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Director, Accreditation, Licensure &
Regulatory Affairs
Children's National Medical Center
Introduction:
Children’s National Medical Center is the
only exclusive provider of pediatric care in
the metropolitan Washington area. Components
of Children’s National include: Children’s
Hospital (283 beds, Cardiac ICU, Neuro ICU,
and Level I pediatric trauma center which
serves three states); Seven Regional
Outpatient Centers; and Children’s Research
Institute, a leader in translational, basic,
clinical, and community research programs.
Children’s National employs 5,500,
including almost 500 physicians. CNMC
continues to grow and expand, recently
opening a new, state of the art Patient
Tower. Children’s National is proudly
ranked consistently among the best pediatric
hospitals in America by US News & World
Report and the Leapfrog Group. Children’s
National Medical Center achieved Magnet
Designation from the American Nurses
Credentialing Center in 2010.
Job Description:
The Director reports to the Executive Vice
President of Patient Services/Chief Nursing
Officer, and is responsible for:
- Directing and planning Children’s
National’s accreditation and regulatory
operations to ensure compliance with
standards
- Supervise a Manager and will work
closely with The Joint Commission
Preparation Task Force
This is an excellent opportunity to join
a world-class children’s hospital that
continues to grow and invest in state of the
art technologies and services, and play an
integral part in the organization’s
continued success.
Required Qualifications:
The ideal candidate will possess at least
five years of experience in the coordination
of accreditation and regulatory activities.
Preferred Qualifications:
A nursing background would be highly
desired, but is not a requirement.
Education Qualifications:
Master's Degree is required.
Instructions for Resume Submission:
Please email resume to
hbanker@tylerandco.com, or call Hallie
Banker, Tyler & Company, 704-845-2227
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Emergency Department Case Manager
Holy Name Hospital
Introduction:
Holy Name Hospital is a 361-bed hospital in
the NY area, recognized for quality care and
clinical excellence, receiving numerous
awards including Magnet Recognition as well
as "Best Places to Work in NJ" by NJ Biz
magazine for the last 5 years.
Job Description:
- The Case Manager for the Emergency
Department will work every other
weekend.
- The case manager is responsible for
coordination, utilization review and/or
discharge planning intervention.
- The Case Manager will also be
responsible for maintaining an effective
level of communication/interaction with
insurance companies in order to document
"medical necessity".
- The Case Manager must be able to
react calmly to confrontation and deal
diplomatically with patients, visitors,
families, staff and physicians.
- Incumbents are encouraged to remain
current in their field by attending 10
hours of educational programs annually,
attending professional meetings such as
seminars as appropriate, and sharing
information with colleagues.
Required Qualifications:
- Bachelor's degree in health related
profession preferred.
- Licensed as Registered Nurse in the
state of New Jersey.
- Case Management Certification
optional.
- Knowledge of computers required.
- Working knowledge of Interqual. 1+
years experience as ED RN
Instructions for Resume Submission:
Please send your resume to: Email:
nursingcareers@holyname.org
Fax: 201-833-7031
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Clinical Program Manager in Nursing Quality
Improvement
Allen Thomas Associates, Inc.
Introduction
Clinical Program Manager
in Nursing Quality Improvement for an
organization in upper Manhattan, New
York.
This Hospital is one of
the premier teaching hospitals in the
United States. The nursing division has
magnet status recognition and they are
considered a world leader in many
clinical areas.
Job Description
The Clinical Program Manager
is responsible for development,
implementation, coordination, and evaluation
of clinical programs and assures compliance
with mandated clinical interventions.
Qualifications
A qualified individual for
this job should have a Nursing License, a
Baccalaureate Degree in Nursing and a
Master's Degree, both in Nursing, are
required. Two or more years experience in
quality management are necessary.
Contact
Anyone interested may
contact or email resume to:
Tom Benoit
President
Allen Thomas Associates, Inc.
Phone: (732) 219-5353 ex.17
Fax: (732) 219-5805
Email:
tom@allenthomas.com
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Nursing Quality Program Leader
Allen Thomas Associates, Inc.
Introduction
A large teaching Hospital on
the Upper east side of Manhattan has an
immediate opening for a
Nursing
Quality Program Leader.
Job Description
The Nursing Quality Program
Leader
-
will report to the
Director of Nursing, Quality Management
and Magnet Program.
