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Medical Quality Control Manager

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź‘” Manager

đź‘» Ghost score 12%

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Logo of GardaWorld Federal Services

GardaWorld Federal Services

1001 - 5000 employees

🏥 Healthcare

đź’Ľ Consulting

🎖️ Defense

Healthcare • Consulting • Defense

GardaWorld Federal Services is a provider of logistics, medical, security, and support services, specifically tailored for federal, state, and local government clients, as well as commercial customers globally. They specialize in emergency management, offering rapid deployment of medical professionals, secure housing solutions, and urgent response logistics in the event of natural or man-made disasters. With over 30 years of operational experience, GardaWorld is recognized as a trusted partner to various governmental agencies, ensuring safety and support in high-threat environments.

đź“‹ Description

• Develop, implement, and oversee enterprise-wide healthcare quality assurance and performance improvement programs • Monitor compliance with NDS, PBNDS, healthcare regulations, accreditation standards, and contractual requirements • Conduct routine audits, assessments, chart reviews, site evaluations, and compliance monitoring across healthcare programs • Analyze healthcare performance indicators, clinical outcomes, incident reports, grievances, mortality reviews, and quality metrics • Develop and monitor corrective action plans resulting from audits, inspections, quality reviews, accreditation surveys, and government findings • Coordinate quality improvement initiatives focused on patient safety, compliance, clinical outcomes, and operational performance • Monitor facility compliance with healthcare documentation requirements, clinical protocols, utilization management activities, and standards of care • Review healthcare records, reports, and quality data for accuracy, completeness, and compliance • Support government inspections, accreditation surveys, audits, and contract compliance reviews • Lead medical department preparation and ongoing readiness for ACA accreditation and reaccreditation across multiple detention healthcare sites • Partner with Health Services Administrators to evaluate ACA healthcare-standard compliance, address deficiencies, maintain documentation, and sustain accreditation readiness • Collaborate with facility and corporate leadership and government stakeholders to address quality concerns, risks, and performance deficiencies • Track, trend, and report quality, compliance, patient safety, and operational performance metrics • Develop policies, procedures, quality monitoring tools, audit instruments, and performance standards • Participate in root cause analyses, risk assessments, healthcare investigations, and performance improvement activities • Provide guidance and education on quality improvement methodologies, compliance requirements, and best practices • Support new healthcare initiatives, operational improvements, and program standardization • Prepare executive reports, dashboards, compliance summaries, and quality performance analyses • Maintain confidentiality of patient information, quality review activities, and investigative findings • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in Nursing, Healthcare Administration, Public Health, Health Information Management, Quality Management, or a related healthcare field • Minimum five (5) years of experience in healthcare quality management, accreditation, compliance, performance improvement, healthcare auditing, or healthcare operations • Minimum three (3) years of experience supporting correctional healthcare, detention healthcare, hospital operations, government healthcare programs, or similar healthcare environments • Experience conducting audits, chart reviews, compliance assessments, and quality improvement initiatives • Experience analyzing healthcare data and developing performance improvement recommendations • Proficiency with Microsoft Office Suite and healthcare reporting systems • Ability to obtain and maintain all required government clearances, facility credentials, and contractual requirements • Ability to provide proof of citizenship or legal U.S. work authorization • Must consent to fingerprinting and background investigations • Must be able to read, write, speak, and understand English proficiently • Strong knowledge of healthcare quality assurance, performance improvement, patient safety, and regulatory compliance principles • Knowledge of detention healthcare operations, correctional healthcare practices, and federal healthcare programs • Thorough understanding of National Detention Standards (NDS), Performance-Based National Detention Standards (PBNDS), and healthcare accreditation standards • Knowledge of quality management methodologies, auditing techniques, risk management processes, and corrective action planning • Ability to evaluate healthcare operations, identify deficiencies, and recommend performance improvement strategies • Strong analytical, investigative, and problem-solving skills • Ability to collect, interpret, analyze, and present healthcare quality and performance data • Excellent written, verbal, presentation, and communication skills • Proficiency in Microsoft Office applications including Excel, Word, PowerPoint, Outlook, and Teams • Strong organizational, project management, and documentation skills • Ability to work independently while collaborating effectively with multidisciplinary teams • Ability to exercise sound judgment, maintain confidentiality, and manage multiple priorities simultaneously • Registered Nurse (RN), Certified Professional in Healthcare Quality (CPHQ), or similar professional certification preferred • Master's degree in Healthcare Administration (MHA), Public Health (MPH), Nursing, Quality Management, or a related field preferred • Experience supporting government agencies through federal healthcare programs preferred • Experience with ACA, NCCHC, Joint Commission, or other healthcare accreditation standards preferred • Experience with quality dashboards, healthcare analytics, utilization management, and enterprise quality programs preferred • Experience managing multi-site healthcare quality programs preferred • Ability to remain stationary 50% of the time • Ability to occasionally lift and/or move up to 25 pounds

🏖️ Benefits

• Full-time, salaried/exempt position • Teleworking available • Travel reimbursement/coverage implied for required business travel (up to 75%)

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