Director of Quality/Infection Control bei PTCOA Consulting LLC

Description

SUMMARY OF RESPONSIBILITIES

The Director of Quality/Infection Control evaluates quality and infection control measures at PTCOA facilities, responds to patient complaints or incident reports involving safety, quality, or infection control issues, and is responsible for owning the policy making process across the organization. The Director of Quality/Infection Control works collaboratively with other leaders to ensure clinic and ASC policies are updated and implemented, develops or recommends policy modifications when needed, while ensuring compliance with PTCOA’s accrediting body as well as state and federal laws. This position also provides oversight of infection control programs across the organization, ensuring effective surveillance, prevention, and control measures are implemented and maintained in accordance with CDC, OSHA, state, and federal guidelines.

ESSENTIAL FUNCTIONS

(1) The Director of Quality/Infection Control is responsible for auditing Pain Treatment Centers of America’s clinical documentation to assure that it complies with state and federal laws as well as accreditation standards. 

(2) Responsible for planning, conducting and leading clinical audits in accordance with state regulations and PTCOA policies and procedures to evaluate the quality of care provided.

(3) Act as a consultant providing training and assistance to staff regarding proper documentation, best practices, and infection control measures.

(4) Provides excellent customer service to team members, patients, and their families in accordance with the PTCOA values. 

(5) Lead clinical audit functions and updates auditing processes, as necessary.

(6) Identify training and process gaps impacting compliance and suggest work flow or process improvement solutions.

(7) Tracks, responds, and communicates PTCOA’s response to all internal and external complaints. 

(8) Collaborate with VPs of Clinical Services and Surgical Services for guidance and action plan follow-ups on quality and infection control issues.

(9) Collaborates with the Director of Practice Management and the VPs of Clinical Services and Surgical Services to address training deficits, documentation challenges, and safety issues proactively.

(10) Stay updated on Federal, State, and industry standards and inform communities of changes.

(11) Work collaboratively with PTCOA’s Chief Legal Officer to update and revise policies and procedures as needed.

(12) Review regulatory updates, implement necessary changes, and update policies accordingly.

(13) Communicate policy and procedure changes to relevant department directors.

(14) Performs other related duties as assigned.

CORE COMPETENCIES

· Excellent oral and written communication skills.

· Strong telephone communication skills.

· Knowledge of current medical terminology to communicate with physicians, staff, and patients.

· High level of attention to detail.

· Basic computer literacy and typing.

· Patient-focused.

· Multi-tasking abilities, along with ability to work well under pressure, prioritize and meet tight deadlines.

· Must be able to work independently in a fast-paced environment and exhibit strong written and verbal communication skills.

· Strong customer service and prompt problem-solving skills include the ability to provide diligent, prompt, and courteous responses to user questions or computer/network issues.

· Consistently evaluate work completed and determine if further steps are needed to meet client expectations.

· Take initiative to redo inadequate or incomplete work, even if it is not yours.

· Ensure compliance with regulatory standards.

· Minimize non-productive time and fill slow periods with activities that will enable you to prepare to meet the future needs of the company (education, organizing, housekeeping, assisting others).

· Consistently demonstrate ability to take the initiative to make decisions/choices without direct supervision.

· Adhere to administrative and departmental policies.

· Demonstrate regular attendance and timeliness.

· Do not incur excessive overtime.

· Remain conscientious in regard to personal hygiene.

· Demonstrate knowledge and understanding of all policies and procedures and ability to reference them from appropriate sources.

· Demonstrate adherence and support of company-wide service standards as evidenced by observation and feedback from patients, family members, and other clients.

Requirements

REQUIRED  EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS

Registered Nurse (RN) licensure required with demonstrated experience in a quality or risk management role. Certification(s) in quality (e.g. CPHQ, MQM, CPHRM, CHC), and infection control (CIC, APIC, IP, etc.) and experience working in a quality/risk management position. or additional Prefer five years of experience in a management or leadership role with a hospital, or related entity, or a combination of practical experience and education.