The Executive Director of Quality Management is responsible for oversight of the Quality Management program and associated activities within LLUHC, and accreditation. Included are the Quality Management and Peer Review Committees, Patient Relations/ complaint management, Credentialing of FMG providers, clinical practice guidelines, policy and procedure development, patient safety, accreditation readiness, the patient experience, risk management, process improvement (PI), and regulatory and legal requirements. Facilitates delivery of support services to LLUHC departments in an MSO capacity, and fosters positive communications with physician leaders and group administrators.
DUTIES AND RESPONSIBILITIES
Provide oversight of comprehensive Quality Management Program, including value-based reporting, peer review, credentialing, clinical outcomes, patient safety, and risk management.
Maintain compliance of QM program with federal and state regulatory and legislative standards, health plan contractual requirements, and accrediting agency standards.
Maintain centralized patient complaint and commendation management system/analytics.
Promotes culture of service excellence
Oversee the patient experience survey, including process improvement.
Provide data to executive and department leadership and individual providers for the purpose of maximizing linical quality, the patient experience, and value-based performance.
Collaborates with Risk Management related to potential claims, risk minimization, and to request guidance.
Serve as a resource regarding the scope of QM department activities (quality reporting, regulatory/contractual requirements, the physician-patient relationship, organizational policies, process improvement, service excellence, best practices, and accreditation).
Establish positive relationships, collaboration and teamwork throughout the medical group and between LLUH entities.
Demonstrate budget-conscious management of resources in area of fiscal responsibility
Promote culture of service orientation, teamwork, and professionalism
Foster positive communications with other LLUH entities; represents medical group at cross-organizational meetings/committees.
Exemplify the LLU mission through performance, conduct, and mentoring.
Licensure: California licensure as Registered Nurse.
Experience: Minimum of 3 years in the field of quality management, with expertise in ambulatory care and medical group management. 3 - 5 years of management experience required.
About Loma Linda University Faculty Medical Group
Loma Linda has long been a leader in integrating a faith-based approach to whole person health care. As a Christian organization, our mission is to follow the healing and teaching ministry of Jesus Christ 'to make man whole.' Together, we strive for Compassion, Integrity, Excellence, Teamwork, and Wholeness.