Sr. Director of Quality Assurance & Accredita
Apply NowCompany: Great Plains Tribal Leaders' Health Board
Location: Rapid City, SD 57701
Description:
JOB SUMMARY
This position is responsible and accountable for the continued development of a comprehensive and quality health care service delivery system; the fiduciary and leadership responsibilities for Quality Assurance & Accreditation department at the Oyate Health Center (OHC); development, implementation and evaluation of new programs; and overseeing the development and results of short-term and long-term strategic plans.
ESSENTIAL FUNCTIONS
Specific duties include but are not limited to:
Maintains knowledge of the legal requirements and government reporting regulations affecting health
service functions and ensures that policies, procedures, and reporting compliance.
Assists in the OHC operating budget; administers the funds in accordance with established requirements
and priorities; modifies as needed;
Ensures effective compliance, planning, organization, direction, implementation, execution, measurement
and correction, by the primary care services programs.
Ensures Quality Assurance & Accreditation programs are cost effective while improving clinical outcomes; are delivered
in a manner consistent with funding agencies requirements, applicable laws and regulations, and tribal
policies; and monitors compliance with funding source requirements.
Assists in the adequacy and soundness of the OHC's financial structure.
Reviews contracts and grants and recommends action as requested as appropriate and negotiates and
updates contracts as necessary.
Attends or provides representation at meetings known to be of critical importance for the health of the
Great Plains Tribal community.
Reviews operating results of the Quality Assurance & Accreditation department at OHC, compares them to established objectives,
and takes steps to ensure that appropriate measures are taken to correct unsatisfactory results.
Prepares regular reports for the OHC and GPTLHB senior leadership as directed.
Responsible for decisions relating to hiring, personnel evaluation, disciplinary actions, grievance
discussions, coaching development and recommendation of actions, demotions, and termination decisions
as applicable for supervisors, providers and department support staff.
Recruits and retains supervisory staff and providers who possess the necessary knowledge, skills, and
attitudes to work effectively within the clinical services and uphold its values, and ensures credentialing is
complete before providers are allowed to practice.
Must comply with federal laws and regulations as required by the Health Insurance Portability and
Accountability Act (HIPAA).
Promote and optimize the health care model utilized to provide services to relatives.
PROFESSIONAL BEHAVIOR
Effectively plan, organize workload and schedule time to meet the demands of the position.
Work in a cooperative and professional manner with OHC and GPTLHB staff.
Treat Great Plains tribes and collaborators with dignity and respect.
Utilize effective verbal and written communication skills.
Advance personal educational development by attending training sessions and seminars as appropriate.
Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests.
Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect.
Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
Maintain and ensure organizational privacy and confidentiality.
Handle crisis and tolerate stress professionally.
Be self-directed and take proactive initiative to assist others.
Resolve issues with other departments and coworkers without direct supervision if needed.
Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
Promote an alcohol, tobacco and drug-free lifestyle.
Embrace modes of appearance and attire that reflect a professional presence.
Adhere to GPTLHB policies and procedures.
Other duties as assigned by the Supervisor
REQUIREMENTS
Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices
in their work.
Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners,
service recipients, visitors, and guests.
Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
Familiarity and/or experience working with American Indian populations and respect for and knowledge of
traditional, cultural, and spiritual practices of diverse American Indian communities, as well as an ability to
work with other culturally and ethnically diverse populations.
Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age,
sexual orientation and/or personalities.
Maintain and ensure organizational privacy and confidentiality.
Must be able to handle crisis and tolerate stress professionally.
Must be self-directed and take proactive initiative to assist others.
Possess the ability to resolve issues with other departments and coworkers without direct supervision.
Able to exercise flexibility to alter plans/routines when situations require and continue to perform without
projecting stress/frustration that would adversely affect the work environment.
Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended
travel as necessary.
Ability to effectively present information in one-on-one and small group situations to community members,
consumers, and other employees of the organization.
Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
Valid driver's license must be kept current, and certificates, credentials or licenses must be kept current
and consistent with regulations required by applicable federal, state and/or grant regulations.
Ability to promote an alcohol-, tobacco- and drug-free lifestyle.
Embrace modes of appearance and attire that reflect a professional presence.
Adhere to GPTLHB policies and procedures.
SUPERVISORY CONTROLS
Supervisory Controls (Level 3):
The supervisor makes assignments by defining objectives, priorities, and deadlines and assists the employee with unusual situations that do not have clear precedents.
The employee plans and carries out the successive steps and handles problems and deviations in the work assignments in accordance with instructions, policies, previous training, the scope of license/certification, or accepted practices in the occupation.
