Sault Tribe
  • - Health
  • MI, USA
  • Year Round - Full Time

The Quality Improvement (QI) Coordinator is responsible for developing, coordinating, implementing, and evaluating the continuous quality improvement activities for assigned populations according to the established quality management program throughout our clinic network.  The position, in collaboration with the Assistant Health Director this positions assists in defining opportunities for improvement and collaborates with various internal and external participants to improve member experience, customer satisfaction and other sustainable quality outcomes.  This position also provides education in the area of quality improvement to departments, providers, and the community and assists in ensuring compliance with regulatory and accrediting organizations.       

                                                                                               

ESSENTIAL FUNCTIONS: (includes, but is not limited to, the following)

                                   

  • Leads specific work groups      and presents findings to managers, supervisors, clinical staff, senior      leadership and various committees.
  • Act as the lead      facilitator for the Health Division's QI committees.
  • Performs on-going analysis      of gaps in clinical care and barriers to care; ensuring alignment of all      interventions with GPRA, HEDIS and NCQA measures.
  • Designs, implements, and      monitors health program quality improvement studies.
  • Runs reports to collect      data from RPMS, EHR, iCare and other clinical databases for QI studies and      runs data analyses using other statistical data bases tools as needed.
  • Assists in coordinating,      monitoring and evaluating medical record reviews.
  • Develops QI training program      and trains health program staff in QI process and appropriate      methodologies.           
  • Coordinates and leads      functional groups or departments to achieve national accreditation.
  • Oversees, coordinates and      implements regulatory activities as required, including Medicaid and      Medicare.
  • Develops strong working      relationships with all departments and assists team members, supervisors      and managers in completing appropriate and beneficial QI studies.
  • Monitors health program departments'      compliance with and understanding of the QI, reporting elements and      regulatory requirements.
  • Educates health program      staff, patients and communities regarding health program QI initiatives      and achieved outcomes.
  • Organizes QI displays,      health fairs and community events to share health program QI outcomes and      initiatives planned or on-going to improve health program care and      services.
  • Supervises      the data analyst, completes performance review, and provides direction and      monitoring of time/attendance, job performance and disciplinary actions.                                                              

 

ADDITIONAL RESPONSIBILITIES: (includes, but is not limited to, the following)

 

  • Exercises sound clinical      judgment based upon current professional standards of practice    .          
  • Collaborates with health      care providers and appropriate health care team members within and outside      the health division.                                                                       
  • All      other job related duties as assigned.                    

 

CONTACTS:           

 

Immediate peers, peers in other departments, immediate supervisor/manager, managers in other departments, Executives, Board of Directors, customers and outside vendor/service providers.

 

PHYSICAL REQUIREMENTS:

 

Position light with lifting of 20 pounds, with frequent lifting/carrying up to 10 pounds. Physical factors include constant use of hearing, smell, near/midrange/far vision, depth perception, color/field of vision and typing; frequent standing, walking, sitting, occasional carrying/lifting, pushing/pulling, stooping, kneeling and reaching and manual handling. Working conditions include frequent exposure to weather, noise and air quality and occasional exposure to extreme heat/cold, wet/humidity and vibration. Potential hazards include constant computer, cell phone and video conferencing equipment and occasional exposure to electric shock, chemicals, insecticides/pesticides, infectious exposure and patient/client contact. Must weather Personal Protection Equipment (PPE) where QU coordination occurs.

 

REQUIREMENTS:

 

Education:     Bachelor's Degree in Nursing, Health Center Management, Public or Behavioral Health, Epidemiology, Biostatistics, Statistics or a health related field with experience in Quality Improvement principles and practices required.  Masters of Science Degree in Nursing (MSN), Masters in Public Health (MPH), Masters in Health Care Administration (MHCA), epi or Statistics preferred.

 

Experience:    Two years of concentrated experience in quality management, population health and quality incentive programs required.

 

Certification/License: Quality Improvement Certification required within 1 year of hire. Six Sigma Greenbelt in Health Care Certification preferred. National Association for Healthcare Quality (NAHQ), Joint Commission, American Society for Quality (ASQ), American Institute for Health Care Quality (AIHQ) and health industry related certifications preferred. Will be required to undergo and successfully pass a background check. Must maintain a good moral character standing. Will be required to complete and pass pre-employment drug testing.

 

Knowledge, Skills and Abilities: Knowledge of population health principles and practices and physician or health practice incentive structures required. Knowledge of quality improvement concepts, applications, data analysis and QI methodologies required. Prior knowledge and experience managing large, complex projects in a team environment required. Proven analytical knowledge and ability to identify problems, developing solutions and implementing effective courses of action required. Must be able to establish and maintain effective communication with co-workers, supervisors, other internal/external health team members, guests and patients. Ability to learn to run RPMS/HER reports using Qman, iCare, CMET, or other report generating applications required. Ability to complete statistical analysis of data as needed for health program QI studies and projects using computer applications, e.g., Statistical Package for the Social Sciences (SPSS) or Suite of Analytic Software SAS required. Strong communication skills, including the abilities to effectively communicate verbally and in writing, at all levels of the organization required. Strong leadership skills with the ability to work successfully within a project team setting required. Must be able to prepare clear, concise, and accurate and grammatically correct written reports, letters, memoranda, plans, policy and procedural drafts and other written documents and reports using Word, Excel and PowerPoint applications. Must be able to handle challenges and pressure typical in an ambulatory care setting. Must be flexible in scheduling daily workload and able to work extra hours as the project or task demands. Must be able to communicate verbally and clearly in English. Must be able to obtain GSA vehicle clearance and be able to drive to Tribal clinics when necessary. Native American preferred.   

 

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