RiverStone Health · 1 month ago
Clinical Quality Program Manager
Billings, MT
Full-time
Onsite
Mid Level
$35K/yr - $88K/yr
3+ years expRiverStone Health is an essential provider of personal and public health services in Yellowstone County and south-central Montana. The Clinical Quality Program Manager will lead and oversee the development and implementation of clinical quality initiatives to enhance clinical outcomes and ensure compliance with regulatory standards. This role involves collaboration with various health professionals to foster a culture of continuous quality improvement and improve patient care for underserved populations.
Health CareMedicalPersonal Health
Responsibilities
Oversight of all clinical quality including monitoring, validating, improving and reporting
Ensure computerized record management systems are adequate, communicate IT issues and recommend improvements
Ensure confidential information is safe guarded
Plan, implement, and administer projects and other quality improvement initiatives
Maintain awareness of advances in equipment, IT software, data processing, government regulations and financing options
Monitor the use of equipment, inventory, facilities and other program resources that affect services provided, including those internal and external to RiverStone Health
Manage change in integrated health care delivery systems, such as work restructuring, technological innovations, and shifts in the focus of care
Maintain communication between staff, leadership and other stakeholders by attending meeting, and coordinating interdepartmental functions, maximizing effectiveness and efficiency of interdepartmental operations
Establish objectives and evaluative operational criteria
Develop, implement, and ensure adherence to policies and procedures
Review and analyze facility activities and data to aid planning, risk management and to improve service utilization
Prepare activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives
Manage and lead complex programs and services utilizing effective communication, knowledge, resources, and business processes maximizing customer service
Consult with medical, business, and other local community groups to discuss service problems, respond to community needs, enhance public relations, coordinate activities and plans, and promote RiverStone Health programs
Develop Quality improvement instructional materials and conduct in-service and community-based educational programs
Coordinate the operational implementation of EHR and Information System changes as they relate to clinical processes
Ensure compliance with all relevant grant requirements including, but not limited to, the Health Resources and Services Administration (HRSA) Operational Site Visit Protocol, FTCA requirements, and NCQA Requirements as related to quality improvement
Attend meetings, conferences, workshops, and training sessions to become and remain current on developments in areas surrounding quality improvement, project management and community health centers
Oversees the management and effective implementation of Value Based Care and insurance Payor Contracts
Lead and facilitate the Project Management process in the health center, to ensure adherence to established priorities and appropriate resourcing for successful project implementation. Including multiple concurrent projects with teams of 3 – 20 members
Support and encourage innovation from all levels of staff while balancing available resources
Lead when appropriate and activity participate in RSH projects and committees
Ensure adherence to a robust Quality Improvement Program and culture, including implementation of a board-approved Quality Improvement Plan and associated procedures, guidelines and education. Actively engage in personal and professional development in Quality Improvement, Project Management, Informatics and other relevant topics, actively identifying and completing self-education as well as recommending and facilitating education for CHC leadership and staff
Research, implement and manage population health activities that lead to improved patient care, experience, and safety
Collaborate and share quality improvement practices throughout the state with other health centers
Ensure that efforts for improvement include a focus on health equity, and that potential disparities in care are addressed
Champion the adoption of new technologies and practices that support the CHC’s commitment to high-quality care
Perform other duties as assigned in support of RiverStone Health’s mission and goals
Qualification
Required
Three years of related Health care experience in a quality improvement role, including leading teams
Project management experience
Proficiency in data analysis, informatics, and electronic health systems (EHR)
High School Diploma or equivalent
Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work
Valid Montana State Driver's License
Lean/Six Sigma Yellow Belt (must achieve within 1 year of hire)
Computer literacy, in Microsoft Office Suite
Ability to maintain a calm and positive demeanor during difficult interactions
Ability to display non-judgmental and empathetic listening skills
High degree of detail-oriented skill level
Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality
Educate staff and show through example, the significance and meaning of working collaboratively to maintain a positive work environment
Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality
Ability to understand and adhere to required administrative policies and procedures
Excellent communication skills to ensure efficiencies and quality customer service
Preferred
Bachelor's degree in a related field
Experience in health care operations and federally qualified health center preferred
Experience working with underserved population
Medical Terminology
Goal Completion: Inspired to perform well by the completion of tasks
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Self-Starter: Inspired to perform without outside help
Company
RiverStone Health
RiverStone Health operates with a mission to provide quality healthcare for the people in Yellowstone county.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jon Forte, MHA, FACHE
President and CEO
Shanna Zier
Chief Financial Officer
Company data provided by crunchbase