NorthernBridges
Position
Description – Quality Program Specialist – Exempt
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Position Background
As
an employee of NorthernBridges, you will help promote the health and well being
of members through its dedication to the provision of accessible,
cost-effective, high-quality, person-centered long-term care within the
Family Care benefit package. The skills,
behaviors, and attitudes of every employee are vital to the NorthernBridges
high member satisfaction, quality services, financial performance, and growth.
As an employee of NorthernBridges, you shall not fail to direct all purpose,
activity and decisions towards our mission of giving members the best life
possible.
Under
the direction of the Quality Manager, the Quality Program Specialist is
responsible for assisting in the administration of an integrated quality
management system by coordinating ongoing discovery, remediation and
improvement activities. All of this is
done to support the organization’s dedication to providing accessible,
cost-effective, high-quality, person-centered care that puts the member first.
They will perform these duties personally or by collaborating with others.
Incorporating
Philosophy into Practice
We are a strengths-based
organization that focuses on a results-only work environment. We are in the
business of working with members to support the things that are important to
them. We call them quality-of-life outcomes. How do we do that? By expecting that all employees
will incorporate the Organizational Outcome Policies from their Employee
Handbook into their everyday work practice. These outcomes policies establish the primary
values, goals and measures of success for NorthernBridges.
Core Values
These values represent who we are. If you read them and realize that
you’re coming from somewhere else – we need to talk! We think about these every
day and evaluate our efforts by measuring against them.
Integrity: Integrity in what we say and
do.
The most important thing we have as
individuals is our integrity! When integrity is coupled with humility,
respect follows.
Respect: Respect by listening and
valuing everyone.
We strive every day to earn the respect of
our members and colleagues. You should bring your best effort every day
and bring out the best in others. None of this happens without doing a lot of listening to our members -- and to each
other.
Learning: Passion for learning and
sharing.
We encourage and support you to continue to
learn new things every day. Don’t keep this to yourself, but share it with
us. We want to hear about you! Our successes, our failures -- we
own the results. If we have a problem, we fix it. If we have success, we share
it. Everyone on the team owns the results.
Partnerships: Commitment for
fostering partnerships.
We partner with and look for the expertise
of others in the communities that we serve to help our members achieve results
and outcomes. If the member wins, we all win. Same deal with
our team. If the team wins, we all win. We don’t tolerate win/lose approaches.
Innovation: Creative and innovative
solutions.
We believe in new ways of doing
things! As an employee you are empowered to be creative in your thinking.
Fun: Have Fun Everyday:
What a mouthful! We firmly believe that we
add great value by keeping things as simple as possible, making sound judgments
and using common sense all while having fun. We believe in hard
work while having fun ----everyday!
Goal &
Objective: Ensures
member wellness, monitor adverse and/or incidents which affect member safety
and health.
Related Responsibilities
·
Participates in the development and
implementation of NorthernBridges’ prevention and wellness program
including: best practice guidelines,
best practices, coordination of and creation of articles for the Member Newsletter,
and coordination of the creation and distribution of brochures regarding
prevention and wellness.
·
Receive, process and track incidents
(adverse events and critical incidents) reported by providers and IDT
staff. Identify and monitor trends by
member, type, and/or provider.
Goal & Objective: Ensures
compliance with regulatory agencies’ and organizational quality requirements.
Related Responsibilities
·
Assist in the development and
implementation of our Quality Management Plan.
·
Assists with the establishment, tracking
and reporting of Quality Indicators determined for the organization.
·
Coordinates and conducts Internal File
Reviews (IFR) per NorthernBridges’ Operational Guideline.
·
Identifies areas of needed individual improvement
through completion of IFR’s. Works
closely with individual care managers and their supervisors to address findings
from IFR’s.
·
Identifies areas of needed organizational
improvement through completion of IFR’s.
Conducts analysis to determine trends and/or systems issues which may be
impacting organizational quality.
Proposes and develops solutions for addressing deficiencies to the
Quality Manager and CMRC Manager.
·
Collaborate with PND to develop consistent
processes to evaluate quality services.
Works with PND to follow-up on provider quality issues. Lead and/or facilitate teams to analyze
systems to ensure processes are in place to provide on-going investigation and
remediation of provider quality issues.
·
Participates in the Annual Quality Review
(AQR) and subsequent Quality Improvement Plan as necessary.
·
Assists with the state mandated Performance
Improvement Project and any additional quality improvement projects being
undertaken by NorthernBridges to include facilitation of Quality Improvement
Project Workgroups.
