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New Bridge Medical Center
Manages and implements the quality management program. Leads and directs all clinical and administrative quality management activities for the organization, including accreditation and regulatory compliance, patient safety and performance improvement.
Able to abstract and submit core measures data to TJC and CMS; supervise data abstractors.
Coordinates performance improvement activities throughout the organization.
Coordinates accreditation and regulatory surveys (TJC, DOH, etc.).
Conducts tracer activates to ensure ongoing survey readiness.
Works with and motivates staff, physicians and leadership to participate in performance improvement activities.
Collaborates with all disciplines/departments (including Risk Management and Infection Prevention) in the organization to obtain the highest level of patient outcomes.
Coordinates policy process within the organization to ensure policies are updated appropriately and new policies are written as needed.
Educates all members of the organization, including physicians and senior leaders on performance improvement tools and processes.
Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectations
Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental, and infection control standards. Assesses gaps in policies and procedures, and create necessary policies and procedures to fulfill these gaps.
Understands and adheres to the Medical Center’s Code of Conduct.
Familiar with the Medical Center’s Mission, Vision, and Values Statements.
3-5 years of proven experience as a quality manager in a hospital setting.
Strong knowledge of regulatory and accrediting agencies (NJ DOH, TJC, CMS, OSHA) standards.
Strong computer skill, including knowledge of statistical software such as Minitab and/or SPSS.
Must have strong medical chart review skills.
Strong verbal, written communication and presentation skills, must be an organized self-starter as
well as a team player.
Talent for leading and facilitating group and team meetings.
Ability to maintain a calm, professional demeanor under pressure.
Comfort in handling challenging situations that may involve adverse outcomes.
Master degree in healthcare related field a plus.
Certified Professional in Healthcare Quality (CPHQ) certification a plus.
Lean and/or Six Sigma Certification a plus.
BSN, with current RN licensure in state of New Jersey required.
Commensurate with experience and negotiable.
Instructions for Resume Submission:
Go to New Bridge Medical Center Web Site/Job Postings:
It’s Time For A Change…
Your Future Evolves Here
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? Absolutely—56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
Who you will be working with:
Dedicated to a local market, the Quality Improvement Manager plays a key role with partner leadership in creating infrastructure required for accountability, quality improvement, and strategies for raising performance on national measures of population health management. The QI Manager operates under the direction of the Senior Director of Market Operations with guidance from the Market Medical Director, and Evolent National Support Model leads. The QI Manager drives quality and value based care initiatives across regional primary care practices in an Accountable Care Organization. This role will be aligned to the Central Clinical Network and Performance team by participating in a large cohort of Population Health Manager’s and Quality Leads across the country to share, operationalize, and scale best practices across markets.
What you will be doing:
The Quality Improvement (QI) Manager is responsible for (1) overseeing the execution management of quality improvement programs that meet CMS requirements; and (2) building relationships with physician practices to support physician engagement, clinical practice transformation and ensure Triple Aim achievement by conducting the key functions below:
Plays a critical role in performance improvement through the delivery and management of physician reports, providing feedback and education, and guiding actionable initiatives from data both as an individual contributor and through education of key market team members
Integrate care management, risk adjustment, annual wellness visit and quality initiatives into practice and assist with program engagement
Lead the transition of innovative ideas from pilot to implementation and share best practices across all markets
Co-facilitate and or lead practice manager forums/meetings related to value based care initiatives
Develop operational plans with direction from Market & Central leadership to successfully complete annual reporting requirements
Quality Improvement Program
Manage the implementation and successful completion of the ACO’s quality improvement program
Identify and prioritize key quality and utilization initiatives critical to client success under its performance based payment programs (e.g., achieving target thresholds for ACO Medicare Shared Savings Program, pay-for-performance contracts with national payers, etc.)
Support care gap closure through physician practices, nurse care manager/pharmacist interactions, and patient communications and education
Prepare and present reports and updates for internal and external client committees (e.g., ACO Quality Committee)
Population Health Management
Assist with network performance strategy, including, specialty referral strategies, co-management agreements, physician governance and infrastructure (PODs) and access initiatives
Total medical expense and cost savings initiative support
Strong relationship building by identifying influential physician leaders and leveraging practice relationships to engage, implement, and sustain Evolent programs
Provide EMR, Identifi Practice, and other technology training in the practice
Facilitate physician/practice education, managing execution of market based initiatives
The Experience You Need (Required):
Bachelor’s Degree or equivalent work experience
5+ years of health care management experience with strong understanding of performance measurement and improvement processes
Preparing and analyzing quality data (ACO, payer, HEDIS, and CAHPS data)
A valid Driver’s License and ability to travel locally/regionally up to 80% of the work day
Proficiency with Microsoft Office applications and data management reporting
Excellent written and oral presentation skills, with the ability to engage, inspire, build credibility and trust
Highly organized and self-motivated individual with ability to adapt to various work spaces and work autonomously
Collaborative working style with the ability to work across different teams, areas of expertise, and adapt to ambiguous environments and clientele
Hypothesis driven to identify trends, predict issues, highlight critical areas, and develop corrective action plans
Finishing Touches (Preferred):
Masters in health-related field
Leadership experience in practice management, provider relations, and project management
3 years+ experience in practice re-design work including Patient Centered Medical Home and Practice Transformation
Medicare Group Practice Reporting Option Web Interface (GPRO WI) or year-end ACO quality reporting
IPA and/or health plan experience with a provider perspective and strong orientation to value-based care principles and the health policy landscape
Instructions for Resume Submission:
Please apply online at https://www.evolenthealth.com/careers/opportunity/o4jd6fwq
Atlantic Health System
Atlantic Health System, headquartered in Morristown, New Jersey and one of the leading non-profit health care systems in the state, is committed to creating a Trusted Network of Caring®. Our promise to our communities is that all who enter our system receive the highest quality care delivered at the right time, at the right place, and at the right cost.
Assists with the coordination of hospital performance improvement activities Facilitates and assists with performance improvement projects for teams and departments. Provides education and guidance to teams and departments regarding performance improvement techniques and assists with application. Assists with data collection and presentation for teams and departments. Utilizes computer programs and databases to support performance improvement projects, teams and departments
Conducts audits and chart reviews for organizations or projects as indicated. Assists the Managers and Director of Quality and Patient Safety in ensuring compliance with standards related to PI and quality for TJC, NJDHSS, NDNQI, CMS and other agencies.
Actively supports and facilitates initiatives to improve patient safety. Identifies potential patient safety risks and coordinates related improvement activities.
Performs audits and medical record reviews. Collects, analyzes and reports on data collected from audits and chart reviews to appropriate committees, individuals or regulatory bodies in a timely manner. Reviews, aggregates, displays and analyzes data and reports submitted by departments and teams.
Assists with coordination of TJC compliance activities. Participates as a member of the TJC Steering Committee and assists with Survey Readiness.
Attends and participates in other committees and meetings at the hospital and at AHS as requested. Participates in Shared Governance Councils providing guidance and instruction on PI techniques.
- 3-5 years clinical background with knowledge or experience in multiple clinical areas in an acute care setting
- Experience with performance improvement techniques, particularly data collection
- Experience managing and leading teams
- Proficient in all applications of Microsoft Office
- Experience with Joint Commission accreditation preparation and survey process preferred
- RN, BSN preferred
- Current NJ State RN license
Competitive salary and benefits
Instructions for Resume Submission:
Please apply on the Career section of the Atlantic Health System web page to requisition 00094451 or by following the below link