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LPN Quality Assurance Manager

Company: Bayless Integrated Healthcare
Location: Phoenix
Posted on: November 26, 2022

Job Description:

Bayless is looking to add a comppaionate, renlentless, and adaptable Quality Manager to the Team!


_Bayless Integrated Healthcare is committed to improving lives and transforming healthcare. We utilize our Core Values as the foundation for all we do: _

_*Compassionate*__: Compassion is the humane quality of understanding the needs of others, and wanting to do something about it. We show kindness and a willingness to help others. We always provide care for our colleagues, our patients and our community._

_*Adaptable*__: The ability of our team to adapt to different environments, conditions and changes is imperative to deliver high quality care. Adaptable people are open to others while realizing the impact of their own words, tone and body language on others._

_*Innovative*__: Our team must have creative and critical thinking in order to introduce new ideas. Our commitment is creating a comprehensive healthcare delivery system like nothing done, experienced or created before._

_*Reliable*__: As a patient and community centric organization, being reliable is of the utmost importance. In order to achieve results, we must have a team comprised of consistent and trustworthy individuals that can be counted on to follow through._

_*Relentless*__: We have an unwavering commitment to improve the healthcare system, disrupt the status quo, and create a better community. We are driven individuals that exemplify intensity and the pursuit of excellence. A strong work ethic and enthusiasm are necessary in order to help our patients, improve our community, and accomplish our goals._


The Quality Assurance Manager assists with the review, development, and implementation of the organization's quality programs and plans. This position is accountable for utilizing significant professional judgement and discretion to monitor, review, and respond to quality concerns relating to patient care. Additionally, this position monitors trends, proactively identifying technical and compliance issues/gaps in patient care. This is an exempt position that reports to the Director of Medical Operations.

*Essential Functions*

* Develop and implement effective quality management systems (QMS) o Promote awareness of QMS and applicable regulatory/statutory requirements throughout the organization o Drive the collection, review, and reporting of data to support quality improvement initiatives and activities including data related to the measurement and improvement of the Healthcare Effectiveness Data and Information Set (HEDIS), URAC, contractual quality metrics and annual Quality Work Plan o Prepare and implement patient quality programs and related procedures o Co-Chair Quality Improvement Committee (QIC)
* Facilitate quality complaint process o Receive complaints from patients, payors, employees, regulatory entities, etc. o Coordinate with stakeholders and subject matter experts to complete investigation o Prepare and distribute findings of fact with recommendations for quality improvements/corrective action as appropriate o Analyze complaint related data to identify systemic issues and concerns
* Risk management o Utilizes and assesses organizational incident reports and other relevant data to support clinicians and support staff to drive risk mitigation initiatives to reduce harm in healthcare. o Work cross-departmentally to develop targeted education and process improvement projects using a PDSA model.
* Develop, maintain, and implement aspects of various quality system improvements o Identify resources and subject matter experts o Organize projects with a continuous model framework to allow for monitoring of progress or concerns. o Prepare and maintain documents, reports, dashboards, and scorecards o Track and trend key performance indicators Quality Assurance Manager Page 2 of 2 CD 11.7.22 This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. o Serve as a resource for education and training regarding quality improvement, accreditation standards, internal process improvements, and external regulatory requirements (i.e. HEDIS, CMS, URAC) *Other duties as assigned*

*Education and Experience*

* *HS Diploma or GED (Required); Bachelor's degree in related field preferred *(healthcare administration, business administration, etc.)
* Current unencumbered AZ LPN license
* Ability to obtain / maintain a fingerprint clearance card
* Minimum of 5 years' related healthcare quality experience (clinical, administrative, quality, health information management)
* Experience with using electronic medical record systems
* Certified Professional in Healthcare Quality (CPHQ) (preferred)
* Experience with Lean Six Sigma practices (preferred)
* Understanding of HEDIS quality measures and successfully demonstrated outcomes
* Familiarity with clinical outcomes, quality improvement methods, utilization management, care management and compliance requirements
* Ability to resolve employee issues and foster inter-departmental cooperation and communication
* Demonstrated leadership skills and the ability to work independently

*Tools and Equipment Requirements*

* Up to date with advancements in office gadgets and applications (i.e. phone, computer, printer, copier, etc.)
* Frequent use of Microsoft office products, including but not limited to Outlook, Word, Excel, and PowerPoint
* The ability to use the internet and various web browser software is required
* Knowledge of, and ability to use electronic medical record and other patient related technologies

*Physical Working Conditions and Office Setting Description*

* This position may be remote, hybrid or in-person based on the assigned department's business needs. o If designated as hybrid or remote, the availability of virtual workdays is subject to change based on business needs
* Some travel required to field locations to facilitate execution of responsibilities. Must be able to travel to locations other than primary worksite o Driver's license and valid insurance may be required when operating a personal vehicle

Job Type: Full-time

Pay: From $70,000.00 per year

* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Standard shift:
* Day shift
Supplemental schedule:
* Holidays
Weekly schedule:
* Monday to Friday

Ability to commute/relocate:
* Phoenix, AZ 85012: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):
* Salary Requirement ?

* Bachelor's (Preferred)

* healthcare quality assurance: 1 year (Preferred)
* Training & development: 1 year (Preferred)
* Clinical Management: 1 year (Preferred)

* LPN (Preferred)

Work Location: Hybrid remote in Phoenix, AZ 85012%58047475%

Keywords: Bayless Integrated Healthcare, Phoenix , LPN Quality Assurance Manager, Executive , Phoenix, Arizona

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