ADH Job - 31494334 | CareerArc
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Company: ADH
Location: Pikesville, MD
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech


RN Quality Improvement Manager
Primary Location: United States-MD-MDPikesville
Function: Quality

MENTOR Adult Day Health is seeking a Quality Improvement Manager to provide leadership and support to our management and staff in our adult day care programs. Join our mission-driven organization and help us make a difference in the lives of those we serve. Reporting directly to the Director, QI, the QI Manager leads our team, drives initiatives, and oversees all matters of Quality within the state to ensure services are delivered with the utmost quality and dignity for those we serve. This role will reside in Maryland and regular travel within the state to our nine programs is expected. This position requires a Registered Nurse (RN) degree. Description


Provide leadership and support for all matters related to Quality for an assigned state or region often covering multiple service lines and/or a large population of people receiving services and independent contractors.

Responsible for state-wide quality systems through the implementation of the Network, Operating Group, and state-specific quality improvement plans. Facilitate effective decision making and collaboration with state operations with regard to quality improvement and implementation of quality improvement measures. Promote and manage alignment with the Network, operating group, and state-specific quality improvement plans, risk management programs, and continuous quality improvement plans to meet and exceed service excellence. Support state operations initiatives in compliance with all applicable internal and external standards. Direct and manage assigned staff.


  • Continuous Quality Improvement
    • Quality Improvement:
      • Represent the state on the QI Network leadership team and participate in state staff meetings.
      • In partnership with the state leadership team and QI Director, develop state-specific continuous quality improvement plans.
    • System Analysis, Design and Improvement:
      • Provide quality assurance / improvement focused technical assistance and subject matter expertise with regard to process improvement initiatives.
    • Collaboration with Internal and External Partners:
      • Implement and maintain systems and processes for effective communication with state leadership team and QI staff to elicit feedback and disseminate information.
    • Education and Training:
      • Partner with Operations to identify training needs and to develop resources to meet those needs.
  • Performance Indicators and Outcomes
    • Data Systems and Analysis:
      • Verify current and accurate information in Network databases for the state.
    • Outcomes:
      • Analyze data and proactively identify opportunities for improvement.
      • Partner with state leadership and the state QI team to develop and implement strategies toward improvement.
  • Risk Management
    • Incident Management:
      • Oversee the implementation of the incident reporting system according to The Network's Incident Management Protocol.
      • Organize and manage monthly trended incident reporting system data to operations for their review and action.
      • Consult with operations to follow through on critical events and identify methods to improve safety and minimize risk to clients and employees.
    • Investigations:
      • Conduct complex and higher-level internal investigations.
      • Conduct and/or review internal investigations for incidents involving alleged abuse and/or neglect.
      • Implement the Network Incident Management Protocol and Mortality Review Protocol in addition to Operating Group requirements.
    • Diligence Integration:
      • Actively participate in Merger and Acquisition diligence assessments and evaluation of prospective acquisitions.
  • Compliance
    • Compliance with Internal and External Standards:
      • Develop and oversee quality and compliance monitoring systems to measure the state’s compliance with Network standards, contractual obligations, state and federal regulations and accreditation standards.
      • Support operations to develop corrective action plans in response to adverse actions that require the Network Notification Protocol and verify implementation of those plans.
    • Network Performance Audits:
      • Complete Network Audits
    • Policy/Procedure:
      • Work with State leadership team to develop policies in compliance with local regulatory standards and consistent with Network policies and protocols.
    • Education and Training:
      • Provide technical assistance and direction in the development of corrective action plans for adverse actions per Network Notification Protocol and for other issues of noncompliance.
  • Customer Engagement
    • Customer Engagement:
      • Collaborate with Operations leadership to determine and implement local customer engagement activities.
    • Survey:
      • Collaborate with state leadership and QI Director to design the strategy for completing the survey process in the state.
      • Partner with state leadership and operations to develop improvement plans in response to customer engagement survey results.

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