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St. Mary's Healthcare Quality Management Specialist in Amsterdam, New York

Job Requisition: REQ2984

Employment Type: Full time

Shift: Days

Hours Per Week: 40 hours

Hiring range: $36.96- $ 48.04 The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

  • Responsible for performing concurrent and retrospective clinical reviews to assure that evidence based best practices are implemented timely and documented appropriately, to include contemporaneous monitoring of hospital-acquired infections, patient safety indicator events, mortalities, and preventable complications.

  • Identifies opportunities to maximize the accuracy and effectiveness of clinical documentation through concurrent interactions with physicians, nursing staff, other patient care providers, clinical informatics, IT staff and coding staff as necessary

  • Acts as a resource and provides ongoing consultation and education to internal customers and patient care teams, with respect to performance improvement initiatives. Examples include but not limited to, sepsis, mortality, nursing sensitive indicators, patient safety indicators and readmissions quality improvement initiatives.

  • Uses clinical practice experience and knowledge of clinical workflow to help facilitate interdisciplinary teams engaged in complex clinical quality and patient safety improvement work. Ensures national and state best practice standards are incorporated into project work plans.

  • Periodically reports on quality and patient safety matters and prepares reports for departments and committees.

  • Assists with overall QAPI program management and maintains current working knowledge of CMS pay-for-performance requirements and measure specifications through experience and continuing education; completes chart abstractions for Sepsis and other clinical measures as needed to support publicly reported core measures and private party accrediting body reporting mandates.

  • Works with IT to optimize the use of the EMR to improve clinical performance and strategize for improving patient care

    Additional Responsibilities:

  • Provides support to Ambulatory Quality Program, as needed.

  • Participate on various committees and work groups as assigned

  • Maintains schedules to comply with strict reporting deadlines

  • Other duties as assigned.

    Education, Training & Experience:

  • Bachelor’s degree in Nursing required.

  • Experience with electronic/hybrid medical records.

  • Meditech experience preferred.

  • Previous experience with CMS Quality Measures reporting and Performance Improvement preferred.

  • Minimum of three (3) years’ experience specifically related to Quality Improvement activities.

    Required Certifications / Licensure:

  • Current New York State license as a Registered Nurse required

  • Certified Professional in Healthcare Quality (CPHQ) preferred

    Required Skills and Attributes:

  • Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.

  • Must be able to multitask while remaining professional, focused, composed and positive.

  • Excellent customer service skills

  • Displays integrity, friendliness, and compassion.

  • Must be able to establish an appropriate and effective rapport with others.

  • Demonstrates flexibility

  • Takes initiative

  • Able to work in a fast-paced environment

  • Embraces new opportunities to grow both personally and professionally.

  • Effective critical thinking and problem-solving skills.

  • Proficient with various Microsoft Office products (Word and Excel).

  • Strong organizational skills.

  • Effective interpersonal skills.

  • Ability to take and follow direction in a positive and appropriate manner.

  • Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.

  • Must be able to speak, read, write and follow instructions in English.

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