Senior Director of Performance Improvement/Risk Management

Overview

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, 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, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

St. John’s Riverside Hospital is an equal opportunity employer. We maintain 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.

Personalized care together with advanced technology is what it means to be Community Strong.

Personalized care together with advanced technology is what it means to be Community Strong

Responsibilities

The Senior Director Performance Improvement, Risk Management will be responsible for overseeing and directing quality and risk management programs for the entire Riverside Health System. The Senior Director of PI/RM will prepare for survey readiness, facilitate hospital performance improvement measures, and utilize hospital resources to achieve and maintain optimal standards of patient care.

• Oversees the Performance Improvement Committee meeting which includes review PI reports to assure consistency of activities as they relate to the Performance Improvement Plan, coordinating the monthly agenda, minutes, and distribution of packets.

• Oversees and assists in coordinating further development of department specific PI dashboards.

• Responsible for the data submission of CMS IQR and OQR Quality Reporting (which includes VBP, Readmission Program, HAC program, Star rating program etc)

• Review data submission for accuracy for the PREMIER programs-Star watch, Pay for Performance, Leapfrog, CMS IQR/OQR, Persivia.

• Assist in coordinating concurrent review studies performed within the Performance Improvement/Infection Control programs and preparing reports as required.

• Responsible for NYPORTS mandatory reporting as needed

• Oversees Occurrence reports as they relevant to suit, suspense or claims cases including quarterly loss runs.

• Assist in developing Policy and Procedure manual.

• Responsible for the preparation of Regulatory surveys at all sites.

• Oversees all Regulatory reporting such as Joint Commission, OASAS, DOH etc. submission (including but not limited to) applications, ICM, Evidence of Standards plan of corrections, DDSP, etc.

• Assists in hires, disciplines, and performs performance evaluations as needed.

• Assists in monitoring the operating budget for Performance Improvement and Infection Control Departments.

Qualifications

• Master’s degree in health related field required.

• Experience in hospital or health-related field.

• Proficient in MS Word, Excel, and PowerPoint.

• Excellent verbal and written communication skills.

• Knowledge of medical terminology, clinical concepts and Core Measures a plus.

• Ability to self-learn database management and Internet skills.

• Proficient in utilizing all health care related web-based programs.