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Raleigh General Hospital

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh General Hospital is a 300 bed facility caring for nearly 13,000 patients each year with over 50,000 being treated in our emergency room. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA, Digital Mammography, and Trauma Services.

Where We Are:

Beckley is an ideal place to live and boasts many scenic, cultural, and recreational opportunities. From restaurants and breweries to art galleries and unique attractions, Beckley is an outdoor playground with something for all tastes.

Why Choose Us:

• 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…

JOB SUMMARY

Facilitates and coordinates hospital wide quality and risk management programs to ensure compliance with The Joint Commission, State, Federal and other regulatory requirements. Facilitates compliance with all process improvement and risk management activities.

FUNCTIONAL DEMANDS

Essential Functions

1. Analyze complex situations to identify opportunities for improvement using data driven decision making

2. Assist departments in the development, implementation, and monitoring of performance and outcomes measurement

3. Prioritizes projects based on the organization’s strategic quality goals

4. Develops strategies to implement projects

5. Manage projects, including department resource allocation and team development

6. Uses analytical skills for improving patient safety and enhancing the quality of patient care

7. Performs root cause and failure mode effects analyses

8. Provides written and graphical reports to appropriate committees on a monthly basis

9. Follows protocol to protect the assets of the hospital

10. Assisting in leading the quality improvement and risk management programs

11. Schedules and coordinates the Patients Safety and Clinical Quality Committee

12. Assists leaders in the development of departmental goals

13. Builds relationships throughout the hospital in order to improve patient safety

14. Assists in the development of action plans as needed to demonstrate compliance with State, Federal and The Joint Commission regulations

15. All other duties as assigned

ORGANIZATIONAL EXPECTATIONS

1. Provides a positive and professional representation of the organization.

2. Promotes a culture of safety for patients and employees through proper identification, reporting, documentation and prevention.

3. Maintains hospital and clinic standards for a clean and quiet patient environment to maintain a positive patient care experience.

4. Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of role or practice.

5. Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards

6. Complies with organizational and regulatory policies for handling confidential patient information

7. Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization

8. Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements, and TJC standards and/or standards from other accrediting bodies.

Organizational Expectations

Adheres to Hospital's Standards of Performance

ESSENTIAL FUNCTIONS

Protected Health Information (Type Accessed)

Type of Protected Information Accessed:

• Demographic

• Clinical

• Insurance

• Financial

X Complete Medical Record

Blood Borne Pathogen Exposure

While performing this job, occupational exposure is present for all employees

JOB REQUIREMENTS

Minimum Education

Required Education:

Bachelor’s degree in health-care related field (Social Work, Nursing or like field)

Required Licenses

[West Virginia, United States] Social Worker

Required License:

Current State license in career field (Social Work, or like field)

Required Skills

Required Certification:

CPPS, CPHRM and/or CPHQ desirable

American Heart Association BLS is required

EEOC Statement:

Raleigh General Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

**Job:** **Administration/Management*

**Organization:** **Raleigh General Hospital*

**Title:** *Assistant Director of Qualilty&Risk Management*

**Location:** *West Virginia-Beckley*

**Requisition ID:** *7418-12337*