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Quality Improvement Manager Job at Jewish Renaissance Medical Center

Jewish Renaissance Medical Center Perth Amboy, NJ 08861

Overview:The candidate will be responsible for systems improvement within each department that leads to high quality patient care, improved health outcomes, and improved business operations. Responsible for internal and external clinical reporting requirements. Responsible for activities to provide Central Jersey Medical Center (CJMC) with risk management to ensure optimal patient and employee safety and quality of clinical care. Ensures regulatory adherence and risk reduction in clinical, business, and technological functions.
Responsibilities:1. Oversees implementation of the board approved Quality Improvement/Quality Assurance Program (QI/QA).

  • Maintains current knowledge of applicable New Jersey Administrative Codes and communicates changes in codes to the Leadership Team.
  • Ensures each of the components of the QI/QA are carried out.
  • Be a resource and/or facilitator for performance improvement projects and department improvement activities.
  • Assists teams with Plan, Do, Study, Act (PDSA) cycles.
  • Designs/assists teams to design data collection tool and analyze/assist teams with analyzing data.
  • Leads/assists teams to use improvement tools (i.e. brainstorming, flow charts, run charts, and control charts) for generating ideas, making decisions, and implementing change.
  • Advises the CMO regarding improvement strategies.
  • Assists with or performs chart audits when a wide-spread problem/issue is suspected.
  • Applies change theory and appropriate action for process issues.

2. Responsible for monitoring performance of ongoing clinical measures and reporting.

  • Prepares QI Report, interprets the variation in the data, and reports to the Quality Committee, Risk Management, and Board Quality Committee in written format.
  • Prepares quarterly narrative summarizing work accomplished toward improving performance, trends identified, barriers identified to improving performance, and recommendations of actions to improve performance.

3. Responsible for the monitoring of event and reporting on events.
4. Responsible for clinical HRSA compliance activities

  • Maintains current knowledge of all standards.

5. Performs administrative duties and monitors listservs, such as, Food and Drug Administration (FDA), Centers for Disease Control (CDC), ECRI Institute,. etc. to:

  • Seek out innovative ideas pertinent to improving specific clinic processes or patient health outcomes.
  • Seek out changes to evidence based clinical guidelines relevant to clinic patients/clinical focus.

6. Responsible for ensuring that quality indicators (includes but is not limited to data for UDS, PCMH, Pay for Performance Reporting) and risk management activities are communicated timely to internal and external audiences. Ensures data is valid and consistent.
7. Risk Management duties and responsibilities:

  • Develops and implements a clinic risk management program
  • Reports, at least annually, on the status of the risk management program to the appropriate management and board committee.

8. Human Resources duties and responsibilities:

  • Participates in the development of recruitment and retention strategies.
  • Effectively supervises employees, as indicated.
  • Participates in interviewing and candidate selection process, as requested.
  • Ensures new employee orientation and on boarding program includes quality and risk management information.
  • Completes performance appraisal process per established policies, as indicated.

9. Strategic Planning duties and responsibilities:

  • Continually strives to meet strategic goals.

10. Leadership duties and responsibilities:

  • Actively participates with the Leadership Team.
  • Assures staff is aware of strategic imperatives, organization goals, mission, vision, and current projects.
  • Communicates effectively with patients and all levels of the organization in a professional and timely manner.
  • Develops and maintains policies and procedures as appropriate to role.
  • Seeks out educational opportunities, stays current with trends, and implements appropriate changes within area of responsibility.

Qualifications:General Development:

  • Requires significant organizational skills in order to manage and direct significant segments of the organization.
  • Job duties require the ability to work independently and as part of a team.
  • Job responsibilities require individual development of priorities for effective performance of duties including re-prioritization in response to changes in circumstances.
  • Employees are expected to devise effective solutions to situations encountered based on the general goals and objectives of the function.
  • Work requires consideration of the way the work affects other employees outside the department or functional area.
  • Work requires the incorporation of departmental/functional processes into the overall functioning of the organization.
  • Duties require drawing conclusions using inference and logic, which may be different than the conclusions that could be drawn by others.

Professional & Technical Knowledge:

  • Advanced reading and writing skills, verbal and written communications skills, knowledge of mathematics and improvement science, and other general knowledge typically acquired through completion of a Master’s program.
  • Experience using the Model for Improvement to lead improvement in a healthcare organization.

Technical Skills:

  • Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs, and other elements.
  • Ability to use functions of Microsoft Excel, such as to create and manage databases including creating standardized reports.
  • Ability to develop sophisticated presentations in Microsoft PowerPoint, including the use of embedded objects, transitions, and other elements.
  • Fully functional in use of the Outlook program.
  • Fully functional in use of the EMR program.
  • Ability to access web based applications and programs of others.

Communication Skills:

  • Job duties require the employee to effectively communicate their opinions and extrapolations of information they collect and synthesize/analyze.
  • Employees are responsible for the resolution of conflicts that may arise because of disagreements between employees, between employees and customers or with the public, other legal entities or governmental authorities.
  • Employees must determine appropriate methods of communicating information through the use of tables, graphs, charts, and other visual forms.
  • Duties require preparation and execution of presentations to groups.

EEO Employer
Salary is commensurated on experience

Job Type: Full-time




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