A Quality Improvement Manager works mainly in the medical domain and undertakes the responsibility for improving medical care provided to patients through various methods. Some of the core duties related to the post are listed on the Quality Improvement Manager Resume as – collecting relevant data, identifying and addressing issues, interviewing employees, observing how patient care can be provided and improved; recommending solutions for improved care, and executing plans to improve performance and productivity.
A well-written resume indicates the following skills and abilities – knowledge of healthcare issues and medical terminologies, problem-solving attitude, attention to detail, leadership traits, working knowledge of quality management, PI, risk management, and joint commission standards; solid analytical skills, and excellent communication skills. A degree in a relevant field is commonplace among job applicants. Training in a field like nursing, or healthcare administration, or public health is required.
Summary : Consulting with appropriate hospital teams to identify and resolve compliance issues and facilitate program participation progress and optimization of program and product value and return on investment.
Skills : Quality Improvement, Performancement Management, Project Planning, Outcomes Management, Community Outreach, Model For Improvement, Public Health Education.
Description :
Coordinated the agency's quality improvement model.
Established and facilitated quality improvement teams for each program, ensuring data review and integration of improvement strategies.
Fostered staff participation in quality improvement activities.
Organized and led work groups to carry out quality assurance functions.
Produced user-friendly reports on incidents, peer review of medical records, and grievances.
Assured consumer, stakeholder and staff participation through periodic surveys.
Ensured annual evaluation of the agency's plan.
Experience
10+ Years
Level
Senior
Education
B.A. In Sociology
Quality Improvement Manager Resume
Objective : Accomplished Quality Improvement Manager in the automotive industry as a Tier I supplier for Ford, Chrysler, GM, Toyota, NAPA, AutoZone, O'Reilly, Car Quest and other. Experience working on different projects implementing Lean-Manufacturing principles. Versatile results oriented with excellent knowledge in implementation of tool like APQP, PPAP, FMEA, MSA, Control Plan, RPN reduction, SPC, Pareto analysis, 8D, 5why, 7-step, and QOS.
Skills : MS Office, Planning SKills.
Description :
Led company's efforts in reinstating the Ford Q1 certification and have graduated the company from DCx Supplier Improvement Process (SIP) by attaining OEM quality standards.
Championed the Advance Product Quality Planning (APQP) process for the $3.2 million Ford Duratec35 project, Condor/GT project, New Viper project, NorthStar project and other including the reviewing and approving of PPAP documentation.
Led the company's efforts in reducing its annual scrap rate.
Supported program leadership in ensuring compliance and readiness for licensure and Medicaid audits at all times.
Researched and provided resources for rules and standards.
Responsible for implementing and leading hospital highly reliable organization (HRO) program.
Responsible for 20% improvement of the hospital Core Measures program, brought the hospital to the Top 10% nationally for Core Measures.
Experience
2-5 Years
Level
Executive
Education
MS
Quality Improvement Manager Resume
Headline : Evaluating quality and safety improvement initiatives ensuring alignment with regulatory standards and healthcare best practices, and also Assisting in coordination and evaluation of educational programs and activities to improve quality and patient safety.
Skills : PowerPoint, Publisher, Workday, Basecamp, Go To Meeting, Excel.
Description :
Improved in all aspects of quality including taking cost of quality from .8 percent to .08% for two consecutive years Improving PPM to under 200 for one consecutive year.
Improved OTD from 92% to 99.5% for two consecutive years.
Improved customer relations with all customers.
Supported two highly successful Kaizen events.
Worked with top 20 customers to build relationships and work on long term contracts.
Improved systems in regards to profitability, production numbers, maintenance, safety, scrap and customer satisfaction.
Improved on-time delivery performance from 50% OTD to over 98% in 90 days.
Experience
5-7 Years
Level
Executive
Education
MS
Quality Improvement Manager Resume
Objective : Interesting in pursuing an employment opportunity to promote quality patient care by reviewing medical records for evidence of medical appropriateness, the appropriate level of care, and evidence of quality patient care outcomes that are based on established nursing standards and procedures.
Skills : Bilingual/Spanish, Planning Skills.
Description :
Responsible for the ongoing performance improvement, patient satisfaction, and patient safety activities for a 60-bed cardiac specialty acute care hospital.
Responsible to direct the overall development, implementation, and integration of the Performance Improvement, Quality Improvement, Infection Control, and Patient Safety Programs.
Participated in patient quality initiatives to maintain and improve care to patients, ensuring collection and submission of quality data to various corporate departments and regulatory agencies (including all cardiac and cardiovascular registries), ensuring hospital readiness for regulatory inspections by the Joint Commission, CMS, CDPH and others, and coordinating the collection of peer review data for medical staff.
Responsible for leading all Root Cause Analysis (RCA) activities and reporting.
Planned department operations, program priorities, and budgeting, as well as maintaining appropriate training, supervision, and levels of staffing.
Responsible for compliance with all JCAHO and regulatory agencies, both Federal and State, reporting requirements.
Developed a Network mortality review program.
Experience
2-5 Years
Level
Executive
Education
MS
Quality Improvement Manager Resume
Objective : Entrepreneurial, MBA-educated Quality Improvement Manager professional with extensive experience developing, implementing, monitoring, and evaluating non-profit and human services programs. Proven leadership in quality improvement and performance management resulting in obtained or renewed funding, national certifications, and accreditations.
Implemented and defined a utilization review and utilization management system for the Community Umbrella Agency (CUA) and its subcontractors.
Evaluated case management and subcontracted services for compliance with accreditation and/or certification standards.
