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Title

Quality Resourse Management Manager 

EOE Statement Foundation Surgical Hospital of Houston is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  
About the Organization Integrity, Excellence, Stewardship, Accountability and Loyalty are the guiding principles that drive Foundation's blueprint for success. Foundation Surgical Hospital of Houston is dedicated to providing the highest quality and cost effective healthcare services to the communities we serve. Our goal is to create a healing environment through excellence in patient care, positive attitudes, and the energetic spirit of every one of our employees. We endeavor to be the premier provider of hospital services while utilizing technological advances in healthcare in an environment that is both physically and emotionally nurturing We will treat patients and co-workers in a kind and thoughtful manner while being sensitive to their individual needs. We will steadfastly practice the highest moral principals and professional standards, internally and externally. As a team, we will seek new knowledge, embrace ingenuity and strive to pioneer innovations for the good of our patients.  
Description

JOB SUMMARY

Under the supervision of the Chief Nursing Officer, the Manager of Quality Resource Management is responsible for establishing, maintaining and implementing a multidisciplinary hospital-wide Performance Improvement/Risk Management and Staff Development Program to promote ongoing assessment of patient safety, outcomes and patient care delivery systems according to established standards in the most cost effective manner possible.

PATIENT AGE GROUP SERVED

Employee does no participate in direct patient care.I

DUTIES AND RESPONSIBILITIES

Administrative Duties

  • In collaboration with the Administrative Staff, Department Directors/Managers, and Medical Staff, formulates a comprehensive program for continuous monitoring and assessment of patient safety, care and services
  • Ensures that monitoring and assessment criteria for all clinical services are formulated in collaboration with the Medical Staff and Department Directors/Managers for ongoing assessment of patient safety, care and services.
  • Establishes mechanisms for reporting of monitoring and assessment data for the purpose of identifying problems and opportunities to improve patient safety, care and services, determining strategies to solve problems or improve services, implementing appropriate actions, and evaluating effectiveness of these actions.
  • Cooperates with other personnel to achieve department objective and maintain good employee relations with collaborative integration of the health care team.
  • Assists in the development of appropriate forms for data collection and analysis.
  • Assists in constructing focused assessment studies when problems are identified or opportunities to improve patient safety, care and services arise.
  • Demonstrates professional practice and conduct at all times. Recognizes cultural diversity and acts accordingly.
  • Consults with Department Directors/Managers and representatives of the Medical Staff to ensure that monitoring and assessment of focused studies are being completed in a timely manner.
  • Maintains centralized records of activities to ensure ready access for review and follow-up.
  • Assures that all JCAHO and other regulatory agency requirements are met.
  • Demonstrates comprehensive knowledge of applicable standards as delineated by voluntary and regulatory agencies and professional organizations.
  • Demonstrates customer service standards by smiling, making eye contact, greeting each patient and visitor, seeing out patient and visitor contact, displaying appropriate body language at all times, taking time to go above and beyond for one patient/visitor each day, honoring diversity, and thanking each customer.
  • Maintains professional growth and development through workshops, seminars, and professional affiliations to keep abreast of the latest trends in field of experience.
  • Assists with problem solving and monitors corrective action and results of actions taken.
  • In collaboration with the Chief Nursing Officer, develops departmental budget and ensures compliance with approved budget.

Technical Duties

  • Possess comprehensive knowledge of methodologies for establishment of appropriate monitoring and assessment criteria for assessment of patient safety, outcomes and patient care delivery systems.
  • Possesses professional and technical knowledge related to resource management, medical terminology, appropriate levels of care, treatment modalities, statutes, and healthcare delivery systems.
  • Possesses comprehensive knowledge of applicable standards as delineated by voluntary and regulatory agencies and professional organizations.
  • Possesses comprehensive knowledge of clinical services provided by the facility

Interactive Duties

  • Maintains own professional growth through the utilization of professional organizations, seminars, in-service programs, and other self-directed learning activities.
  • Maintains awareness of current development and trends in Quality Resource and Risk Management.
  • Maintains awareness of current activities in the provision of patient care services within the facility and anticipated alterations in these services.
  • Actively participates in appropriate Medical Staff and Hospital Committees.
  • Serves as the Ethics and Compliance officer for the hospital, so the patients, families, employees, and medical staff have an avenue to voice concerns.

