards as related to JCAHO, CMS, CARF, and State regulations for varied levels of service
  • Must be at least 18 years of age.
  • M ust be CPR, First Aid, and CPI certified (hands-on course) on date of employment or prior to providing direct client care and maintain current certification throughout employment
  • All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, a valid driver's license, a motor vehicle clearance, and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply.

    • Preferred :

  • Masters' degree in healthcare related field
  • Licensed as a Registered Nurse in California
  • Experience as VP of Quality and Safety / Risk Management in Joint Commission and / or CARF accredited facilities

    • ESSENTIAL FUNCTIONS

    Clinical Quality Excellence

  • Works with senior leaders of the organization and programs on strategic initiatives related to quality assessment and improvement and risk management.
  • Develops strategic plans regarding quality improvements and risk management.
  • Ensures that the Quality and Risk policies are in compliance with all related state, federal and local licensing regulations and requirements, and align with client needs and industry best practice.
  • Develops, monitors, and analyzes clinical quality metrics and develops and implements plans to address needs and opportunities in quality improvement, and evaluate effectiveness. This includes reporting through the AER, RCA for internal and external reviews, customer feedback, complaints, et.
  • Participates in the development, revision and implementation of policies and procedures to accomplish strategic quality and risk management initiatives.
  • Participates in activities, including professional and trade organizations, that promote quality and risk management improvement in mental health services.
  • Oversight of comprehensive Quality Assurance / Quality Improvement program which includes frequent collaboration with other departments, employee education and a focus on monitoring departmental standards and actively removing barriers to the provision of high-quality care.
  • Oversight of the Health Information programs including coordination with other departments on the utilization and monitoring of :

    • o Records for Utilization Review, Payor source reviews of clinical information

    o Access to records Electronic and paper versions

    o Scanning of closed program records and storage processes

    o Budget implications for records access for closed records, storage, etc

    o HIPAA

    o Partnership with Privacy and Corporate Compliance Officers

  • Develops departmental goals, objectives, standards of performance, policies and procedures; organizes the department to meet legal, organizational and medical staff guidelines; functions in an advisory capacity.
  • Provides oversight for the accreditation of programs with CARF and a JCAHO, supporting the goal of 80% of the organization maintaining accreditation
  • Is an active participant of all committees involving members served safety, quality and risk policies, practices and procedures.

    • Employee Engagement

  • Demonstrates the Telecare mission, purpose, values and beliefs in everyday language and contact with the internal and external stakeholders.
  • Engage with clinical and nursing leaders to develop and align in the goals of developing and retaining workforce.
  • Assumes responsibility for her / his professional growth and the ongoing professional development the Quality and Risk Management staff.

    • Customer Satisfaction

  • Makes use of management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned employees, frequent feedback focusing on both positive and problematic aspects of work performance and other management practices that are consistent with Continuous Quality Improvement
  • Promotes and maintains professional and effective relationships and communications within the department and with other departments.

    • Financial Security

  • Collaborates with the SVP, Chief Medical Officer on the preparation and control of department annual budget.
  • Oversee Risk Management and professional liability, working directly with legal counsel and insurance vendors with the Director of Quality Risk and Analytics

    • o Manage Litigation claims

    o Manage / oversight of Insurance claims

    o Manage Loss Run Report

    o Sentinel Event information

  • Works with Operations Leadership to assist in implementation of patient safety programs and actively participates in reducing Workers Compensation
  • Collaborates with Development and Start-up to assess, negotiate and perform review of new and existing contract objectives and program deliverables.
  • Requires travel 25 -35% annually.
  • Partner with enterprise experts and leaders with Human Resources, Talent Acquisition, Training and finance to develop and execute workforce strategies for the region of care

    • Duties and responsibilities may be added, deleted and / or changed at the discretion of management.

    SKILLS

  • Excellent verbal and written communication
  • Attention to detail
  • Critical thinking to aid decision making
  • Flexibility and ability to adapt
  • Commitment to development

    • PHYSICAL DEMANDS

    The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    The employee is occasionally required to stand, twist, squat, kneel and lift and carry items weighing 25 pounds or less as well as to frequently sit, walk, reach, bend and do simple and firm grasping. The position requires manual deviation, repetition and dexterity and to occasionally drive. The position requires manual deviation, repetition and dexterity as well as Hazardous Exposure (Blood Borne Pathogens, Hospital Waste, Chemical & Infectious).

    EOE AA M / F / V / Disability

    If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

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    Behavioral Health Health • Alameda, CA, United States