Nurse Practitioner/Physician Assistant Adult Medicine

Position Summary:

Directs, controls and evaluates the activities, functions, and management of personnel within the Quality/Performance Improvement, Risk Management, and Medical Staff Office departments as well as effectively managing and meeting fiscal goals defined for these departments. Responsible for facility-wide regulatory compliance. Serves as the Patient Safety Officer and Ethics and Compliance Officer.

Achieves shared operational management among leadership, medical staff, and clinical employees to continually improve patient care outcomes.

Implements the vision, goals, and strategies of the Senior Leadership team as a dynamic leader with excellent communication skills and the ability to motivate and continually advance clinical practice and patient experiences.

Collaborates with physicians, clinical managers and other members of the health care team to coordinate activities between the hospital and physicians, promote optimum patient care/service, identify and resolve barriers, and promote growth in patient volume.

Oversight and continued implementation of the Ethics & Compliance Program and the facility's compliance with requirements of federal health care programs. Conducts independent investigations on ethics and compliance issues and ensures all E&C standards and policies and procedures are communicated to each LifePoint colleague, agent and independent contractor according to the requirements of each position and then adhered to accordingly. Fosters and environment where colleagues know they can raise concerns or report suspected code violations.

Quality

Facility oversight of performance improvement program

Facility oversight of regulatory and accreditation program

Facility oversight of risk management program

Facility oversight of patient safety program

Leads the Quality/Risk/Medical Staff Office Department within defined financial priorities

Risk Management

Conducts clinical risk assessments and analysis of complex organizational systems within the facility and facilitates development of corrective action plan.

Formulates analysis plan for data management

Oversees investigations of incidents that could lead to professional/general liability claims.

Develops policies and procedures related to Risk Management.

Disseminates information and research related to changes in regulatory requirements and clinical research pertinent to potential liability exposures and risk issues

Consults with LifePoint PSOrg, LLC on all occasions when the Hospital receives a request for dissemination of PSOrg related information, as well as other PSOrg compliance related issues.

Develops, implements and presents educational program for Employees, the Medical Staff and the Board

Obtains a minimum of 15 hours of continuing education in Risk Management on an annual basis.

Participates in review and development of committee structure and membership for facility.

Devises quality report cards for Physicians and Advanced Practice Practitioners

Regulatory Compliance

Oversees hospital-wide Quality and Performance Improvement program.

Plans, organizes and implements performance improvement activities

Plans and organizes Six Sigma team activities

Provides for ongoing education on PI and Six Sigma processes

Coordinates CMS/TJC Core Measures activities

Plans, organizes, and implements Regulatory and Accreditation program

Serves as contact person and liaison between the hospital and accreditation/regulatory agencies, both on a Federal and State level.

Serving as liaison to the facility's Senior Administration and Department Directors.

Qualifications

Minimum Education

Bachelor's degree - Required

Master's Degree - Preferred

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications:

Basic Life Support (BLS)

Required Licenses

CPHRM and CPPS required or will obtain within first two years of employment. Maintains current license in profession.

Minimum Work Experience

Minimum 5 years health care experience preferred (clinical experience preferred). Minimum 2 years experience in clinical risk management preferred. Supervisor and/or management experience preferred.

Benefits:

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

• Competitive Paid Time Off / Extended Illness Bank package for full-time employees

• Employee Assistance Program - mental, physical, and financial wellness assistance

• Educational assistance and tuition assistance for qualified applicants

• Professional development opportunities and CE assistance

• And much more...