La Crosse, WI 54601
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Schedule Weekly Hours:40
Join our Quality Leadership Team!
The Manager of Quality contributes to the mission of the organization by leading and managing the work identified by the organization to improve the delivery of care for our patients, based on evidence-based clinical quality concepts. This position acts as an advisor for key strategies in clinical quality, patient safety, performance measurements, process efficiency, performance outcomes, project and change management, and improvement methodology. In addition, this position provides mentoring and leadership to a tight-knit group of staff through a servant leadership mindset.
- Bachelors degree, RN, and CPR required.
- 2 years of experience providing direct patient care in an inpatient and/or outpatient setting.
- 5-7 years of progressive experience in areas related to quality, performance improvement, and process redesign, experience in management of large projects or change initiatives.
- Candidates must live within reasonable driving distance to La Crosse, WI with the ability to be on site majority of the time.
If you are looking to be a part of a mission-driven organization committed to providing quality care to our patients and community, this may be the right opportunity for you!
The Clinical Quality Manager works with the Director of Clinical Quality and Patient Safety to lead and manage the work identified by the organization to improve the delivery of safe, patient/family-centered, evidence based clinical quality of care for the patients of Gundersen Health System.. Is an advisor for key strategies in clinical quality, patient safety, performance measurement, process efficiency, performance outcomes, sound project management, change management, and improvement methodology. Partners with operational managers in the development of quality and patient safety plans that align with organizational priorities. Ensures the accomplishment of the organizations mission by ensuring that clinical practice is standardized and consistent to ensure congruent care standards across the system. Manages all human resource functions (interviewing, hiring, retention, performance appraisals, team building, recognition, coaching and discipline). Mentors staff in project prioritization, design, management of transition and change. Is responsible to assure optimal functioning for the day-to-day operations of the department and promotes an environment where staff can meet full scope of competency.
STRATEGIC RELEVANCE -- SUMMARY
To advance its position as an innovator and leading health care system, Gundersen Health System (GHS) must continue to demonstrate superior outcomes, provide seamless delivery of care, and ensure competitive cost structures. It must also stay at the cutting edge of emerging technologies and new delivery models that will transform healthcare. The System must anticipate and respond effectively to evolving market and environmental trends, (e.g., shifts in payment models, value-based purchasing, transparency of outcomes and information technology) that will impact the delivery of health care services.
The Manager is responsible for understanding the impact of these forces and trends and for managing the effective response from their AOR (area-of-responsibility). The Manager collaborates with others to achieve GHS’ strategic mission and goals: 1) demonstrate superior quality and safety through the eyes of patients and caregivers; 2) demonstrate superior service through the eyes of patients and colleagues; 3) attract, develop and retain a talented and engaged workforce; 4) demonstrate affordability of care; and 5) achieve programmatic growth. The Manager translates System strategy into staff commitment, action, and accomplishment in their AOR.
POSITION DUTIES AND RESPONSIBILITIES
The Manager is specifically responsible for:
1.0 Organizational Strategy and Implementation -- Understanding market trends and the impact on their AOR, contributing to AOR strategic and operational plans, translating these plans, and ensuring the understanding, alignment and commitment of AOR staff.
2.0 Fiscal Management -- Effectively using established processes to ensure accountability for effective operations and resource management.
3.0 Human Resource Management -- Effectively using established processes to: select, align, engage, develop, manage, and retain a team of highly skilled staff.
4.0 Excellence in Service and Clinical Quality -- Achieving seamless delivery of quality patient care and safety, excellence in patient experience and customer service.
5.0 Organizational Leadership -- Providing leadership and accomplishing objectives by ensuring the integration of processes and initiatives while modeling collaboration.
Organizational Strategy and Implementation
1.1 Collaborates with Division/Team leadership to understand external market financial, economic, and industry data, identifying market opportunities and threats.
1.2 Provides leadership and actively contributes to the design and implementation of clinically and fiscally responsive program goals and objectives for their AOR.
1.3 Formulates recommendations for AOR continuous improvement taking into account market demands, regulatory standards, and changes in clinical practice.
1.4 Establishes clear performance standards for their AOR, and monitors established management systems to ensure that cost effectiveness and continuous quality improvement forms the basis for all activities.
1.5 Collaborates with management to ensure that resources are prioritized and in place (i.e., staff, facilities, equipment, supplies, technology, data, and processes, etc.) and properly utilized to achieve AOR objectives through the most effective and efficient operations.
1.6 Contributes to the development of and implementation of processes to collect relevant clinical and financial indicator data which serves as a reliable proxy for clinical effectiveness, cost, and quality.
1.7 In conjunction with AOR leadership, designs and implements improvement of AOR key processes, leading to elimination of variability in cost and quality.
2.1 Manages AOR to meet fiscal targets, ensuring the delivery of cost-effective, quality services.
2.2 Participates in financial forecasting and planning along with other members of the AOR management team.
2.3 Develops and presents comprehensive analysis for financial and programmatic recommendations for AOR management.
2.4 Communicates the rationale for financial decisions ensuring a high level of understanding among staff and clinicians.
