Quality Manager

Richmond Medical Center • Staten Island, NY

1d • $115,000 - $130,000

About The Position

The Quality Manager will be responsible for utilizing Meditech EHR to improve quality processes and outcomes for the HQI demonstration project, The Joint Commission, CMS Core Measures, Value-Based Purchasing, and Partnership for Patients. They will support the Ambulatory Care Performance Improvement program. They will participate in the patient satisfaction program and facilitate the resolution of complaints and concerns, including written responses. They will undertake quality initiatives, audits, risk reduction initiatives in support of the Annual Quality, Risk and Safety Plan. They will play an integral role in Pay-for-Performance initiatives including Q-Hip, United Health Care, Fidelis, etc. They will coordinate with case managers, physicians, nurses, social workers and other health team members to expedite medically appropriate cost-effective care, reduce denials and manage LOS. They will work to ensure that quality improvement and innovation work remains focused on the following goals: patient-centeredness, staff vitality, process efficiency and waste reduction, and safe and reliable patient care. They will assure application of a tracking method to monitor progress towards goals by collecting accurate, timely data to display the quality, cost, and service outcomes.

Requirements

• RN Bachelors required.
• Prior management or project management skills are required.
• Quality and Utilization Review ex
• Knowledge of information systems and process improvement techniques is also required.
• Data management and analysis expertise is essential, specifically Excel.
• Ability to effectively manage conflict resolution in all situations, excellent written and oral communication skills.

Nice To Haves

• Preferred experience in a clinical discipline for 10 years.

Responsibilities

• Utilizing Meditech EHR to improve quality processes and outcomes for the HQI demonstration project, The Joint Commission, CMS Core Measures, Value-Based Purchasing, and Partnership for Patients.
• Support the Ambulatory Care Performance Improvement program.
• Participate in the patient satisfaction program and facilitate the resolution of complaints and concerns, including written responses.
• Undertake quality initiatives, audits, risk reduction initiatives in support of the Annual Quality, Risk and Safety Plan.
• Play an integral role in Pay-for-Performance initiatives including Q-Hip, United Health Care, Fidelis, etc.
• Coordinate with case managers, physicians, nurses, social workers and other health team members to expedite medically appropriate cost-effective care, reduce denials and manage LOS.
• Ensure that quality improvement and innovation work remains focused on the following goals: patient-centeredness, staff vitality, process efficiency and waste reduction, and safe and reliable patient care.
• Assure application of a tracking method to monitor progress towards goals by collecting accurate, timely data to display the quality, cost, and service outcomes.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees