The Manager of Performance Improvement will support the organizations medical staff peer review function in compliance with New York State Codes, Rules and Regulations, Joint Commission Standards, CMS Conditions of Participation and the Medical Staff Bylaws and is responsible for implementing all aspects of the program throughout the organization. The Manager of Performance Improvement supports and facilitates Performance Improvement, Peer Review Committees and Quality Teams, is responsible for quality education, team building, and data analysis, review and presentation, and promotes and contributes to the quality of care administered to patients. The Manager of Performance Improvement demonstrates experience in patient care evaluation methodologies and regulatory agency requirements, develops criteria and utilizes data analysis techniques and applications, is responsible for the collection and analysis of quality indicators, and performs occurrence screening of data for specific hospital departments and physician specialties. They also fulfill the role of educator and researcher based on focal priorities and is able to identify trends, as well as quality improvement opportunities. This position requires coordination and confidential communication of critical thinking skills as it pertains to various, selected quality reviews.
Applicants must have a Master’s degree in Business Administration, Public Health, Healthcare Administration or in a Healthcare/Engineering related field and the equivalent of three years of full-time experience in performance/quality improvement activities relating to the healthcare environment, including three years of experience managing organizational compliance to healthcare regulatory and accreditation standards in an acute hospital setting; or a Bachelor’s degree in Business Administration, Public Health, Healthcare Administration or in a Healthcare/Engineering related field and the equivalent of five years of full-time experience in performance/quality improvement activities relating to the healthcare environment, with three years of experience managing organizational compliance to healthcare regulatory and accreditation standards in an acute hospital setting. The preferred candidate will have a Master's Degree in Business Administration or a Healthcare/Engineering related field, will be a Certified Professional in Healthcare Quality (CPHQ), and will have experience in a self-directed or management role and in interacting closely with clinical providers. They will also have knowledge and demonstrated ability to apply current concepts of quality improvement, will have computer proficiency in EHR and in use of tools for data management and analytics, will have experience in medical staff peer review process and in an oncology setting, and will have three years of experience in performance/quality improvement activities relating to the healthcare environment. They will have excellent communication and facilitation skills, will have analytical and strategic thinking skills, and will be resilient. They will have strong innovation and creativity skills when it comes to problem solving and will have the ability to build collaborative relationships.
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