Associate Director, Quality Assurance (Prof. Standards Review)
: Job Details :

About NYC Health + Hospitals

NYC Health + Hospitals/Jacobi is a 457-bed teaching hospital affiliated with the Albert Einstein College of Medicine. The facility has earned numerous Center of Excellence designations, accreditation, and recognition for its renowned Level 1 Trauma Center, Burn Center, Surgical Intensive Care Unit, regional Stroke Center, Snakebite Treatment Center, Breast Health Center, Bariatric Surgery Center, and Cancer Service. The facility also offers the region's only multi-person hyperbaric chamber, allowing up to nine patients to dive together at one time. Jacobi's Ambulatory Care Pavilion is a stunning complement to its inpatient acute care, allowing staff to provide patients with high-quality service in a modern, state-of-the-art environment.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Check us out online:

www.nychealthandhospitals.org

careers.nychhc.org

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Job DescriptionTo abstract and analyze patient medical records and other sources of data for the purpose of Quality Assurance and Performance Improvement, and to provide support for the Quality Management team and entire Quality department in an effort to advance high-quality, equitable care provided to patients and workflow for all employees.

Unit Specific:

Performs primary data abstraction duties for Core Measures and registries and ensures high levels of abstraction accuracy for assigned work via validation activities for both Jacobi and North Central Bronx.

Demonstrates strong communication, documentation, organizing and planning skills to ensure strong leadership of multiple accounts concurrently.

Performs Ad hoc or special project data abstraction, entry and analysis in order to support the Quality Assurance Program.

Performs data analysis and provides visual aids, and graphical representations of data as well as recommendations and support to help clinical and other departments improve care.

Assists in Data Submission to CMS, Joint Commission, Department of Health, and various quality programs.

Pivots to the evolving responsibilities/needs of the Quality department.

Familiarity with medical records, billing/documentation practices, and standard healthcare quality concepts.

Reviews Patient Files for any quality of care concerns or documentation incongruencies, and follow up with clinical areas for appropriate remediation.

Supports the Director of Quality Management and the Chief Quality Officer in the implementation of various performance improvement/quality/risk/regulatory/patient safety initiatives, for the betterment of patient care and alignment with the system-wide priorities. This may include facilitating groups through evidence-based quality improvement activities using proven QI methodology and tools such as Fishbone Diagrams, Pareto Charts, Decision Matrices, Stakeholder Assessments, and Root Cause Analysis. Performing project management, and at a minimum conduct meetings, compile action trackers, and monitor completion of deliverables.

General:

Makes improvements in the operations of the department, provides recommendations and implements approved changes, including revising procedures or devising new forms or methods to improve efficiency of workflow.

Works collaboratively and supportively with the Risk, Regulatory, Patient Safety, and Infection Prevention departments.

Minimum Qualifications

• Qualification for Central Office.

Qualification for Health Care Facility:1. a. A Baccalaureate Degree in Public Administration, Public Health or Health Care Specialization; and,b. Five* years or four# years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services; or,2. a. A Masters Degree in Public Administration, Public Health or Health Care Specialization; and,b. Four* years or three# years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.Department Preferences

• Licensed by NYS Office of the Professions in a health care profession (i.e RN, OT, PT, Radiology, Pharmacy). Experience in Quality, Performance Improvement, data analytics and/or hospital operations. Proficiency in Microsoft Office Suite including Excel, Visio and Access, Epic EHR, and electronic registries. Experience preferred in state and national quality registries including Get with the Guidelines Stroke/HF and Core Measures CPHQ, CPPS Certifications.
• Nationally recognized quality/safety certification such as CPHQ and/or CPPS preferred.
• Excellent interpersonal and communication skills.

How To Apply

If you wish to apply for this position, please apply online by clicking the Apply Now button.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs

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