Completed work is usually evaluated for technical soundness, appropriateness, and conformity to policy and requirements. The methods used in arriving at the end results are not usually reviewed in detail.
GUIDELINES
Guidelines (Level 3):
Guidelines are available but are not completely applicable to the work or have gaps in specificity.
The employee must use judgment in interpreting and adapting guidelines, such as agency policies, regulations, precedents, accreditation requirements, advanced clinical protocols, and work directions for application to specific cases or problems. The employee analyzes results and recommends changes.
The employee uses initiative and resourcefulness in deviating from traditional methods or researching trends and patterns to develop new methods, criteria, or proposed new policies.
COMPLEXITY
Complexity (Level 4)
The work typically includes varied duties that require many different and unrelated processes and methods, such as those relating to well established aspects of an administrative or professional field. Decisions regarding what needs to be done include the assessment of unusual circumstances, variations in approach, and incomplete or conflicting data.
The work requires making many decisions concerning such things as interpretation of considerable data, planning of the work, or refinement of the methods and techniques to be used.
SCOPE AND EFFECT
Scope and Effect (Level 6):
The work involves planning, developing, and carrying out vital administrative or scientific programs.
The programs are essential to the missions of the organization or affect large numbers of people on a long-term or continuing basis.
PERSONAL CONTACTS
Personal Contacts (Level 2):
The personal contacts are with employees in the organization but outside the immediate department. People contacted generally are engaged in different functions, missions, and kinds of work, and may be representatives from various levels and departments within the organization, partner organizations, Tribal affiliate organizations, and employees of other healthcare organizations. Personal contact, at this level, may also be made with members of the public, as individuals or groups, in a moderately structured setting.
PURPOSE OF CONTACTS
Purpose of Contacts (Level 3):
The purpose is to influence, motivate, interrogate, or control persons or groups. The people contacted may be fearful, skeptical, uncooperative, or dangerous. Therefore, the employee must be skillful in approaching the individual or group to obtain the desired effect, such as gaining compliance with established policies and regulations by persuasion or negotiation or gaining information by establishing rapport with a suspicious informant.
PHYSICAL DEMANDS
Physical Demands (Level 1):
The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. The employee must be able to read, write, speak and hear.
WORK ENVIRONMENT
Work Environment (Level 2):
The work involves moderate risks or discomforts that require special safety precautions, e.g., working around moving parts, carts, or machines; exposure to contagious diseases or irritant chemicals. Employees may be required to use protective clothing or gear, such as masks, gowns, coats, boots, goggles, gloves, or shields.
SUPERVISORY AND MANAGEMENT RESPONSIBILITY
Supervisory and Management Responsibility (Level 6):
This is a department head with final responsibility and authority for the accomplishment of objectives, utilization of resources, and personnel administration decisions within a major jurisdictional subdivision. The employee is accountable for the effective and efficient management of the work to achieve goals and objectives. The employee usually receives limited guidance in the form of approval/denial on matters of policy, service levels, goals or objectives from high authorities.
Direct Reports
QAPI Advisor, Risk Manager, Patient Experience Manager, Infection Prevention Officer, Employee Health Nurse, Occupational Health & Safety Manager
QUALIFICATIONS
MINIMUM EDUCATION & EXPERIENCE REQUIREMENTS
Knowledge (Level 6):
Education/Relevant Experience: Master's degree and three (3) years of relevant experience, or bachelor's degree and five (5) years of progressively responsible relevant experience. The experience required for supervisory/management positions will be inclusive of at least three (3) years of supervisory/management experience. Post-secondary education or experience which provides the expertise required to perform effectively the functions of the position may substitute for the degree on a year for year basis.
This is a senior professional and/or management position that requires post-secondary education and/or considerable experience or a clinical degree requiring a clinical rotation/internship. Individuals must have applicable education and/or experience applying principles, concepts, and methodology of a professional or administrative occupation to permit the independent performance of recurring assignments or carrying out difficult/complex assignments, operations, and procedures; or applicable education and/or experience applying a wide range of technical methods, principles, and practices similar to a narrow area of a professional field such as the design and planning of difficult, but well-precedented projects.
PREFERRED EDUCATION REQUIREMENTS
Master's Degree
PREFERRED EXPERIENCE REQUIREMENTS
Six (6) years of progressively responsible experience (if master's level educated)
Eight (8) years of progressively responsible relevant experience (if bachelor's level educated)
The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.
