Director of Healthcare Quality
Company: SWLA Center for Health Services
Location: Lake Charles
Posted on: May 14, 2022
JOB TITLE: Director of Healthcare Quality DEPARTMENT:
Administrative/Clinical SUPERVISED BY: CEO and Chief Health Officer
SUMMARY: The Director of Healthcare Quality works as a part of the
clinical provider team performing a variety of administrative and
direct patient services inclusive of ensuring each Redesign Team -
is performing effectively and efficiently. The Director of
Healthcare Quality is also responsible for all Quality Matrix
reporting functions, staffing the Quality Improvement committee,
and chart audits that occur and are reported on a routine basis as
established by SWLA. The Director of Quality is also responsible to
ensure that SWLA has the clinical component of EHR eClinical Works,
and all clinical modules in place. Insures that Template changes
and EHR Training on clinical modules is provided. The Director of
Healthcare Quality is an integral part of the management structure
and the clinical provider team and will work in concert with the
Chief Health Officer to ensure compliance with all Federal, State,
and HRSA, JACHO and NCQA regulations and requirements. EDUCATION,
TRAINING AND EXPERIENCE:
- Graduate of an accredited school of nursing recognized by the
Louisiana State Board of Nursing.
- Possess a current, unencumbered LA License to Practice
- Able to relate with effectiveness to patients and
- Currently card qualified in basic life support techniques.
- Previous experience with Electronic Medical Records.
- Knowledge of Health Center billing and EHR Centricity and
eClinical Works. JOB RESPONSIBILITIES:
- Assists CHO in scheduling and executing the bimonthly Quality
Improvement Committee meetings.
- Assures that the minutes from QIC meetings are recorded and
transcribed on a timely basis.
- Assists in the review and revision of the annual Quality
- Ensures that all Case Management Staff activities are
- Assures that Health Center data is produced, collated and
reviewed with respect to the benchmarks articulation by HRSA, NCQA
- Assures timely reporting of data as required by HRSA, JACHO,
NCQA and LPCA.
- Acts as the liaison for SWLA to the Quality Forum.
- Reviews patient records ensuring compliance with required
standards and that all encounters are closed out daily.
- Attends all medical staff meetings and participates in SWLA's
Quality Improvement program(s) and the Infections Control
- Reports data and studies trends to improve the overall care and
- Attains goals or improvements established for the
- Ensures clinical personnel are optimizing the requirements of
- Ensures all Clinical personnel understand the requirements to
maintain optimal performance through the NCQA Medical Home
- Responsible for patient's awareness of SWLA's capability to
send prescriptions via mail to their homes.
- Educates patients and their families the responsibilities
regarding Patient Centered Medical Home - Program.
- Consults with CHO/Director of Health Services/Medical Director
on a daily basis to ensure compliance with HRSA, JACHO and NCQA
- Performs additional essential duties as required by SWLA to
meet the goal of providing primary health care services.
- Attends all meetings as requested by CHO/Health Services
Director/Medical Director, COO or Health Services Director/Medical
- Assumes additional duties when necessary and works overtime as
- Assists CHO/Director of Health Services/Medical Director in
organizing programs, writing or reviewing policies and procedures,
and improving clinical operations to assure that SWLA Clinical
Operations are meeting the needs of the patient.
- Address and support cultural practices as long as such
practices do not harm others or interfere with the planned course
of medical therapy.
- Ensures that clear, concise and current written policies and
procedures are available to assist the staff and minimize the risk
- Participates with management, medical staff and clinical
leaders in the facility's decision-making process.
- Enforces that nursing leaders are reviewing monthly performance
improvement compliance with established indicators and sees that
corrective actions are taken when negative outcomes are identified.
COVID-19 SWLA Center for Health Services (SWLA CHS) has a policy
that requires all employees to be fully vaccinated against COVID-19
(including any booster shots if required), where allowable under
the law, unless they receive an approved exemption based on medical
condition, or sincerely held religious belief that prevents them
from being vaccinated.
If you are -not fully -vaccinated, you -will be -required to have
received at least one COVID-19 vaccination prior to your first day
of employment and provide proof of your vaccination status on the
Orientation Day of your employment. For the two COVID-19 shot
vaccination regimen, you will be required to provide proof of your
second COVID-19 vaccination within the first 45 days of your
employment. In some roles, you may be required to provide proof of
full vaccination before you can begin to actively work. Failure to
provide timely proof of your COVID-19 vaccination status will
result in the termination of your employment with SWLA CHS.
If you are unable to be fully vaccinated due to -medical condition,
or -sincerely held religious belief, you will be required to apply
for -an exemption -within the first 5 days of your employment in
order to remain employed with SWLA CHS. As a part of this process,
you will be required to provide information or documentation about
the reason you cannot be vaccinated. - You will -be required to
have an approved -exemption before you can begin to actively work.
If your request for an -exemption -is not approved, you will be
required to be fully vaccinated or -your employment may be
Keywords: SWLA Center for Health Services, Lake Charles , Director of Healthcare Quality, Healthcare , Lake Charles, Louisiana
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