Clinical Quality Consultant-Intermediate

Call Center Representative

Build your Career. Make a Difference. Presbyterian is hiring a skilled Call Center Representative to join our team.

How you grow, learn and thrive matters here.

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system

Type of Opportunity: Full time

FTE: 1.00

Job Exempt: Yes

Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities

Clinical Quality Consultant, Intermediate, is responsible for assisting with the analysis, planning, implementation, and evaluation of program-level focused clinical quality initiatives that promote PHS clinical strategies and priorities through proficiency in quality tools and methodology. Provides support in continuous quality improvement activities and measurement. Responsible for identifying appropriate tools/solutions for clinical initiatives in a timely manner and is actively involved in process redesign and re-engineering. The Clinical Quality Consultant, Intermediate, is responsible for participating in cross functional teams; facilitating the process to ensure project goals are met at project completion and assists with presentation of results to various stakeholder groups

Some key responsibilities include:

• Assures continual performance improvement at program level while furthering the vision, values and strategies of PHS.
• Facilitates integrated quality management through collaboration with program leaders, physicians, and clinical staff.
• Serves as lead facilitator on related quality and service committees
• Analysis and management of clinical quality data including identifying critical performance issues, trending, and benchmarking of performance at a program level.
• Engage physician leadership and individual physicians in process improvement related to quality data results.
• Collaborates with physician quality and program level medical, clinical, and operations leadership to facilitate discussions on feedback related to quality data and opportunities for improvement with program physician groups and within program itself.
• Facilitates event review and analysis, including root cause analysis. Supports leadership in the implementation of action plans and selection of measures of success.
• Develops and implements processes that support standardization based on established best practices, data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership.
• Develops and implements processes that support quality improvement initiatives by utilizing and optimizing data sources, such as registries, American Heart Association, Medicare/Medicaid, Midas, and NSQIP.
• Measure, analyzes, generates, and presents reports on healthcare processes and patient outcomes to identify and prioritize areas for improvement.
• Educate staff and physicians regarding performance improvement processes/initiatives and patient safety.
• Serves as resource regarding quality theory and practice, and recommends process modifications and practice changes to improve efficiency, effectiveness, and reliability of clinical processes and systems.
• Maintains ongoing communication with program leaders regarding status of performance measures, clinical initiatives, projects, and improvement opportunities to ensure quality outcomes and customer satisfaction.
• Leads and/or supports clinical improvement projects utilizing appropriate quality, process improvement, and project management tools
• Quality improvement Subject Matter Expert at a program level driving clinical quality priorities through evidence based care and best practices.
• Demonstrates ability to prioritize multiple projects, meet project deadlines, and manage multiple customer relationships using work plans, timelines, and project measures for all projects.
• Serves as a resource for PHS system-wide strategies and compliance with PHS policies and standards, adopted accreditation standards and federal / state regulator requirements.
• Performs other functions as required.

Qualifications

• Bachelors degree in nursing or health or science-related field.
• 1 year quality improvement experience in a healthcare environment.
• 3 years experience in nursing or health or science-related field.
• Must complete Presbyterian quality training or Lean Six Sigma Green Belt or equivalent process improvement certification/experience within three years of employment.
• Project management, data analysis, team leading and facilitation skills required.
• Microsoft Office skills are essential.
• Additional computer skills in database, statistical process control applications, decision support systems, comparative and benchmarking skills, process mapping (Visio), and project management (Microsoft Project Manager) preferred.

We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.