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Senior Special Projects Manager-Nurse Consultant

Operations Manager | Bethesda, MD | Contract

Job Description
Senior Special Projects Manager-Nurse Consultant
Work Location: Bethesda, MD

Job Summary/Description
By coordinating with team members from the Office of Performance, Analysis, and Quality (OPAQ), the Senior Special Projects Manager will direct The Joint Commission (TJC) accreditation activities within CHS to ensure the successful completion of TJC requirements.

Job Duties/Responsibilities/Functions (including but not limited to)
• Coordinates and provides CHS direction with TJC accreditation efforts to improve the overall quality and safety of services
• Responsible for ensuring a constant state of CHS readiness for TJC survey
• Coordinates implementation of CHS response to risk and safety events to minimize recurrence
• Coordinates CHS complaint response
• Serves as CHS Point of Contact for the OPAQ team
o Maintains knowledge and understanding of all TJC standards applicable to CHS
o Responsible for conducting CHS Intra-Cycle Review and reporting and investigating sentinel events
• Quality/PI program
o Plans, coordinates, and implements performance improvement within CHS to meet Quality/Performance Improvement initiatives and goals established for FOH by OPAQ
o Provides leadership and overall direction to FOH's quality and performance improvement (PI) program within CHS
o Leads CHS performance improvement efforts by identifying specific processes to be studied by CHS as a result of identified risk and/or opportunities for improvement
o Coordinates with OPAQ to solve CHS performance deficiencies and monitors improvement activities to ensure efficient completion
o Plans CHS improvements based on PI results
o Educates CHS staff on FOH's PI plan
o Communicates results of CHS PI activities to CHS leadership and OPAQ team using written summary reports
• Risk Management Program
o Investigates events and collaborate with Medical Director and/or other appropriate leaders to formulate resolution and manage risk
o Reports serious safety events to Risk Manager and CHS leadership
o Promotes a culture of safety (safe event reporting)
o Conducts and lead Root Cause Analysis when indicated
• Complaint Resolution Process
o Establishes and lead efforts of the FOH Complaint Resolution Process within CHS
o Monitors CHS complaints and compliments daily
o Assists service lines in resolution of complaints (when appropriate)
o Documents and Report compliments and complaints to GB
• Ensures items requested to meet requirements, such as medical records for peer review and site orientation plans, are provided by CHS staff within specified deadlines
• Serves on the various committees as requested
• Assists with review, revision, and interpretation of FOH policies to ensure compliance with The Joint Commission standards
• Keeps abreast of drug and equipment recalls that are relevant to CHS and communicates with the Medical Director and Director, CHS
• Develops innovative and effective operational and/or program strategies or procedures for area clinics to accomplish the TJC requirements
• Assists with the development of the TJC on-site clinic inspection tool and evaluates tool efficacy by performing regular on-site clinic inspections
• Assists with implementation of new policies, SOPs, and LOPs within CHS
• Assists CHS Director with coordination of service line preparation for TJC survey
• Works collaboratively with CHS team to identify high-risk areas and trends
• Provides subject matter expertise and consultation to CHS team to support quality, safety, and risk performance improvement initiatives
• Notifies OPAQ and appropriate staffing vendor(s) via the COR about serious safety events, complaints, and/or concerns so that quality issues and safety events are addressed within CHS
• Communicates safety concerns and/or recalls related to equipment, medication, and supplies to with the supply chain vendor, the Medical Director and Director, CHS
• Monitors and tracks required competency assessments to ensure that all nursing staff demonstrate competency to perform assigned tasks
• Collects data and create reports for National Quality Indicators for OPAQ
• Collects and tracks metrics for clinics and suggests improvements to improve quality and safety
• Assists with FedHealth implementation as directed
• Review customer satisfaction survey reports and identify areas for improvement
• Reports to Chief Clinic Services
• Develops and completes JSPDs in a timely manner

Minimum Qualifications
• Must possess BSN and have minimum of 3 years of experience in clinical leadership, or an Associate’s Degree with 5 years of clinical leadership experience. Must have current license in one of the 50 states
• Graduate from a National League of Nursing (NLN) accredited school of nursing (Diploma, AND, or BSN)
• A minimum of 2 years’ experience in occupational health
• Current CPR/AED for Health Care Professionals certification
• Knowledge of principles and practices of healthcare administration of multi-site health care system
• Maintain a thorough understanding of Federal Occupational Health (FOH) policies and procedures and any changes and updates.
• Comprehensive knowledge of TJC Ambulatory Care Standards
• Demonstrates SME in the provision and systemic management of all occupational health services provided in FOH clinics. Anticipates and addresses potential problems with service delivery.
• Experience within the last 5 working in an accredited organization
• Microsoft Office software with high proficiency in Word, Excel, PowerPoint. Project and Visio Plus
• SME of operations of health care clinics, preferably occupational health clinics
• Excellent writing skills with experience in drafting operational policies and procedures
• Experience with monitoring and evaluating clinical systems including developing indicators, data collection instruments, compiling data, analyzing data, and creating monitoring and evaluation reports
• Must have excellent written and verbal communication skills. Must demonstrate an ability to successfully engage a diverse group of people.
• Must have good organizational, problem solving and critical thinking skills and the ability to demonstrate organizational and political savvy

About InGenesis
InGenesis is dedicated to placing people in positions that preserve life, improve lives and inspire others. This does not happen without passionate people, skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. Founded in 1998, InGenesis manages thousands of employees, including pioneering healthcare, science, technology and pharma professionals. The workforce solutions company includes almost half of the Fortune 500 in its nearly 300 clients. It is recognized as one of the largest healthcare staffing firms, and InGenesis is the largest minority/women owned healthcare staffing firm in North America.

EEOC Statement
We support a diverse workforce and is an Equal Opportunity Employer who does not discriminate against employees and applicants for employment on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, genetic information, disability, veteran status, or other classification protected by law.