RN job in Irving TX

Program Manager Patient Safety Nurse Health Plan

Job Description:

• Work in collaboration with the Manager of Health Plan Quality to assist in consistent development of the patient safety program according to contractual and accreditation requirements
• Review and assess patient safety medical record reviews and prepare summaries for the Medical Director and Peer Review Committee monthly
• Prepare all cases for the Peer Review Committee, schedule meetings, prepare materials, take minutes in accordance with regulatory compliance, and provide feedback to the provider, facility, Network, and credentialing departments, as appropriate
• Provide constant feedback on program progress and suggest action plans for any deviation from the set goal
• Develop and coordinate educational activities for providers and staff to enhance all aspects of the patient safety program and program description
• Collaborate directly with the Manager Health Plans Quality, and other team members to ensure compliance with contractual and accreditation requirements
• Conduct routine readiness assessments, evaluations of procedures, and complete all USFHP deliverables related to contractually required Patient Safety reporting

Responsibilities:

• Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
• Actively collaborate with multiple internal departments to create and implement various programs/plans under the Quality program/banner
• Observe and identify trends and potential strategies for Patient Safety issues by collaborating with the Health Plan Quality Manager, Director of Health Plan Quality, Chief Medical Officer, and health plan staff
• Track and trend barriers/challenges to achieve better outcomes, including access to databases, lack of follow-up, or documentation
• Develop and initiate patient safety programs for internal and external customers
• Facilitate communication between providers and health plan to optimize patient safety, reduce inpatient admissions, reduce re-admissions, and improve medical stability in the patient population served
• Coordinate patient safety data and evaluate the quality and completeness of clinical documentation processes
• Participate in the development and ongoing implementation of quality improvement activities by providing regular and ongoing provider/staff support and education
• Review and assess patient safety medical record reviews and prepare summaries for the Medical Director and Peer Review Committee monthly
• Prepare all materials and schedule Peer Review meetings
• Document via minutes the Peer Review meeting minutes and follow-up actions in accordance with regulatory compliance
• Provide feedback to the providers, facilities, Network, and credentialing departments, as appropriate
• Communicate and follow through with assigned tasks
• Perform all other related duties as assigned

Requirements:

• Associate degree in nursing required
• Bachelor's degree in nursing preferred
• 2 years' experience with Electronic Medical Record required
• 4 years of clinical experience preferred
• Registered Nurse Licensure required

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time