Supervisor - Quality Critical Incident

About the role

Lead a team that ensures every critical incident is heard, addressed, and escalated to protect those who need it most Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities

• Under the direction of the Quality Manager, is responsible for and supervises Critical Incident Reporting activities.
• Monitors staff case load and distributes daily work assignments to the team to meet regulatory timeliness requirements for critical incident reports
• Ensures completion of daily processing of Critical Incidents from all sources including the NM CIR Portal and supervises referrals of all Critical Incidents for appropriate follow up activities with Care Coordination, Providers, and/or other quality workflows as needed
• Oversees documentation of all pertinent Critical Incident data and information in the PHP internal database
• Ensures all new CIRs are placed under review within 24 hours of receiving them, Monday-Friday excluding holidays
• Oversees closure of all CIRs via the HSD Critical Incident Reporting System (CI Portal)
• Trains staff in departmental application of systems, processes, policies and procedures, and assist in training of computer activities
• Updates and coordinates on-going improvement of CI processes including P&Ps, Desktops, Job Aids, Promise Map, etc
• Prepares for and participates in Monthly and Quarterly CI Committee Meetings. Assists with analysis and writing of HSD Report 36
• Attends and actively participates at quarterly HSD/MCO CIR workgroup meetings.

Requirements

• Nursing Degree required.
• Bachelors degree required, MSN or BSN preferred.
• Critical Incident Management experience required.
• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Wellness
• Why work at Presbyterian?
• As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
• About Presbyterian Healthcare Services
• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
• AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
• We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Benefits

Additional Information

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $70,449.60 Maximum Offer $107,598.40 Now Hiring: Supervisor - Quality Critical Incident

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