Supervisor Population Health Quality and Risk
The posted compensation range of $35.28 - $51.16 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center the hospital is the home of the Texas Heart® Institute a cardiovascular research and education institution founded in 1962 by Denton A. Cooley MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.
Responsibilities
The Supervisor is responsible for the oversight of day to day departmental operations of assigned department(s) including, but not limited to: Clinical Quality Operations, Member Engagement, Quality and Risk Compliance and Reporting. This position will supervise the department in an efficient manner to ensure timely and compliant provider and patient services are provided resulting in quality patient care. The Supervisor may assign work tasks, realign tasks within the department and take action to resolve minor disputes and productivity issues. This position may be assigned other duties within scope of practice, including, but not limited to: conducting audits, performance improvement activities, assistance in staff evaluations or supporting quality operations based on departmental needs. The position's focus will be on optimizing staff productivity, collaboration and compliance . The Supervisor provides support and coaching to staff members as indicated. This position will report to and collaborate with the Manager or Director regarding identified issues outside the Supervisors scope of authority. The Supervisor guides department activities according to the organizational objectives, standards of practice and Federal and State Regulations and any accrediting body active within the team.
ESSENTIAL KEY JOB RESPONSIBILITIES
Leadership
1. Consistently and positively communicates and collaborates with colleagues, supervisors, and customers (internal and external). Communicates collaboratively in situations involving conflict resolution.
2. Efficiently and independently plans time to accomplish job duties within departmental standards, is punctual, meets deadlines, initiates and follows through on tasks, and needs little supervision.
3. Makes recommendations to manager regarding interventions to improve all resource management.
4. Conducts staff meetings including review of outcome measurements and identification of training/educational opportunities.
5. Identifies opportunities for the development of new approaches for the department with guidance from National PHSO Quality and Risk, and works with manager to prepare proposals with cost analyses, IT requirements, education and implementation plans.
6. Performs projects/activities as delegated by organizational committees and manager.
7. Work closely with all departments to drive quality improvement efforts and interventions across patient and provider populations in the Value Hub.
8. Participates regularly in local, regional, and national meetings pertinent to accountable areas, and also participates in performance improvement teams and programs as necessary.
9. Building Trust: Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.
Operations
1. Identify and coordinates quality interventions across team members via data findings or guidance from national programs.
2. Assigns the day-to-day activities; directs the functional and technical job performance of team members.
3. Allocate and direct staffing needs to meet department needs, and collaborates with others to ensure overall staffing needs are met.
4. Support quality operations as needed to assist with the ebb and flow of program census and department needs.
5. Monitors and reports performance against key quality goals and KPIs.
6. Implements department activities according to the needs, requirements, and policies of the Market, the affiliated medical groups and health plans, CommonSpirit Health, any Federal and State agencies, and according to standard practices of the professions under the supervisor's accountability.
7. Meets attendance standards, uses timekeeping system accurately and consistently.
8. Facilitate relationship development cross-functionally and community-based.
Staff Performance
9. Evaluates staff performance fairly and provides meaningful feedback on progress towards performance goals.
10. Provides ongoing training and development of staff to ensure their work is of high quality and aligned with departmental, regulatory and payer requirements.
11. Provides supervision and guidance to staff reporting to the position.
12. Manage performance including: communicating goals set by the Leadership Team, monitoring performance progress, providing feedback, recognize, developing skills and addressing performance issues related to work and CSH commitments using the corrective action process in collaboration with upper management and Human Resources Business Partner.
Resource Management
1. Assists with interviews, recommends for hire, orients, trains and assists with performance evaluations.
2. Role models service excellence, safety behaviors and CommonSpirit Health mission and values.
3. Provides input during the budgeting process.
Quality
1. Implements approved operational changes and ensures that staff receive the necessary training and consultation to enhance their understanding of quality/performance improvement initiatives.
2. Identifies areas for improvement and participates/leads performance improvement activities.
3. Possesses organizational skills. Able to prioritize and delegate to manage a challenging workload. Holds staff accountable to accomplish assigned work.
4. Partners with other teams and community-based organizations to implement quality improvement initiatives.
5. Monitors all quality and performance metrics to identify and potential risks or areas of focus.
6. Helps to facilitate successful outreach of patient and provider subsets.
7. Assists in the preparation of the department for accreditation surveys using the appropriate standards of performance. Ensures compliance with DMHC/CMS/NCQA/state/local healthcare related laws, regulations and accreditation standards. Participates in audits as directed.
8. Other duties as assigned
Disclosure summary
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Qualifications
Required Education and Experience:
- BS degree or experience equivalent required
- Minimum of 3 years in a quality or other outpatient clinical / operations experience.
Required Minimum Knowledge, Skills, Abilities and Training:
- Ability to manage and work closely with interdisciplinary partners in the management of identified patient populations. Demonstrated ability to oversee a mix of clinical, operational, and business activities related to the team(s).
- Will need to be able to implement specific program goals including high priority project redesign efforts required to improve performance.
- Ability to work in partnership with all applicable internal and external customers who are focused on services to our patients and providers in order to ensure that patients' care along the continuum is seamless.
- Ability to assess, and report patient status on a periodic basis to all team stakeholders.
- Excellent computer skills and ability to learn new systems.
- Strong organizational (time management) and interpersonal skills.
- Ability to communicate effectively using written and verbal skills. Proficient in email communications and internet usage along with basic use of office support platforms including documentation, spreadsheets and presentation
software programs. - Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost).
- Knowledge of the content, intent and application of federal and state standards and regulatory requirements as well as accreditation requirements pertaining to matters within designated scope of responsibility.
- Ability to work autonomously within a matrix environment without direct supervision or support.
- Ability to handle multiple priorities with strong attention to detail.
- Demonstrated ability to set goals either for themselves or others.
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