Frederick Health · 6 hours ago
Manager of Performance Improvement - Full-time with Benefits
Frederick, MD
Full-time
Onsite
Mid, Senior Level
$86K/yr - $130K/yr
5+ years expFrederick Health is a healthcare organization dedicated to improving community health. They are seeking a Manager of Performance Improvement to provide leadership and support in enhancing clinical quality and performance improvement processes across the organization.
Clinical TrialsHealth CareHospitalWellness
Responsibilities
Participates in and provides leadership to the establishment, implementation, and maintenance of the organization’s clinical quality improvement strategies, programs, and methods
Develops, implements, and monitors effectiveness of quality strategies and plans
Designs and coordinates communication of clinical quality improvement activities and outcomes and results to enhance programming
Communicates concepts and issues effectively (written and oral) across all service lines within the organization
Able to convert data into actionable information
Coach, train, and develop teams to create processes to consistently achieve best practices that is evidence based
Facilitates problem-solving within and between program area
Provides organizational leadership for the design, implementation, and maintenance of quality outcomes and databases such as core measures, disease specific indications, MHAC’s, physician peer review, clinical registries and quality indicators that will contribute to process improvements and reimbursement from the HSCRC while improving the quality of care throughout the continuum of care
Participates and supports medical staff and committees and facilitates intra-disciplinary workgroups focused on clinical care
Manages the process for the Physician Peer Review process including MROC and other physician peer review Committees
Responsible for understanding scope of quality data program wide and coordinating data collection methods and approaches
Develops and maintains consistent, valid and reliable databases for clinical outcomes reporting and other data usage
Assumes program-wide responsibility and accountability for the management of the Premier database, registries, and other data systems
Monitors the aggregation, disbursement and reporting of all clinical and quality data
Coordinates a comprehensive data management process to supply data in a timely manner to support of continuous quality improvement and process improvement
Performs detailed data analyses of clinical trends and identifies areas of opportunity to improve quality safety throughout the organization
Provides quality reports and metrics to stakeholders in an ongoing and ad hoc basis
Identifies appropriate national and state databases for comparison of quality outcomes data
Prepares management reports for the Quality Coordinating Council, Medical Review Oversight Committee (MROC) and other key management meetings
Reports System performance to state and federal agencies, as required
Develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency as related to the organizations Quest initiatives
Provides daily oversight of the Clinical Documentation Program
Works with hospital leadership, physicians, and other providers to improve the overall quality and completeness of clinical documentation in the medical record to ensure that an accurate reflection of the severity of illness and the quality of care is captured
Works to educate providers on the value of more granular documentation to their quality scores, risk of mortality data, length of stay, and continuity of care for the patient
Serves as a translator between Finance and the Clinical Staff, and plays a vital role in improving accurate quality reporting for both provider and the facility
Collaborates with the Coding Manager to ensure that accurate DRG-based reimbursement for the hospital is achieved and claim denials are reduced, by ensuring documentation integrity
Principal resource for compliance with accrediting and regulatory agencies, as they apply to the medical staff organization
Assists the medical staff leadership with achieving its objective to maintain quality and improve performance
Maintains excellent communication with administration and other relevant departments
Assists medical staff members when requested and provides necessary reports to medical staff, administration, and other departments as required
Creates and maintains a positive work environment by being responsible for all aspects of personnel management from recruitment, staff development, create job performance standards, conduct performance evaluations, evaluate workload, promote optimal productivity, team building, identify/provide excellent customer service, resolve staffing issues, counsel personnel and following the process for disciplinary action when warranted
Responsible for the development and monitoring of the annual budget for the Performance Improvement Department
Controls dissemination of all communication between the hospital, medical staff leadership and/or hospital departments to the medical staff members related to quality improvement
Plans, evaluates, and improves the efficiency of processes and procedures to enhance speed, quality, efficiency, and results
Monitors and measures productivity, goal achievement, and overall effectiveness of the department
Prepares periodic reports for management to track goal accomplishment
Collaborates with IT to determine how new information technologies can support reengineering processes
Implements process improvement projects through cross-functional departmental involvement
Provides expertise in Lean/Six Sigma analytical and statistical tools and project oversight and management
Qualification
Required
Bachelor's Degree in Nursing or other related field
Five years' work experience in a healthcare setting required
CPHQ or HACP certification required
Licensed Registered Nurse in the state of Maryland
Five years of experience in training, and/or performance improvement
Team facilitation and experience with hospital performance improvement
Knowledge of company policies, and state/federal regulatory and accreditation standards
Knowledge of Lean/Six Sigma methodologies
Ability to work with or lead interdisciplinary teams
Ability to build and maintain professional knowledge
Excellent communications skills both verbally and written
Ability to create collaborative working relationships
Ability to create and maintain a participatory environment
Preferred
Masters preferred
Green belt in Lean Six Sigma or within one year of hire
Benefits
Health, Dental and Vision insurance
Life insurance
Short-Term Income Replacement
Long-Term Disability
Paid Time Off program
403B retirement plan
Free financial planning sessions
Educational assistance program
Employer paid Employee Assistance Program
Company
Frederick Health
Frederick Health operates with a mission to provide quality healthcare services for orthopedics, dermatology, urology and gastroenterology.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Michelle Mahan
Sr VP Finance / CFO
Jackie Rice
VP CIO
Recent News
2025-10-21
2025-05-17
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