Job Posting Title:

Associate Director, Clinical Quality, UT Health Austin

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Hiring Department:

Dell Medical School

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Position Open To:

All Applicants

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Weekly Scheduled Hours:

40

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FLSA Status:

Exempt

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Earliest Start Date:

Nov 15, 2024

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Position Duration:

Expected to Continue

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Location:

UT MAIN CAMPUS

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Job Details:

Purpose

The Associate Director, Clinical Quality will be a leader in the development and implementation of UT Health Austin's clinical quality and patient safety programs.

ResponsibilitiesClinical Quality

Develop a conceptual framework for quality measurement and improvement activities across the clinical enterprise. Perform gap analysis that will inform the strategic direction of the quality program.

Together with administrative and faculty leadership, build and lead a clinical quality team, providing supervision and mentorship.

Prepare reports, develop and deliver presentation with appropriate visualizations and data analysis. Develop clinical quality activities that include measurement, data analysis, and reporting.

Support UTHA clinical quality structure, including Clinical Quality Committee and other subcommittees. Utilize change management principles to guide successful implementation of clinical quality initiatives. Identify trends, prioritize and recommend improvements.

Implement Tracers with AMP for accreditation readiness and operational excellence. Ensure processes are in place to provide oversight and surveillance for the safe provision of high quality, patient-focused, outcomes-based clinical care.

Patient Safety

Review all patient safety events, oversee follow-up and analysis as indicated, and close out reports. Conduct root cause analysis as indicated.

Communicate with stakeholders as indicated.

Manage and refine Symplr Safety system.

Collaboration

Work collaboratively with the Policy Coordinator to identify needed policies. Work collaboratively with the Staff Development team when staff education needs are identified to develop, implement, and participate in training.

Participate in clinical and departmental committees and group meetings with a focus improving quality and maintaining regulatory compliance.

Work closely with the Patient Experience Coordinator for service recovery and event mitigation. Participate in operational process improvement activities.

Perform other related duties as assigned.

Required Qualifications

Bachelor of Science in Nursing, with at least ten years of clinical nursing experience and at least three years of experience in healthcare quality. Active Texas nursing license. Solid knowledge of federal and state healthcare regulation and policy, national accrediting standards, and quality improvement methodologies. Demonstrated ability to communicate effectively with a variety of other health care professionals and leaders. Possess strong quantitative and qualitative analytical and critical thinking skills, with ability to synthesize information from many sources to develop recommendations. Record of leadership, team building, project management, and collaboration. Ability to effectively facilitate and lead working groups and training sessions. Act as the primary support contact for quality dashboard and report development. Identify issues that arise in their application area as well as issues that impact other application teams and work to resolve them. Guide workflow design, testing systems and analyzing other technical issues. Develop an understanding of operational needs to set the direction for the organization’s process and quality improvement. Troubleshoot problems and questions with leaders, staff, and providers. Review the status of projects and issues on an ongoing basis with leadership. Effective us of QI and project management tools to manage analytics projects. If not currently certified, CPHQ certification coursework must be started with one year of employment.

Relevant education and experience may be substituted as appropriate.

Preferred Qualifications

Master of Science in Nursing (MSN) or other advanced clinical degree. Certified Professional in Healthcare Quality (CPHQ).

Salary Range

$110,000+ depending on qualifications

Working Conditions

May work around standard office conditions.

Repetitive use of a keyboard at a workstation

Required Materials

Resume/CV

3 work references with their contact information; at least one reference should be from a supervisor

Letter of interest

Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded.  Once your job application has been submitted, you cannot make changes.

Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

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Employment Eligibility:

Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.

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Retirement Plan Eligibility:

The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.

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Background Checks:

A criminal history background check will be required for finalist(s) under consideration for this position.

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Equal Opportunity Employer:

The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.

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Pay Transparency:

The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

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Employment Eligibility Verification:

If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form.  You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States.  Documents need to be presented no later than the third day of employment.  Failure to do so will result in loss of employment at the university.

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E-Verify:

The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university’s company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:

E-Verify Poster (English) [PDF]E-Verify Poster (Spanish) [PDF]Right To Work Poster (English) [PDF]Right To Work Poster (Spanish) [PDF]

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Compliance:

Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.

The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.