Claims Quality Audit Director jobs in Burlington, VT

DIRECTOR OF QUALITY & PATIENT SAFETY 

Rutland Vermont

This position has overall accountability for all aspects of quality improvement, regulatory readiness for the entire organization.  This responsibility includes setting the strategic direction for programs and functions necessary to support the organization in the pursuit of high-quality care and effective operations.

The Director develops, deploys, and evaluates performance improvement & risk reduction initiatives and processes that help improve patient care delivery and safety, enhance administrative operations, and create a culture of continuous improvement & excellence within the hospital by maximizing the potential of its people, processes, and systems.

The Director works in a collaborative manner with Leadership, the staff of entities and with members of the Medical Staff. This position uses effective strategies in developing, supervising and evaluating work processes, compliance with regulatory and professional standards, resource consumption, planning and outcomes, working in a collaborative manner with all organizational employees.

Minimum Education

Bachelors of Nursing (BSN) required

Master’s Degree in healthcare administration, public health, clinical field or a related area preferred.

Minimum Work Experience

Experience in an acute care setting in quality improvement or risk management.

Experience in formalized quality improvement, business and strategic planning activities, management and financial planning and budgetary cost control, preferred.

Required Licenses/Certifications

Licensed in the State of Vermont

Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) preferred.

Certification in Lean Six Sigma or other process improvement methodology strongly preferred.

Required Skills, Knowledge, and Abilities

Thorough understanding of the health care environment, trends and issues.

Familiar with the Center for Medicare & Medicaid Services (CMS) and The Joint Commission standards and processes for survey & accreditation

Strong leadership skills with ability to mentor others

Excellent analytical skills and attention to detail.

Significant experience with process improvement & change management work and ability to create a culture that supports quality

Strong written and verbal communication skills.

Excellent diplomacy, problem-solving, conflict management, team building, and collaboration skills.

Ability to read and quality & financial reports and understand and apply to areas of responsibility to support the organization in achieving its goals.

Excellent organizational and time management and self-motivation skills.

Strong Microsoft Windows desktop application and navigation skills.

Knowledgeable regarding budget development.

Strong knowledge of Microsoft desktop applications