Senior Director of Performance Improvement/Risk Management
St. John's Riverside Hospital · NY, US
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About the Role
St. John's Riverside Hospital is seeking a Senior Director Performance Improvement, Risk Management to oversee and direct quality and risk management programs for the entire Riverside Health System. This role is crucial for ensuring survey readiness, facilitating performance improvement measures, and maintaining optimal patient care standards through the effective utilization of hospital resources.
Responsibilities
- Oversee and direct quality and risk management programs for the entire Riverside Health System.
- Prepare for survey readiness.
- Facilitate hospital performance improvement measures.
- Utilize hospital resources to achieve and maintain optimal standards of patient care.
- Oversee the Performance Improvement Committee meeting, including reviewing PI reports for consistency with the Performance Improvement Plan, coordinating agendas, minutes, and packet distribution.
- Oversee and assist in coordinating the further development of department-specific PI dashboards.
- Responsible for the data submission of CMS IQR and OQR Quality Reporting (including VBP, Readmission Program, HAC program, Star rating program etc.).
- Review data submission for accuracy for PREMIER programs (Star watch, Pay for Performance, Leapfrog, CMS IQR/OQR, Persivia).
- Assist in coordinating concurrent review studies within Performance Improvement/Infection Control programs and preparing reports.
- Responsible for NYPORTS mandatory reporting as needed.
- Oversee Occurrence reports relevant to suits, suspense, or claims cases, including quarterly loss runs.
- Assist in developing the Policy and Procedure manual.
- Responsible for the preparation of Regulatory surveys at all sites.
- Oversee all Regulatory reporting submissions (e.g., Joint Commission, OASAS, DOH), including applications, ICM, Evidence of Standards plan of corrections, DDSP.
- Assist in hiring, disciplining, and performing performance evaluations.
- Assist in monitoring the operating budget for Performance Improvement and Infection Control Departments.
Requirements
- Master’s degree in a health-related field required.
- Experience in a hospital or health-related field.
- Proficient in MS Word, Excel, and PowerPoint.
- Excellent verbal and written communication skills.
- Ability to self-learn database management and Internet skills.
- Proficient in utilizing all healthcare-related web-based programs.
Skills
- Performance Improvement
- Risk Management
- Quality Improvement
- Data Submission
- Regulatory Reporting
- Budget Monitoring
- MS Word
- MS Excel
- MS PowerPoint
- Medical Terminology
- Clinical Concepts
- Core Measures
- Database Management
- Internet Skills
Location
- Westchester community
Work Type
- Full-time
Experience Level
- Senior Director
Education Level
- Master's degree
About the Company
- St. John's Riverside Hospital is a leader in providing high-quality, compassionate healthcare with state-of-the-art medical technology.
- Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington.
- A unique and comprehensive network of medical professionals dedicated to a tradition of service spanning generations.
- Founded in the 1890s, with a commitment to providing advanced medical services.
- Founded the Cochran School of Nursing in 1894, the oldest hospital-based school of nursing in the metropolitan area.
- Dedicated nurses provide superior attention with an emphasis on patient and family-focused care.
- Committed to making life better for all patients and elevating services to increase quality of life.
- Community Strong: Personalized care together with advanced technology.
Equal Opportunity
- St. John’s Riverside Hospital is an equal opportunity employer.
- Maintains a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law.