POSITION SUMMARY: The Director of Risk & Quality Management is responsible for managing the risk and quality functions in accordance with US Anesthesia Partners’ risk and quality management program. Utilizes interpersonal skills to effectively communicate with and resolve issues involving a diverse group of healthcare, legal and insurance professionals. This role is NOT remote and MUST sit in our Columbia, MD office.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Provides overall direction, management and support for the risk and quality program and serves as a resource for risk and quality inquiries.
In coordination with national efforts, develops and implements policies, procedures and processes and training.
In coordination with national efforts, develops and implements a monitoring process to measure success of the risk and quality program.
In coordination with national efforts, develops a comprehensive and pro-active risk program for all lines of risk to decrease the frequency and severity of liability exposure, minimize risk and promote employee and patient safety.
Coordinates the investigation and resolution of incident reports, adverse events, patient concerns and performs root cause analyses when necessary; monitors data for trends and implements training or other interventions to reduce risk and improve quality.
Coordinates gathering of documents and information for insurance program and assists supervisor in renewal process.
Maintains loss runs of open and closed claims for reporting and analysis.
In coordination with national efforts, develops and maintains a process for the timely investigation, notification, filing of claims and consultation with insurance carriers, appropriate regulatory agencies and attorneys.
Manages and responds to subpoenas, document and release of information requests.
Facilitates the development of an annual quality improvement plan in conjunction with the Continuous Quality Improvement committee.
Promotes patient safety through the implementation of quality measures, strategies and benchmarks established by national quality organizations and the Continuous Quality Improvement Committee.
Coordinates the collection of data relevant to performance improvement, patient safety, patient care outcomes and national reporting requirements.
Provides support to the Continuous Quality Improvement committee and other committees including agenda development, gathering of data, and preparation of reports and minutes.
Other duties as assigned by management
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
Ability to work in computer applications including MS Word, MS Excel, MS Power Point; database administration skills required.
Ability to work independently with limited supervision required.
Strong communication skills with patients and clinicians.
Strong organizational skills.
Ability to present materials in a concise and detailed manner, individually and in groups.
Ability to read, write, and speak English
Bachelor’s Degree preferred; will consider a combination of education and work experience equivalent.
3 years minimum experience in either risk management or quality management in a healthcare setting preferred.
RN or other clinical license/background preferred.
CPHQ or CPHRM certification preferred.
Internal Number: 2018-1829
About US Anesthesia Partners
US Anesthesia Partners (USAP) is the largest single-specialty anesthesia practice in the country with over 4,000 clinical providers and associates. By joining our team, you will participate in a highly collaborative and dynamic environment. As an organization we are mission focused on delivering the highest quality in patient care and you will be directly supporting our talented clinical team. We extend this same commitment to quality to our associates and supply tools and resources that will ensure we win in the healthcare marketplace and support of USAP.
We are proud of our inclusive people culture that supports our associates to perform at their best. USAP is an equal opportunity employer. Candidates with physician services or related health care experience is a plus. We offer a competitive benefits package.
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.