Customer Service

  • Service:
    • Discusses when necessary and offers solutions when possible to resolve with patients and/or families any grievances with the hospital.
    • Consistently provides outstanding service to all patients, physicians, fellow employees and guests.
    • Displays initiative to see processes through to completion and offers assistance without being asked.
    • Consistently responds to requests in a timely manner.
    • Maintains awareness of own limitations and seeks guidance from appropriate personnel when needed.
  • Teamwork:
    • Actively participates in department committees and group meetings with a focus on providing input to improve the quality of services.
    • Consistently demonstrates behavior which reflects that working as a team is more important than self-interest.
    • Demonstrates interpersonal competencies such as problem-solving, negotiation, and conflict management.
  • Attention to behavior:
    • Consistently maintains professional level of conduct.
    • Facilitates communication with patients, physicians, guests, and co-workers as appropriate to position.
    • Consistently demonstrates courteous and positive behaviors, i.e., smile, pleasant tone, good eye contact.
  • Respect:
    • Utilizes appropriate timelines of accountability for the continuous improvement of quality.
    • Protects confidentiality of patients and co-workers, respecting their dignity, privacy and differences.
    • Ensures that problems/concerns regarding activities in the hospital/department are communicated appropriately.
    • Shows respect for hospital property and the property of others.

Performs related duties as assigned

  • Adjusts working hours as necessary for the benefit of the department which will include an occasional evening meeting.
  • Is flexible and dependable when assigned other responsibility.
  • Consistently seeks additional work during slow period and or assists other in completion of duties or services as a resource person for others.

Safety

  • Uses proper safety practices following hospital policies.
  • Follows proper Standards Precautions according to hospital and departmental policies when in patient care/clinical areas.
  • Takes action to correct unsafe or potential problems or reports problems to supervisor.
  • Completes Incident Reports for patients, visitors or self within policy guidelines.
  • Meets annual requirements for in-services on safety, hazardous materials and infection control.

Adherence to hospital attendance policies

  • Attendance:
    • Reports for duty and works all scheduled hours.
  • Tardiness:
    • Arrives at work on time and is prepared to start as scheduled.
    • Breaks and meal breaks are followed.
    • Returns on duty within allowed time.
    • Time record is correctly completed per hospital policy.

Dress Code

  • Employee wears appropriate dress for position and department.
  • Employee is well groomed.
  • Employee wears hospital name badge.

Ethics and Compliance

  • Adheres to dealing appropriately and fairly with employee misconduct.
  • Enforces all ethics and compliance policies.
  • Provides and assures ethics and compliance education as requested.
  • Sets an example to all staff in their daily activities.
 
Position Requirements

EDUCATION REQUIREMENTS

Must be a licensed RN and a graduate of an accredited school of nursing. Bachelor’s Degree or Higher preferred.

EXPERIENCE REQUIREMENTS

  • A minimum of five (5) years clinical experience preferred. 
  • A minimum of three (3) years of experience in Quality Resource/ Risk Management.
  • A minimum of two (2) years of management experience.
  • Must have proficient oral and written communication skills.

CERTIFICATES, LICENSES, SKILLS AND ABILITIES REQUIRED

  • Current RN License in the State of Texas.
  • Current CPR certification.
  • Current ACLS certification.

WORKING CONDITIONS

Working hazards or risks---routine hazards and risks involved in hospital practice, including exposure to infectious processes, potential exposure to hazardous substances, and potential musculoskeletal injuries. OSHA Blood Borne Risk Category II.

NATURE AND SCOPE

Major Challenges: The Manager of Quality Resource Management encounters challenges associated with the maintenance of all regulatory requirements related to Performance Improvement, Risk Management, and Professional Development Education.

Decision Making: Decision making is exercised in the enforcement of all state and federal regulations.

Contacts: Contacts are maintained with all employees and credentialed medical staff.

DIMENSIONS

Direct Reports: Patient Satisfaction Liaison, Data Abstractor (currently outsourced to Q-Centrix), and Professional Development Educator (Currently outsourced to RC Healthcare, HealthStream, and each Department Manager).

Indirect Reports: None

Budgetary Responsibility: Annual departmental budgets

Other Dimensions: Not applicable

 
Full-Time/Part-Time Full-Time  
Shift Days  
Travel Requirements None.  
Pay Range Based on experience.  
Position Quality Resourse Management Manager  
Number of Openings 1  
Exempt/Non-Exempt Exempt  
Req Number MAN-15-00002  
Location Foundation Surgical Hospital of Houston  

This position is currently not accepting applications.

To search for an open position, please go to http://UniversityGeneralHospital-Houston.appone.com



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