Employment is contingent upon the outcome of all required criminal background checks.
Compliance with our Employee Health Procedure is a condition of employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required.
This position is responsible and accountable for the continued development of a comprehensive and quality health care service delivery system; the fiduciary and leadership responsibilities for Quality Assurance & Accreditation department at the Oyate Health Center (OHC); development, implementation and evaluation of new programs; and overseeing the development and results of short-term and long-term strategic plans.
ESSENTIAL FUNCTIONS
Specific duties include but are not limited to:
Maintains knowledge of the legal requirements and government reporting regulations affecting health
service functions and ensures that policies, procedures, and reporting compliance.
Assists in the OHC operating budget; administers the funds in accordance with established requirements
and priorities; modifies as needed;
Ensures effective compliance, planning, organization, direction, implementation, execution, measurement
and correction, by the primary care services programs.
Ensures Quality Assurance & Accreditation programs are cost effective while improving clinical outcomes; are delivered
in a manner consistent with funding agencies requirements, applicable laws and regulations, and tribal
policies; and monitors compliance with funding source requirements.
Assists in the adequacy and soundness of the OHC's financial structure.
Reviews contracts and grants and recommends action as requested as appropriate and negotiates and
updates contracts as necessary.
Attends or provides representation at meetings known to be of critical importance for the health of the
Great Plains Tribal community.
Reviews operating results of the Quality Assurance & Accreditation department at OHC, compares them to established objectives,
and takes steps to ensure that appropriate measures are taken to correct unsatisfactory results.
Prepares regular reports for the OHC and GPTLHB senior leadership as directed.
Responsible for decisions relating to hiring, personnel evaluation, disciplinary actions, grievance
discussions, coaching development and recommendation of actions, demotions, and termination decisions
as applicable for supervisors, providers and department support staff.
Recruits and retains supervisory staff and providers who possess the necessary knowledge, skills, and
attitudes to work effectively within the clinical services and uphold its values, and ensures credentialing is
complete before providers are allowed to practice.
Must comply with federal laws and regulations as required by the Health Insurance Portability and
Accountability Act (HIPAA).
Promote and optimize the health care model utilized to provide services to relatives.
PROFESSIONAL BEHAVIOR
Effectively plan, organize workload and schedule time to meet the demands of the position.
Work in a cooperative and professional manner with OHC and GPTLHB staff.
Treat Great Plains tribes and collaborators with dignity and respect.
Utilize effective verbal and written communication skills.
Advance personal educational development by attending training sessions and seminars as appropriate.
Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests.
Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect.
Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
Maintain and ensure organizational privacy and confidentiality.
Handle crisis and tolerate stress professionally.
Be self-directed and take proactive initiative to assist others.
Resolve issues with other departments and coworkers without direct supervision if needed.
Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
Promote an alcohol, tobacco and drug-free lifestyle.
Embrace modes of appearance and attire that reflect a professional presence.
Adhere to GPTLHB policies and procedures.
Other duties as assigned by the Supervisor
REQUIREMENTS
Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices
in their work.
Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners,
service recipients, visitors, and guests.
Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
Familiarity and/or experience working with American Indian populations and respect for and knowledge of
traditional, cultural, and spiritual practices of diverse American Indian communities, as well as an ability to
work with other culturally and ethnically diverse populations.
Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age,
sexual orientation and/or personalities.
Maintain and ensure organizational privacy and confidentiality.
Must be able to handle crisis and tolerate stress professionally.
Must be self-directed and take proactive initiative to assist others.
Possess the ability to resolve issues with other departments and coworkers without direct supervision.
Able to exercise flexibility to alter plans/routines when situations require and continue to perform without
projecting stress/frustration that would adversely affect the work environment.
Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended
travel as necessary.
Ability to effectively present information in one-on-one and small group situations to community members,
consumers, and other employees of the organization.
Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
Valid driver's license must be kept current, and certificates, credentials or licenses must be kept current
and consistent with regulations required by applicable federal, state and/or grant regulations.
Ability to promote an alcohol-, tobacco- and drug-free lifestyle.
Embrace modes of appearance and attire that reflect a professional presence.
Adhere to GPTLHB policies and procedures.
SUPERVISORY CONTROLS
Supervisory Controls (Level 3):
The supervisor makes assignments by defining objectives, priorities, and deadlines and assists the employee with unusual situations that do not have clear precedents.
The employee plans and carries out the successive steps and handles problems and deviations in the work assignments in accordance with instructions, policies, previous training, the scope of license/certification, or accepted practices in the occupation.
