Under the direction of the CountyCare Director of Population Health and Performance Improvement, performs and monitors the quality management/improvement functions per the Quality Program and quality work plan, its annual updates and performance improvement plans. Ensures Quality Program is implemented in accordance with best practice(s), community based standards, and regulatory and accreditation standards. The Manager of Quality and Population Health interfaces with medical leadership, committees, workgroups, provider representatives and County Care staff to lead and direct process improvement activities that provide efficient and effective workflows to achieve the goals and objectives. Leads and mentors Quality staff.
Collaborates with leadership to establish Quality goals. Develops and implements Quality Program and Quality work plan to achieve stated goals in accordance with Federal and State requirements and National Committee on Quality Assurance (NCQA) standards.
Responsible for ensuring NCQA standards are integrated with the Quality Program and work plan. Leads initiatives to achieve outcomes and maintain health plan accreditation.
Formulates and establishes policies, procedures and goals in compliance with internal and external guidelines.
Conducts all aspects of Healthcare Effectiveness and Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Health Outcomes Survey (HOS) studies including data collection, analysis, and evaluation, reporting and submission process.
Ensures implementation of all quality improvement strategies across Provider Groups. Meets with Provider Groups on a scheduled basis to educate, report and collaborate on HEDIS and Quality Improvement initiatives.
Oversees the design, implementation, and reporting of the performance improvement projects which include state and federal required improvement projects.
Functions as a knowledge expert for quality improvement activities, educating staff and providers of the quality measures and the Quality Improvement (QI) process
Creates educational materials and conducts educational sessions for providers and staff on issues identified for HEDIS, STARS, CAHPS and other quality initiatives.
Supervises direct staff that performs quality activities on a daily basis. Includes employee evaluations and goal setting
Collaborates on the development of the agenda and content of the Quality Improvement Committee. Assists in the presentation of the materials.
Leads improvement initiatives for HEDIS, CAHPS, STARS, and performance improvement activities as required. Analyzes trends of performance metrics, identifies opportunities for improvement, develops action plans and leads committees to achieve improvements.
Creates project targets and timelines, identifying key milestones for completion.
Analyzes and submits monthly, quarterly and other required regulatory performance reports.
Conducts oversight and monitoring of activities delegated entities and vendors as assigned
Performs other tasks as assigned
* Bachelor's degree from an accredited college or univers ity
(must provide original transcripts at time of interview)
* Three (3) years prior experience in a clinical setting or managed care
* Two (2) years of experience in a quality improvement role or quality assurance capacity with responsibility for monitoring performance and reporting trends or concerns
* Advance degree in public health, health related field or nursing
* Prior management experience
* Prior experience in Managed care setting
* Prior experience with HEDIS, STARS, NCQA Accreditation
* Formal Project Management training
* Licensed as an RN or APN in the State of Illinois
Knowledge, Skills, Abilities and Other Characteristics
* Demonstrates sensitivity and respect in caring for patients and in dealing with clients of diverse backgrounds.
* Strong interpersonal skills to build relationships with employees at all levels of the organization
* Strong written and verbal communication skills used to present performance data in presentations and reports
* Strong analytical skills, problem solving skills used to identify root cause of QI problems Flexibility and adaptability in performing work duties
* Strong project management skills and the ability to work independently toward stated goals
* Strong knowledge of Microsoft Office Products, Word. Excel, PowerPoint
* Knowledge of trends in healthcare, managed care, Patient Centered Medical Home implementation, Medicaid, Medicare, care management, and social determinants of health
* Knowledge of current health care quality and performance improvement theory and methodology
* Knowledge of quality methodologies
* Knowledge of Quality Improvement and HEDIS and STARS
* Excellent verbal and written communication skills necessary to communicate to all levels of staff, leadership and health care professionals
* Excellent presentation and team building skills with the ability to influence without authority
* Strong qualitative, quantitative, analytic and critical thinking and organizational problem solving skills
* Detail oriented and have high standards of accuracy
* Ability to prioritize, plan, and organize projects and tasks to meet deadlines in a fast-paced and stressful environment
* Ability to conduct activities in accordance with CCHHS privacy policies and ensure confidentiality requirements
* Ability to work independently or as a member of a team to achieve organizational or departmental objectives
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
* Meet the minimum qualifications for the position.
* Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
* Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
*Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U. S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents bust be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment orhiring upon or because of any political reason or factor.
COOK COUNTY HEALTH & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYMENT
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER
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