2.5 Evaluates AOR for potential cost-effective change and manages the implementation of approved changes.
2.6 Ensures staff compliance, and monitors physician compliance, as appropriate, with financial decisions.
Human Resources Management
3.1 Provides vision and leadership to staff in a collaborative environment that offers job satisfaction, performance recognition, and stimulates innovative thinking to accomplish objectives.
3.2 Ensures that AOR management, staff and clinicians understand their roles in accomplishing GHS, Team/Division, and AOR strategic objectives. Establishes expectations for high level of performance and holds individuals accountable for achieving them.
3.3 In collaboration with other AOR leadership and the Human Resources Department, ensures the efficacy of systems/processes to recruit, retain, and develop a high-performance team that meets patient, regulatory, and fiscal requirements for their AOR.
3.4 In conjunction with Team/Division leadership, ensures staff productivity by maximizing staffing efficiency and workflow patterns as well as monitoring and controlling turnover.
3.5 Implements and actively supports the integration of change and conflict management.
3.6 Creates a climate that ensures respect, teamwork, open communication, and professional recognition among a diverse workforce.
Excellence in Service and Clinical Quality
4.1 Ensures the implementation of service, quality and safety standards consistent with System policy for patient experience and internal and external customers in collaboration with AOR leadership.
4.2 Identifies and analyzes trends across services in customer satisfaction and patient experience, clinical quality outcomes, patient safety and cost using data systematically to develop solutions and guide change in AOR practices.
4.3 Models and ensures that AOR staff effectively uphold a customer service orientation to meet legitimate needs of patients and internal and external customers.
4.4 Ensures that confidentiality of patient, staff, and appropriate management data is maintained, and delivers immediate and certain consequences when confidentiality is compromised.
5.0 Organizational Leadership
5.1 Promotes the organization to all constituencies by interpreting and communicating GHS’ mission and values, acting as a loyal, supportive, and informed spokesperson for AOR, Team/Division and the System.
5.2 Collaborates with other internal professionals to identify, reduce, and eliminate barriers within the system which may negatively impact cost and quality of services.
5.3 In the spirit of collaboration, promotes the visibility of AOR leadership throughout the organization.
5.4 Takes responsibility for providing a positive learning environment for students, interns, and residents working within their AOR, collaborating with academic programs, while ensuring patient safety.
5.5 Takes responsibility for identifying areas for self-development and actively seeks opportunities and resources to meet developmental objectives.
The Manager interacts primarily with the following external interfaces:
The Manager interacts secondarily with the following external interfaces:
- Payers* scope dependent
- Vendors/Suppliers* scope dependent
- Educational and Regulatory Organizations
- Charitable Organizations
- General Public
- Non-GHS clinicians, hospitals, and facilities
The Manager interacts primarily with the following internal interfaces:
- AOR staff
- Other Team and Functional Managers
The Manager interacts secondarily with the following internal interfaces:
- Other Functional Directors and Managers
- Other System Staff
DECISION MAKING AUTHORITY & RESPONSIBILITY
The Manager has the authority to formulate and execute AOR vision, objectives, and strategies consistent with the System’s mission, vision and goals. This person determines which resources are needed and facilitates the acquisition of additional resources where indicated.
The Manager has the responsibility to advocate change in AOR processes and systems to ensure optimal, cost effective health care delivery. This individual facilitates the resolution of clinical, staff, and policy issues within agreed upon organizational, financial and regulatory limits. The Manager oversees the enforcement of policy, as well as makes recommendations for changes to AOR staff and leadership. The Manager coaches, monitors, and documents staff performance, makes recommendations for compensation strategy and promotion, and supports the physician recruitment process for their AOR.
The Manager represents Gundersen Health System and their AOR within the System and in the external community.
Education and Learning:
Bachelor's degree in Nursing or Health Sciences or Business or a health related field or Information Systems
2 years of experience providing direct patient care in the inpatient or outpatient setting
5-7 years of progressively responsible experience in areas related to quality or performance improvement or process redesign, experience in management of large projects or change initiatives
License and Certifications:
Registered Nurse (RN) licensed to practice in the state of Wisconsin
Current Infant-Adult Basic Life Support for Health Care Providers (with hands on learning) from one of the following programs; American Heart Association or American Red Cross.
Age Specific Population Served:
Nonage Specific (N/A)
Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.
Not substantially exposed to adverse environmental conditions (as in typical office or administrative work).
Physical Requirements/Demands Of The Position:
Sitting Frequently (34-66% or 5.5 hours)
Static Standing Occasionally (6-33% or 3 hours)
Walking/Standing Frequently (34-66% or 5.5 hours)
Driving Occasionally (6-33% or 3 hours)
Reaching - Below Shoulder Frequently (34-66% or 5.5 hours)
Repetitive Actions - Pinch Forces Frequently (34-66% or 5.5 hours)
Repetitive Actions - Fine Manipulation Frequently (34-66% or 5.5 hours)
If you need assistance with any portion of the application or have questions about the position, please contact [email protected] or call 608-775-0267
Equal Opportunity Employer