This position is responsible for managing the Quality Management System and maintaining accreditation of the facilities located within the Pine Ridge Service Unit. The incumbent also supervises staff of the Quality Management Department. The position reports to the Chief Executive Officer.
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Education: Bachelor's or graduate/higher level degree: major study in an academic field related to the medical field, health sciences or allied sciences appropriate to the work of the position. This degree must be from an educational program from an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS: GS-13: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Implementing a Medical-Clinical Quality Improvement Program to meet accreditation and certification standards per regulatory agencies. Developing processes to improve the delivery of patient care, both collaboratively and independently. Determining short- or long-term goals and strategies to develop continuous quality improvement methodologies. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements by the respective cut-off date of application review to be considered.
Manages, plans, directs, coordinates and integrates hospital-wide quality and risk management programs and activities within the Service Unit. Translates various accrediting, regulatory and licensing agency requirements into action plans to achieve positive surveyor audit review and renewed licenses. Implements systems to effectively monitor compliance to standards; implements new processes to meet requirements. Serves as resource person on regulations of all agencies involving quality management activities through planning, organizing, and coordinating the service unit activities of quality management system to ensure compliance with regulatory requirements. Supervises and assigns workload for multiple Quality Management employees.