Quality Management & Accreditation Manager

Pay Range:$43.77 - $61.41

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities of the Job

• Assists with the development, implementation and maintenance of a strong Consortium wide Quality and Accreditation Plan, ensuring that all sites have quality programs that support the overall PI Plan while being integrated into the needs of the various sites.
  • Facilitates and promotes PI/QI measures and initiative.  Ensures compliance is monitored and reported in an appropriate and timely manner.
  • Offers feedback, suggestions and problem solving to ensure that the PI Plan and programs guide SEARHC improvement efforts.  Uses skills in data analysis, chart reviews, and other PI tools/methodologies to carry out an effective Quality and Accreditation Plan.
• Develops, maintains and utilizes sound working knowledge of accreditation and regulatory standards (TJC/ CMS/ GPRA/ UDS) and serves as primary resource for interpretation and application of standards as they pertain to SEARHC
  • Remains actively involved in continuing education/training/conferences to keep abreast of standard changes.
  • Facilitates/coaches/guides managers and staff to better understand regulatory standards and how to meet these in the most proficient manner for the organization and resources allotted.
  •  Assures appropriate action plans are developed, implemented and monitored based on data and leading practices as needed to meet regulations.   
• Works closely and collaboratively with the Quality and Accreditation Director, Medical Director, Legal, and other Leaders on quality assessment and risk management issues.
  • Investigates all concerns, trends, or risk factors that present risks or safety concerns to patients and the organization.
  • Maintains professional relationships with liability insurance carrier and legal counsel when investigating and processing any risk claims. Has a keen understanding of the Incident Reporting system.  
• Assists with investigation and resolution of patient complaints and grievances.
• Communicates professionally and effectively with all levels of the organization; serves as a resource, mentor, role model and cheerleader for others as PI is continuously integrated into everyday processes within the organization.
  • Identifies key stakeholders, develops relationships, and handles political situations in a strong, but delicate manner in order to move quality/performance improvement ahead
• Works closely with the Leaders and Staff in the assigned geographical area to ensure that PI is developed and supported as much as possible with the resources available.
  • Takes ownership of the PI Manager role in the specific divisions/departments and becomes the expert that others seek out when assistance is needed (i.e., core measures, EH/IC)
  • Fosters a collaborative environment that encourages others to participate in/take on quality/performance improvement initiatives and tasks.

Other Functions

• Other duties as assigned.

Supervisory Responsibilities

• This position does require supervisory responsibilities.

Additional Details:

Education, Certifications, and Licenses Required:

• Bachelor of Arts in Healthcare Management or comparable area - preferred.
• 4-6 years of relevant experience can be exchanged for a degree.
• Certified Professional in Healthcare Quality (CPHQ) or Certified in Infection Control (CIC), or similar certification obtained within a year - required.

Experience Required:

• 3 years’ experience monitoring quality and regulatory requirements, planning, and coordinating process changes.

Knowledge of:

• Knowledge of accreditation requirements for an ambulatory healthcare system.
• General knowledge of organizational functions and operations.
• Knowledge of group processes and ability to lead teams.

Skills in:

• Computer skills, in word processing and basic Excel type programs.
• Math or analytical judgment skills.
• Oral and written communication skills.

Ability to:

• Ability to focus and prioritize to attain goals.
• Effectively solicit ideas and information from individuals and groups.
• Ability to define problems, collect data, establish facts, and draw valid conclusions

Travel Required: 

Less than 10% travel expected.

Position Information:

Work Shift:Exempt

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!