RN Job In Irving, Texas
Program Manager Patient Safety Nurse - Health Plan Admin
Irving, Texas 75039 Type of Facility: Hospital
Summary:
The Program Manager Patient Safety Nurse Health Plan will 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. The Program Manager will prepare all cases for the Peer Review Committee, schedule meetings, prepare materials, take minutes that are in accordance with regulatory compliance and provide feedback to the provider, facility, Network, and credentialing departments, as appropriate. The Program Manager Patient Safety Nurse Health Plan will provide constant feedback on program progress and suggest action plans for any deviation from the set goal. The Program Manager will develop and coordinate educational activities for providers and staff that will enhance all aspects of patient safety program and program description. The Program Manager Patient Safety Nurse Health Plan will collaborate directly with the Manager Health Plans Quality, and other team members to ensure compliance with contractual and accreditation requirements are in place. This role will conduct routine readiness assessments, evaluations of procedures, and will complete all USFHP deliverables related to contractually required Patient Safety reporting.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Active collaborator 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 that exist 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.
- Responsible for coordinating patient safety data and evaluating the quality and completeness of clinical documentation processes.
- Participates 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 cases for the Peer Review Committee,
- 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 Records required.
- 4 years of clinical experience preferred.
- Registered Nurse Licensure required.
Work Type:
Full Time
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.