·
Follows up on Quality Alerts.
Goal &
Objective: Supports team member excellence.
Related
Responsibilities
·
Develop policies and procedures for Quality
Related topics, to include training of new and/or current staff regarding
Quality Department Policies and Procedures.
·
Attends workgroups and trainings as
requested by management staff.
·
Other duties as assigned.
Goal & Objective: Supports leadership by building and sustaining
effective team experiences, effectively communicating both verbally and in
writing, and ability to maintain effective relationships, especially when
difficult conversations are needed.
·
Participate
in supervisory and leadership training for the organization.
·
Exhibits
ability to communicate performance expectations for care manager roles within
the hubs.
·
Ability
to communicate accountability to care managers in meeting required timelines in
accordance with contractual guidelines.
·
Identifies
training needs of team members and works with employees.
·
Embraces
the ability to build relationships with team members to create a collaborative
team environment.
·
Ability
to approach conflict through collaborative problem solving.
·
Coordinates
and facilitates consistent flow of information both within the hub, with other
hubs, and other departments.
Necessary Training
and Experience
NorthernBridges
expects employees to understand and to incorporate the values of our
organization in their day-to-day practice.
While ensuring that statutory parameters are satisfied, the organization
is willing to consider a combination of the following education, training and
experience requirements, which provides the necessary abilities to perform the
duties of this position.
Ÿ NorthernBridges
Quality Coordinator must have bachelor’s degree in healthcare administration, nursing, or public administration
or related field and a minimum
of three years of closely related experience in a health and human or
healthcare services operation, preferably serving the long-term care
population.
Ÿ There is a strong preference
for Registered Nurse candidates.
Ÿ Working knowledge
of current concepts, theories, and practices related to home and
community-based care for long-term care populations, healthcare delivery
systems, Family Care requirements, relations, and protocols, and Family Care
complaint and grievance procedures and protocols.
Ÿ Maintain the
integrity of highly confidential business and client information
Ÿ Champion for change
Ÿ Influencing
Ÿ Leadership
Ÿ Create employee and
member satisfaction with interaction
Ÿ Communication,
facilitation and presentation skills
Ÿ Problem solving and
decision making
Ÿ Effective conflict
resolution skills
Ÿ Ability to create
employee and member satisfaction with interactions
Ÿ Strong
organizational habits
Ÿ Software
proficiency which would include advanced skills in the use of Microsoft Word,
PowerPoint, and Excel programs
Ÿ Information and
technology proficiency
Ÿ The Quality
Coordinator may be required to travel to other locations, and therefore will be
required to hold a valid driver’s license and have access to reliable
transportation.
The physical demands described
here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform
the essential functions. While performing the duties of this job, the employee
regularly sits, talks and listens, frequently uses hands to finger, handle, or
feel, may lift and/or move up to 10 pounds, and occasionally stands and
walks. Specific vision abilities
normally used by this job include close vision, and ability to adjust focus.
The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions. The position normally works in an office
environment where the noise level is usually quiet. Hours of work will
generally be during regular business hours and average at least 45 - 50 hours a
week. There will be some variation in
work hours due to special projects, deadlines, and other concerns. Occasional out-of-town and overnight business
travel is required for business and education, by air and auto. This position
is in the No Risk Exposure category for blood borne pathogens and will follow
all recommended training and procedures for this category.
Acknowledgement:
This position
description describes the general nature and level of work performed by
employees assigned to this position and should not be
interpreted as all inclusive. It does not state or imply that these are the only
duties and responsibilities assigned to the job. The employee may be required
to perform other job-related duties as requested by supervisor. All
requirements are subject to change over time and to possible modification to
reasonably accommodate individuals with a disability.
This position description does not constitute an employment agreement
between the employer and employee and is subject to change by the employer as
the needs of the employer and requirements of the job change.
It is NorthernBridges’ policy to base hiring decisions solely on an
individual’s ability to perform essential job functions. Persons with
disabilities are eligible for this position provided they can perform those
functions with reasonable accommodations. I have read and understand that the
statements above are a description of the functions assigned my position.
______________
Employee Signature Date
__________________
Manager/Supervisor Date
NorthernBridges
is an Equal Opportunity Employer. In
compliance with the Americans with Disabilities Act, the organization will
provide reasonable accommodations to qualified individuals with disabilities
and encourages prospective and current employees to discuss potential
accommodations with NorthernBridges.