Completed work is usually evaluated for technical soundness, appropriateness, and conformity to policy and requirements. The methods used in arriving at the end results are not usually reviewed in detail.
GUIDELINES
Guidelines (Level 3):
Guidelines are available but are not completely applicable to the work or have gaps in specificity.
The employee must use judgment in interpreting and adapting guidelines, such as agency policies, regulations, precedents, accreditation requirements, advanced clinical protocols, and work directions for application to specific cases or problems. The employee analyzes results and recommends changes.
The employee uses initiative and resourcefulness in deviating from traditional methods or researching trends and patterns to develop new methods, criteria, or proposed new policies.
COMPLEXITY
Complexity (Level 4)
The work typically includes varied duties that require many different and unrelated processes and methods, such as those relating to well established aspects of an administrative or professional field. Decisions regarding what needs to be done include the assessment of unusual circumstances, variations in approach, and incomplete or conflicting data.
The work requires making many decisions concerning such things as interpretation of considerable data, planning of the work, or refinement of the methods and techniques to be used.
SCOPE AND EFFECT
Scope and Effect (Level 6):
The work involves planning, developing, and carrying out vital administrative or scientific programs.
The programs are essential to the missions of the organization or affect large numbers of people on a long-term or continuing basis.
PERSONAL CONTACTS
Personal Contacts (Level 2):
The personal contacts are with employees in the organization but outside the immediate department. People contacted generally are engaged in different functions, missions, and kinds of work, and may be representatives from various levels and departments within the organization, partner organizations, Tribal affiliate organizations, and employees of other healthcare organizations. Personal contact, at this level, may also be made with members of the public, as individuals or groups, in a moderately structured setting.
PURPOSE OF CONTACTS
Purpose of Contacts (Level 3):
The purpose is to influence, motivate, interrogate, or control persons or groups. The people contacted may be fearful, skeptical, uncooperative, or dangerous. Therefore, the employee must be skillful in approaching the individual or group to obtain the desired effect, such as gaining compliance with established policies and regulations by persuasion or negotiation or gaining information by establishing rapport with a suspicious informant.
PHYSICAL DEMANDS
Physical Demands (Level 1):
The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. The employee must be able to read, write, speak and hear.
WORK ENVIRONMENT
Work Environment (Level 2):
The work involves moderate risks or discomforts that require special safety precautions, e.g., working around moving parts, carts, or machines; exposure to contagious diseases or irritant chemicals. Employees may be required to use protective clothing or gear, such as masks, gowns, coats, boots, goggles, gloves, or shields.
SUPERVISORY AND MANAGEMENT RESPONSIBILITY
Supervisory and Management Responsibility (Level 6):
This is a department head with final responsibility and authority for the accomplishment of objectives, utilization of resources, and personnel administration decisions within a major jurisdictional subdivision. The employee is accountable for the effective and efficient management of the work to achieve goals and objectives. The employee usually receives limited guidance in the form of approval/denial on matters of policy, service levels, goals or objectives from high authorities.
Direct Reports
QAPI Advisor, Risk Manager, Patient Experience Manager, Infection Prevention Officer, Employee Health Nurse, Occupational Health & Safety Manager
QUALIFICATIONS
MINIMUM EDUCATION & EXPERIENCE REQUIREMENTS
Knowledge (Level 6):
Education/Relevant Experience: Master's degree and three (3) years of relevant experience, or bachelor's degree and five (5) years of progressively responsible relevant experience. The experience required for supervisory/management positions will be inclusive of at least three (3) years of supervisory/management experience. Post-secondary education or experience which provides the expertise required to perform effectively the functions of the position may substitute for the degree on a year for year basis.
This is a senior professional and/or management position that requires post-secondary education and/or considerable experience or a clinical degree requiring a clinical rotation/internship. Individuals must have applicable education and/or experience applying principles, concepts, and methodology of a professional or administrative occupation to permit the independent performance of recurring assignments or carrying out difficult/complex assignments, operations, and procedures; or applicable education and/or experience applying a wide range of technical methods, principles, and practices similar to a narrow area of a professional field such as the design and planning of difficult, but well-precedented projects.
PREFERRED EDUCATION REQUIREMENTS
Master's Degree
PREFERRED EXPERIENCE REQUIREMENTS
Six (6) years of progressively responsible experience (if master's level educated)
Eight (8) years of progressively responsible relevant experience (if bachelor's level educated)
The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.
Employment is contingent upon the outcome of all required criminal background checks.
Compliance with our Employee Health Procedure is a condition of employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required.