Manager: Quality and Risk Management

Job Details

Job Location

Pagosa Springs Medical Center - PAGOSA SPRINGS, CO

Position Type

Full Time

Salary Range

$82680.00 - $127816.00 Salary

Job Shift

Day

Description

Position Overview:

This key management position is responsible for leading an effective and sustainable, data-driven, facility wide, and quality assurance and performance improvement (QAPI) program. The QAPI and Risk Manager maintains a quality infrastructure that includes development and implementation of decision tools, clinical processes and guidelines, care management programs, and outcome measurement assessments. This manager leads both the Quality Counsel and the Performance Improvement Committee. The QAPI and Risk Manager assures that PSMC participates fully with regulatory quality programs both federal and state. The Manager participates in external committees and meetings to develop critical relationships with community and professional resources. The QAPI and Risk Manager has strong leadership, interpersonal and communication skills, with the ability to analyze situations and arrive at creative solutions to complex healthcare challenges.

The Manager of QAPI and Risk is responsible for the overall management of assigned departments for Pagosa Springs Medical Center. These services include, but, are not limited to:

Quality Assurance
Performance Improvement
Risk Management

Such management includes:

Oversight of effective day-to-day operations;
Development, implementation of processes to improve clinical care for the appropriate patient population;
Managing staff and resources within the department;
Implementation of new services and programs as directed by Leadership;
Effective fiscal management;
Coordination and collaboration with the medical staff, other managers / leaders and staff;
Participation in hospital-wide problem solving, sharing of information and other joint efforts;
Recommending and implementing innovative organizational processes which support the safe and effective provision of patient care and improve patient outcomes.

About PSMC:

Pagosa Springs Medical Center has an attractive facility in a scenic town. PSMC is an independent, patient-centered facility, which opened its doors in 2008. The medical center operates both a hospital and an outpatient rural health clinic. PSMC is licensed for 11 inpatient beds and has board certified physicians caring for patients via our level IV trauma center. PSMC offers a range of specialty services including orthopedics, general surgery, pulmonology, oncology, infusion cardiology, and neurology. PSMC has an on-site lab and diagnostic imaging including MRI, CT, ultrasound, x-ray, and mammography together with an on-site radiologist and access to Colorado’s largest team of tele-radiologists. Our outpatient clinic is attached to the hospital and has 32 exam rooms for primary care services, behavioral health, and our specialty clinic services. Our Medical Wellness Building offers physical therapy and pain management. PSMC offers a 24/7 emergency department, EMS/ambulance, and inpatient ward.

We foster a collaborative, team-oriented work environment and uphold our core values of Wholeness, Integrity, Stewardship, Excellence, and Respect (W-I-S-E-R).

About Our Community

Pagosa Springs is not only a wonderful place to work, but also a wonderful place to live. Pagosans are warm and friendly people, proud of their community and proud of their medical center. The Pagosa Springs area boasts great public schools in addition to a variety of alternative education options. The region offers numerous recreational opportunities. Wolf Creek ski area is just 24 miles away and is surrounded by trails for snowshoeing, cross-country skiing, and snowmobiling. Hiking, biking, ATV riding, hunting, boating, fly-fishing, and kayaking opportunities abound in the warmer months. Pagosa Springs is home to the world’s deepest geothermal hot spring and is located one hour east of Durango, CO and a short drive north of the New Mexico state line.

Qualifications

Base Compensation Range: $82,680 - $127.816 annual, based on years of relevant experience ranging from 0 to 22 years of experience. "Relevant experience" means relevant to the employee's responsibilities set forth in the job description as determined by the HR Manager, CAO, applicable department manager/director and applicable senior leader.
Benefits: Full-time benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.
Job Type: Full-time
Shift Type: Week days, Monday through Friday
Anticipated End Date for Posting: June 30, 2025. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.

Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.

Qualifications: At all times, the employee shall possess the following qualifications set forth below.

Education/Training:	Check All that Apply:	Description:
	X	Bachelor’s degree in a healthcare related field is required.
	X	Healthcare Management and/or Clinical degree is strongly desired but not required.
Experience:	X	Minimum of five (5) years clinical experience is required.
	X	Minimum of two (2) years supervisory or management experience is required.
	X	Minimum of two (2) years experience in Quality Assurance, Performance Improvement and/or Risk Management is required.
Special Skills, Licenses or Certifications:	X	Current Colorado licensure as RN, if applicable.
	X	CPHQ (Certified Profession in Healthcare Quality) is strongly desired but not required. If not certified, successful completion of certification within one year of hire date is required.
	X	CPHRM (Certified Professional in Healthcare Risk Management) is strongly desired but not required. If not certified, successful completion of certification within one year of hire date is required.
	X	Current AHA BLS certification for Heart Saver is required.
	X	Computer skills sufficient to handle email, documents, spreadsheets and project management software.
Language Skills:	X	Demonstrates ability to read, write, and clearly express one’s self in English 100% of the time.
	X	Additional languages desired but not required.
	X	Demonstrates ability to listen.
	X	Demonstrates ability to express or exchange ideas by means of spoken work, to impart oral information to others or the public and to convey detailed spoken instructions to others accurately, loudly, or quickly.
Work Environment:	X	Work is performed in a hospital office setting with exposure to work stress, environmental stress and frequent interruptions; noise level is moderate; frequent daily communications with patients, employees, medical staff, vendors and/or the public.
Cross-Training of Position:	X	PSMC cross-trains job positions. This job description must cross-train to be able to effectively perform the job position of:
Supervisory Responsibilities:	X	This position IS responsible for supervising other personnel, including involvement in on-boarding, off-boarding, termination, coaching/discipline and annual performance reviews.
Job Hazards:	X	Exposure to blood, bodily fluids and communicable disease.
	X	Potential equipment and device product hazards.
	X	Potential verbal or physical abuse.
	X	Liability due to current public consciousness.

