Maternal Program Manager | Women's Services

Maternal Program Manager | Women’s Services

• The Maternal Program Manager has authority and oversight responsibilities for the provision of maternal services through all phases of care, including discharge and identifying variances in care for inclusion in the QAPI plan.
• Collaborates with the Maternal Medical Director (MMD) in areas to include developing and revising policies and procedures, assuring staff competency & QAPI plan.
• Responsible for clinical data collection, analysis, and reporting.
• Identifies process improvement opportunities based on clinical information, auditing, and data analysis.
• Interprets and implements quality assurance standards throughout the organization to ensure quality of care for patients.
• Reviews quality assurance standards, studies existing hospital policies and procedures, and conducts quality audits and evaluates effectiveness of the quality assurance program.
• Reviews medical records for quality assurance and evidence based medicine requirements.
• Conducts concurrent quality assurance reviews and works directly with physicians and clinical staff on process improvement initiatives.
• Enters clinical indicators and data into appropriate software tools for analysis, reporting, and process improvement.
• Reviews and validates clinical data / indicators according to evidence-based medicine, CMS, the Joint Commission, the Texas Department of State Health Services Maternal Levels of Care Designation, Texas AIM, and insurance payers.
• Works with multidisciplinary teams to improve organizational performance.
• Supports physicians and clinical staff for data collection & QI efforts.
• Coordinates data collection and analysis supporting maternal and organizational wide quality initiatives.

Qualifications :

AIM, and payer abstracting and reporting requirements.

Preferred Qualifications :