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CQI/ID Coordinator Job



Job Number: 76812643726

Location: Indianapolis, IN

Date Posted: 4-3-2017

Wexford of Indiana LLC is a member of the Wexford family of companies: a group of the nation's leading innovative correctional health care companies.  Wexford provides clients with experienced management; technologically advanced services; and programs that control costs while ensuring quality of care. For more than two decades, the Wexford companies have consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.

At Wexford of Indiana LLC, our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the corrections environment is our venue. This posting is for a Regional Continuous Quality Improvement (CQI) Manager in our Regional Office in Indianapolis, IN

We’re proud to offer a competitive benefits package including:

  • Annual review with performance increase
  • Generous paid-time off program that combines vacation and sick leave
  • Paid holidays
  • Comprehensive health insurance through Blue Cross Blue Shield
  • Dental and Vision insurance
  • 401(k) retirement savings plans
  • Company-paid short-term disability
  • Healthcare and dependent care spending account

POSITION SUMMARY

The Regional Continuous Quality Improvement (CQI) Manager is responsible managing and monitoring compliance with IDOC contractually required Quality program, performance in relation to relative standards and contract performance measures.  The Regional CQI Manager provides guidance and consultation to leadership on any processes, policies, or practices that are not in compliance.  The Regional CQI Manager also provides leadership, consultation, and support in the development of a culture of quality and continuous improvement.

DUTIES/RESPONSIBILITIES

  • Develops and oversees a Statewide CQI program that ensures compliance with regulatory and contract requirements, and is in alignment with program evaluation findings and goals. 
  • Participates in decision-making and provides recommendations to the leadership team on CQI needs and provision of high quality clinical services that are cost-effective.  
  • Works closely with the Regional team, clinical and administrative managers to establish and maintain CQI standards and measures, and to design and implement effective processes and programs to improve quality of care and ensure compliance, including high volume, high risk areas. 
  • Collaborates with other vendors to ensure alignment of QI goals and programs; provides input to program evaluation based on CQI needs and findings. 
  • Implements policies and procedures to ensure compliance with regulatory and contract requirements related to CQI process and outcome monitoring and evaluation of services and program.
  • Collaborates with leadership team to assess performance monitoring and implement improvement plans, and to ensure accountability, feedback loops and monitoring systems. 
  • Collects and analyzes data to identify trends and patterns related to areas of concern. 
  • Maintains strong relationships with leadership and staff by to ensure the quality of activities and projects lead to ongoing improvement. 
  • Oversight of grievances and complaints for identified trends and improvement strategies. 
  • Oversight of provider and clinical staff education regarding opportunities to improve selected aspects of clinical care and the specific actions needed in order to achieve goals for improvement on selected clinical quality measures. 
  • Participates in pertinent professional education to maintain current knowledge of best improvement practices. 

The duties and responsibilities outlined herein are for payroll purposes only; employees may be assigned other duties as required.


ENVIRONMENTAL CONDITIONS

Office

Standard medical setting in a correctional facility, which includes daily interfacing with inmates, correctional staff, and health care personnel.

Temperature extremes may be encountered while moving throughout the facility outdoors and indoors in buildings without air conditioning.

Travel

Frequent travel throughout the state is required

EDUCATION/EXPERIENCE REQUIREMENTS

 

Licensing

Current unrestricted Indiana Registered Nurse license required

Certification

Current CPR Certification

Quality Improvement Certification, preferred

Education

Bachelor’s Degree in Nursing Required; Master’s Degree in Nursing, preferred

Preferred experience

  • Five-seven (5-7) years of quality improvement experience and 3-5 years of nursing experience.
  • Correctional experience preferred
  • Fundamental knowledge and skill in utilization of computer applications.

Other preferred knowledge, skills and abilities

  • Requires a comprehensive understanding of performance improvement, quality assessment, risk management, and quality improvement.
  • Ability to work effectively with physicians and other health care providers as well as with multi-disciplinary teams across the contract and organization.
  • Strong interpersonal, and verbal and written communication skills
  • Excellent problem solving skills and strong organizational skills
  • Ability to develop and deliver presentations, and facilitate meetings
  • Must possess critical thinking skills and ability to independently solve problems and create processes
  • Must ensure documents are ready for review well in advance of any deadline.
  • Must be a highly organized and detail-oriented individual who is capable of performing under a variety of requirements and deadlines.
  • Must have basic computer skills (including software programs like Microsoft Word and Excel), as well as the ability to research information on the internet

 

EOE/M/F/D/V

 


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