Director of Patient & Clinical Support (CBO #2164 FT) |
| Location: | Eugene, OR |
| Exempt/Non-Exempt: | Exempt |
| Benefits: | 40 Hrs/Wk; Benefited |
| Employment Type: | Full Time |
| Department: | Patient & Clinic Support |
| Description: | Coordinates Oregon Medical Group’s quality assurance program, risk management and peer review processes, which includes obtaining, recording and reporting essential data and assisting in problem-solving. Ensure quality of back office and nursing personnel. |
| Duties: | (This list may not include all of the duties assigned)
1. Work closely with administration and the Chair of the Patient Care Committee to ensure comprehensive program delivery and quality patient care.
2. Work with physicians, managers, and department heads to analyze, monitor and ensure high levels of quality performance.
3. Assist directors and clinic managers with the training and development of patient service team members, to include triage, back office operations and referral specialists.
4. Develop and maintain a quality assurance program. Provide orientation and on-going training and education to physicians related to managed care and quality assurance.
5. Assist in the development of goals and objectives for the quality assurance programs using nationally recognized program requirements.
6. Teach quality assurance policies, procedures, systems and objectives to staff.
7. Research information related to quality assurance including reviewing patient medical records and investigating areas of identified concern.
8. Comply, analyze and summarize data and present recommendations to medical and administrative management and committees.
9. Respond to requests for quality assurance assistant and provide trouble-shooting help to physicians, staff and patients.
10. Maintain confidentiality related to medical records and other data.
11. Participate in professional development efforts to ensure health care practices and trends remain current.
12. Manage centralized triage.
13. Work with liability carrier and attorneys for incident and case related issues.
14. Attend required meetings and participate on committees as requested, inside the organization as well as representing the organization at external meetings.
15. Maintain strictest confidentiality.
16. Perform related work as required.
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| Qualifications: | REQUIRED QUALIFICATIONS: (Knowledge, Skills and Abilities)
1. Knowledge of organization policies and procedures.
2. Knowledge of health care administration practices and managed care.
3. Knowledge of medical quality assurance principles and systems.
4. Knowledge of computer systems and applications.
5. Knowledge of statistical and computer modeling techniques.
6. Skill in gathering, interpreting, and reporting information.
7. Skill in trouble-shooting quality assurance and managed care related problems.
8. Skill in written and verbal communication.
9. Ability to exercise initiative, problem-solving, and decision making.
10. Ability to make and follow-through with independent work plans.
11. Ability to identify problems and recommend solutions.
12. Ability to work effectively with physicians/providers, managers, staff and the public and external agencies.
Education/Experience Requirements:
EDUCATION:
1. Bachelor’s degree required.
2. Master’s degree in health, business administration or nursing preferred.
EXPERIENCE:
1. Three years in a medical care delivery system, preferably in a clinical setting.
2. One to two years in peer review with responsibility for quality assurance.
CERTIFICATION/LICENSE:
1. Current Oregon RN License preferred.
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