Quality Nurse - Fallon Health Weinberg

Fallon Health•Town of Amherst, NY

About The Position

Is responsible for oversight of quality activities of the Fallon Health Weinberg PACE Program. Provides clinical expertise and technical support for quality initiatives. Reviews the PACE program adherence to CMS and New York State regulations and works to optimize quality of care within the PACE program

Requirements

Degree in nursing, Bachelor of Science in Nursing preferred
RN Licensed in NY State
Minimum of 3 years related experience in a healthcare setting preferably with older adult population.
Competence in medical record review and data extraction.
Strong project management, interpersonal, analytical and communications skills.
Ability to multi-task and lead performance improvement teams.

Nice To Haves

Experience with regulatory readiness or quality improvement preferred.

Responsibilities

In collaboration with the Medical Director and the PACE Program Director, develops and implements the annual Quality Improvement Program.
Schedules and coordinates quality committee meetings and subcommittee meetings, prepares meeting agendas; records meeting minutes; development, implementation, and updating of individual initiative work plans.
Coordinates collection of data, analysis and reporting of clinical quality projects and quality initiatives.
Participates in CMS PACE audit and is prepared to provide information related compliance oversight and quality improvement programs. Maintains necessary documentation.
Oversees the PACE program’s infection control program.
Monitors and maintains databases as listed in the FHW quality work plan, annual and monthly satisfaction surveys, grievances, incident reports and active infection reports.
In collaboration with the PACE Director and Medical Director, ensures compliance with all regulatory and contractual requirements of CMS and NYS.
Responsible for the annual New York State performance improvement plan (NYS PIP).
Responsible for HPMS quarterly reporting, NYSDOH data submission, and root cause analysis reports through HPMS.
Responsible for Quality data quarterly report to FHW Board of Directors and corporate performance line presentations.
FHW Safety committee member.
Other duties as necessary