-
support a vision of
nursing care excellence and assist with
the planning, development and management
of all plans related to the ANCC Magnet
recognition application process,
preparation, designation and
maintenance. Responsibilities include
implementation of a “relationship-based
care” philosophy throughout the
Department of Nursing and within the
existing interdisciplinary care
environment
-
support Quality
Management efforts for the Department as
they relate to Magnet goals/initiatives
and serve as a leader to provide
on-going education, training and support
to staff at all levels
This role will continue
beyond the initial recognition to support
ongoing care improvement initiatives and to
sustain Magnet recognition efforts at four
year intervals.
Qualifications
Ideal candidate must have:
-
A current NYS RN
license/registration,
-
Bachelor’s degree in
nursing,
-
3-5 years of related
quality management experience and
related certification required.
-
Master’s degree highly
preferred.
-
Previous experience or
understanding related to the Magnet®
Recognition application/designation
process highly desirable.
Contact
Anyone interested may
contact or email resume to:
Tom Benoit
President
Allen Thomas Associates, Inc.
Phone: (732) 219-5353 ex.17
Fax: (732) 219-5805
Email:
tom@allenthomas.com
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Quality Resource Coordinator
Clara Maass Medical Center
Introduction:
Located in Belleville, NJ,
hugging the borders of suburbia and city,
Clara Maass is a community hospital that
offers patients expert care in a
technology-rich environment, close to home.
Nicknamed "Hospital in The Park" because of
its close proximity to lovely Branch Brook
Park, site of the famous cherry blossom
festivals, Clara Maass Medical Center is a
445-bed facility serving primarily residents
of Essex, Hudson, and Bergen Counties.
Founded in 1868 as the
Newark German Hospital, Clara Maass is
staffed by more than 700 physicians and
2,000 employees delivering care to more than
19,000 residents each year. As the first
hospital in the United States to bear the
name of a nurse as its corporate identity,
Clara Maass Medical Center carries on a rich
tradition of health care. Clara Maass
centers and services include the Women’s
Health Center, Nuclear Medicine, The Cancer
Center at Clara Maass, Diagnostic Cardiac
Services including Cardiac Catheterization,
Emergency Angioplasty and Rehabilitation,
The Pain Management Center, The Joint &
Spine Institute, a Vascular Center, Same Day
Surgery, The Wound Center at Clara Maass,
The Center for Sleep Disorders, The
Bariatric Surgery Center, Rehabilitation
Services, Comprehensive Ophthalmology
Services, Maternity Services and Parent
Education, Pediatrics, a state-of-the-art
Emergency Department, Radiology services and
community outreach programs. The staff of
dedicated physicians, nurses, and health
care professionals is committed to providing
the highest quality of patient care services
and health education to the community and
the region.
Job Description:
-
Assumes responsibility
for concurrent and retrospective data
collection and analysis to identify
quality assessment and resource
management issues.
-
Assists in the gathering
data for the Performance Improvement
Program.
-
Identifies significant
trends and maintains appropriate
records.
-
Assists with Peer Review
and participation in project teams in
multidisciplinary assigned services to
meet Joint Commission, CMS, and DOH
Standards and compares with national
and/or peer benchmarks.
-
Acts as a liaison for
the Department of Quality/Standards/PI
and provides Administration and the
hospital-wide quality management program
with relevant trended and benchmark
data.
-
Responsible for core
measure abstractions and implementation
of standards.
Required Qualifications:
-
Graduate from an
accredited school of nursing. Additional
experience required based upon specific
department needs.
-
Current New Jersey RN
licensure required. BLS Healthcare
Provider.
-
A minimum of 3 years of
acute care RN experience required,
performance improvement/Quality
experience preferred.
Instructions for Resume
Submission:
To apply for this position,
please go to:
http://www.sbhcscareers.com/
Job posting #19656.
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Manager of Prior Authorization
(Philadelphia)
Bravo Health
Introduction
Bravo Health, one of the
fastest growing managed care
organizations in the US, is a premier
provider of Medicare Advantage plans,
dedicated to offering senior citizens
access to high quality, cost-effective
health care. Founded in 1996, Bravo
Health provides health care plans to
more than 300,000 members, in MD, DC,
DE, NJ & PA as well as Part D
Prescription Drug Plans in 43 states.
As a leading health
services company, our mission is to
create extraordinary value for our
customers. Through our commitment to
service and quality, we continually
strive to be the preferred health care
choice in each of the communities we
serve. As a result of our continued
success, we currently have an
opportunity available for a Manager of
Prior Authorization.