Physical Demands:	Check ALL that Apply:	Description:
	X	Alternate Sit/Stand or Walk at Will – Able to alternate between sitting and standing as needed.
	X	Climbing Ramps/Stairs – Able to ascend or descend ramps and/or stairs using feet and legs. Hands and arms may be used for balance, i.e., holding the rail.
	X	Far Visual Acuity – Clarity of vision at 20 feet or more. This is not just the ability to see a person or object, but the ability to recognize features as well.
	X	Fine manipulation – Picking, pinching, or otherwise working primarily with fingers rather than the whole hand or arm as in gross manipulation.
	X	Gross manipulation – Seizing, holding, grasping, turning, or otherwise working with hand(s). Fingers are involved only to the extent that they are an extension of the hand.
	X	Hearing requirements – Able to hear, understand, and distinguish speech and/or other sounds, i.e., machinery alarms, medical codes/alarms, one on one or in a group or conference.
	X	Keyboarding – Entering text or data into a computer or other machine with a keyboard.
	X	Lifting – Raising or lowering an object from one level to another (includes upward pulling).
	X	Carrying – Transporting an object, usually by holding it in the hands or arms, but may occur on the shoulder.
	X	Near Visual Acuity – Clarity of vision at approximately 20 inches or less (i.e., working with small objects or reading small print, including the use of computers.
	X	Peripheral vision – Observing an area that can be seen up and down or right to left while eyes are fixed on a given point.
	X	Reaching at/below shoulder level – Extending hand and arms from 0 up to 150 degrees in a vertical arc. Reaching requires the straightening and extension of the arm and elbow and the engagement of the shoulder. The elbow does not need to be locked at any time and the arm does not need to remain in a continuously straight position.
	X	Standing/walking – Standing is to remain on one’s feet in an upright position at a workstation without moving about. Walking is to move about on foot.

Type of Work	Select (1)	Seldom	Occasionally	Frequently	Constantly
Sedentary		Up to 10 pounds	Up to 10 pounds	Negligible weight	No weight
Light Work	X	11-25 pounds	11-25 pounds	1-10 pounds	Negligible weight
Medium Work		26-50 pounds	26-50 pounds	11-25 pounds	1-10 pounds
Heavy Work		51-100 pounds	51-100 pounds	26-50 pounds	11-25 pounds
Very Heavy Work		>100 pounds	>100 pounds	>50 pounds	>25 pounds

Standard Job Requirements: At all times, employee shall satisfy the following requirements:

Culture:	Adheres to our standards of conduct and culture (WISER) as defined by our policies and procedures including maintaining, always, an attitude of positive teamwork, compassion, integrity, and respect for our patients, visitors and staff.
	Demonstrates commitment to service excellence and promotes positive patient, visitor, and employee experiences.
	Establishes and maintains effective working relationships with others (i.e., co-workers, supervisors, patients, visitors, vendors of PSMC and the public).
	Works effectively on PSMC/department team matters and recognizes situations which require teamwork.
Quality:	Must consistently demonstrate compliance with organizational-wide competency statements and performance criteria based on established quality and key performance indicators.
Safety:	Participates in employee training, disaster preparedness and emergency events.
	Reports potential safety issues as soon as possible.
	Demonstrates safe operation of equipment and uses supplies / materials / chemicals as directed by instructions for use.
	Wears non-slip footwear to prevent fall and/or injury.
	Follows established policies and procedures for employee illness and/or exposure to illness/disease. Does not come to work sick.
Service Excellence:	Demonstrates proper phone etiquette when talking on the phone for business.
	Answers phone messages promptly, by the end of the business day or as established by your department.
	Demonstrates proper email etiquette when utilizing PSMC email account.
	Answers email messages promptly.
	Demonstrates a willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.
Organization-Wide Requirements:	Complies with all PSMC policies including, without limitation, timely attendance, code for dress and decorum, no conflicts of interest, no harassment, fragrance free, use of personal devices at work etc.
	Complies with all PSMC and department procedures, rules and directives.
	Check email at least once daily when on-shift (full time employees); check email at least once weekly and/or when on-shift (part-time / per diem employees).
	Maintains strict confidentiality of all patients matters and recognizes situations where confidentiality should be maintained even if not legally required. Note: All employees must sign a confidentiality agreement with PSMC stating that information will not be shared with any entity or individual unless authorized or necessary for patient care. Breaches of confidentiality will result in immediate disciplinary action up to and including dismissal from employment.
	Possesses computer knowledge / skills and the ability to learn and adapt to new programs and software.
	Keeps personal contact information updated in Human Resources and in PayCom.
	Sets up desk phone in compliance with established PSMC protocol. Assures name is associated with the phone assigned to you, if applicable.
	Utilizes away messages when you are not in the office and responding to calls, if applicable.
	Sets up email signature in compliance with established PSMC protocol.
	Utilizes away messages when you are not in the office and responding to emails.
	Demonstrates the ability to perform CPR 100% of the time.
	Demonstrates the ability to work and multi-task at a rapid pace with numerous interruptions 100% of the time.
	Displays the ability to work independently with high self-motivation and directional initiative.
	Displays the ability to cope and remain calm in escalating circumstances.
	Participates in departmental inventory process periodically.
	Performs other duties, as assigned by a supervisor.

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Manager: Quality and Risk Management

Job Details

Description

Qualifications

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