Developed and established systems for data collection, analysis, and reporting.
Ensured continuous quality improvement plans were in effect and actively engaged and evaluated annually.
Prepared and monitored corrective action plans developed internally and externally.
Provided oversight of development and implementation of an electronic system in its use in utilization management.
Monitored and conducted service complaint investigations and retrospective case reviews as needed.
Experience
2-5 Years
Level
Executive
Education
Diploma
Quality Improvement Manager Resume
Objective : Currently seeking a full-time Quality Improvement Manager position in quality management, research program evaluation, project management, and healthcare administration. Also seeking remote & home-based consultancies.
Skills : Compliance 360, Supervising Skills.
Description :
Developed and led multiple quality improvement projects and outcome studies, generating improved processes and clinician practice.
Developed annual QI Plan; completed ongoing quarterly, semiannual, and annual QI reports and evaluations.
Led multi-team collaboration to achieve and maintain compliance with AAAHC accreditation.
Developed projects to improve HEDIS clinical measures, resulting in improved healthcare performance.
Developed and monitored infection control and risk management plans and compliance.
Resolved grievances and appeals, resulting in increased member satisfaction and improved processes.
Oversaw data analysis to track and trend indicators, identifying areas to improve performance.
Experience
2-5 Years
Level
Executive
Education
Diploma
Quality Improvement Manager Resume
Summary : Goal-directed, results-oriented team player Strong analytical skills, capable of assessing situations and implementing appropriate intervention Self-motivated with high energy, initiative, and focus Excellent communication skills, persuasive and adaptable.
Skills : Talent Acquisition, Training, and Development.
Description :
Investigated Level II incidents major incident occurrences, reports findings, and recommends corrective action plans as appropriate.
Assisted the Director in developing global QA strategies to meet the wide-ranging compliance, validation, and quality control demands.
Utilized knowledge of HEDIS requirements to implement clinical performance methods across the Plan.
Monitored and ensured that high-risk quality of care concerns/occurrences is promptly processed.
Oversaw the preparation, compilation, reviews of monthly and quarterly reports for quality committee meetings.
Knowledged of trends and developments in Medicare Advantage and FIDA workflow.
Participated in workgroup and ad hoc projects related to quality reviews, audits including FIDA.
Experience
10+ Years
Level
Senior
Education
MS
Quality Improvement Manager Resume
Summary : Proven expertise identifying, clarifying, and resolving complex strategic and operating issues within healthcare industries; versed in attaining Joint Commission, Magnet, NCQA, and CMS regulatory compliance, constructing analytical frameworks and incremental project management steps for program development and business growth.
Created and implemented new training and incentive pilot programs to raise Nationwide HEDIS (Healthcare Effectiveness Data and Information Set) scores.
Raised the HEDIS score Nationwide by 50% within 8 months of implementing the program resulting in increased revenue of over $100 million.
Operated as the liaison between the Centene Clinical Team and the interdepartmental Directors and Vice-Presidents.
Analyzed and presented relevant data to transform day-to-day operations within the company.
Let the company from being nationally ranked in the 25th percentile to over the 70th percentile in less than one year.
Employeed of the month two times.
Promoted two times in less than two years.
Experience
7-10 Years
Level
Management
Education
BS
Quality Improvement Manager Resume
Headline : Accomplished quality assurance engineer and analyst seeking to leverage extensive background in performance management and quality improvement projects which include supervision, procedures, training, planning, and supplier control quality programs. Extremely motivated for career change goal and eager to contribute as a Quality Assurance Specialist.
Skills : Microsoft Office Suite, Trainer In Quality Assurance Tools, Developing Quality Control Plans.
Description :
Responsible for a three-member team that consisted of two quality analysts and one quality specialist who were all responsible for quality improvement initiatives for the health care system of the State of Georgia.
Involved working with the quality director and other office directors that were responsible for a six region provider network in the State.
Reviewed and analyzed performance data from around the State that showed provider care metrics and highlighted key performance indicators.
Involved, meetings, webinars, off-sight symposiums, and coordinating and holding weekly team meetings for planning and action items.
Responsible for the direct report to the quality improvement director for project planning, team updates, teamwork schedules, and assignment, and working with other office directors as a support team member.
Served involved on the behavioral health side of the DBHDD are Addictive Disease Services, Adult Mental Health Services, Performance Monitoring Office and Crisis Management.
Reviewed included key performance indicators (KPI's), direct data for the providers that scored on billing, the health of the customer, compliance, interviews of staff and clients, and treatment planning.
Experience
5-7 Years
Level
Executive
Education
BA
Quality Improvement Manager Resume
Objective : To add value to an organization in a Quality Management System Project Management role. Experience Master's in Health Policy and Administration, 10+ years in leading projects, facilitating cross-functional teams, relationship building, and change management. Lean Six Sigma Black Belt.
Responsible for the quality/performance improvement of a Federally Qualified Health Center.
Lead and completed project to achieve stage 1 of Meaningful Use for 45 medical providers and 10 dentists.
Lead and completed project to achieve Level 3 Patient-Centered Medical Home for 6 primary care clinics.
National Award for Quality Improvement: Improved Cervical Cancer screening rate from 34% to 58% in 9 months Improved smoking cessation education from 9% to 79% in one year.
Lead project to improve performance in the health records and referrals departments using Lean tools.
Reviewed and looked for quality improvements in the following area: Rights of the person, Choice for the person, involvement in the community, Safety of the person and Person-centered practices that lead to an outcome of recovery and independence.
Revised the Peer Chart Review process to increase efficiency while proactively addressing issues and increasing accountability.
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