Job Description
This position provides
oversight for the Prior Authorization
department (PA) to ensure adherence to
appropriate medical criteria.
DUTIES AND
RESPONSIBILITIES:
-
Manage the day to
day activities of the PA staff to
provide efficient and accurate
workflows;
-
Responsible for
meeting/exceeding service level
goals
-
Responsible for
associate satisfaction;
-
Direct team members
as to quality, work flow, customer
service and production factors;
-
Build strong
teamwork environment;
-
Maintain low
associate turnover rate;
-
Ensure all
pre-authorization and requests are
reviewed for medical appropriateness
by using established clinical
protocols to determine the medical
necessity of the request when
appropriate;
-
Monitors PA
performance metrics;
-
Provides daily
feedback to PA specialist;
-
Recommends policies,
procedures, and operational changes
to optimize PA functions Assist in
resolution of provider and member
issues, and maintaining
communication between vendors,
providers, members, and corporate
staff;
-
Responsible for
training, coaching, and career
development of associates;
-
Develop training
functions to ensure staff have
current training;
-
Provides updated job
aides and tools to ensure PA
performance is consistent with
organizational expectations;
Required Qualifications
-
Previous managed
health care experience and at least
three years’ supervisory/management
experience.
-
Registered Nurse
(RN) with active PA license required
Experience with ACD call-tracking
and performance monitoring required.
-
Effective oral and
written communication skills are
necessary
-
Strong
organizational and time management
skills
-
Knowledge of
Microsoft Office
Contact Name:
Valerie Bender
Bravo Health
valerie.bender@bravohealth.com
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Coordinator- Quality Assurance
Atlantic Health
Job Description
This position will:
-
Assists with the
coordination of hospital performance
improvement activities.Serves as a
liaison and coordinator of HQSI
improvement initiatives and other
regulatory agencies.
-
Facilitates
initiatives to improve patient
safety.Performs audits and medical
record reviews.Assists with
coordination of joint Commission
continuous compliance activities.
Required Qualifications
-
Current NJ RN
license is required.
-
BS required, MS
preferred.
-
A minimum of 3 years
of acute care RN experience
required, performance improvement
experience preferred.
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Manager - Quality Assurance
Atlantic Health
Job Description
This position will:
-
Lead/support Joint
Commission continuous readiness
activities for inpatient and
outpatient areas.
-
Abstracts/submits
data and coordinates analysis and
related performance improvement
activities for assigned HQA
indicators.
-
Leads and/or
facilitates teams to address NPSG
requirements and analyze patient
safety concerns and
develop/implement related
improvement activities.
Shift available: days.
Required Qualifications
-
Current NJ RN
license. BS required, Master's
degree preferred.
-
At least 5 years of
acute care experience is required.
-
3 years of
management experience is required.
-
5 years experience
with Joint Commission readiness and
survey experience.
Contact
Learn more by visiting
our website at:
www.atlantichealth.org
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Performance Improvement Advisor
Hackensack University Medical Center
Job Description
The PI Advisor will:
-
Participate in the
development and successful
deployment of the Service Line and
Departmental Performance Improvement
plans based on organizational
priorities that support and align
with the Medical Center’s strategic
plan, mission, vision and goals.
Oversees the development,
deployment, evaluation of
performance design and improvement
cycles.
-
Demonstrate use of
appropriate methodologies and
relevant tools to evidence rapid
cycle improvement (i.e. PDSA, FMEA,
reliability theory, bundle science,
RCA, Process Flows.
-
Utilize appropriate
analytical tools and statistical
process control to evaluate results.
-
Ensures that there
is effective analysis of performance
data with comparison over time and
comparisons to internal and external
benchmarks to identify improvement
opportunities.
Required Qualifications
Requirement so of the
successful candidate:
-
Excellent written
and oral communication skills.
Strong presentation and facilitation
skills.
-
5 years of clinical
experience in an acute care
hospital.
-
Recent, 3 to 5 yrs.,
experience in Quality or Performance
Improvement measurement and
statistics.
-
Bachelor of Science
in Nursing or Health Care
Administration. Experience in the
use of computer applications and
software.
-
Understanding of
regulatory standards. NJ RN License
Preferred Qualifications
-
Master Degree in
Nursing, Business or Health Care
Administration.
-
Previous Management
experience. Lean or Six Sigma
certified.
Contact
Catherine Abbott RN, MSN
Hackensack University Medical Center
cabbott@humed.com
Phone 201-996-2697
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