Job Description

Responsible for promoting and supporting a culture of safety and continuous quality improvement within the hospital. This role focuses on enhancing patient outcomes, ensuring regulatory compliance, and driving data-driven initiatives to improve healthcare delivery.

Job Responsibility

• Demonstrates expertise in Performance Improvement methodologies used throughout the organization.
• Maintains current knowledge of best practices, regulations, and advancements in healthcare quality, patient safety, and risk management.
• Participates in the preparation of Performance Improvement reports for care services presentation at committee meetings, and facilitates reporting to Hospital Quality Management for external benchmarking as needed.
• Assists in conducting focused studies to measure and assess the stability of patient care processes and the achievement of patient outcomes and organizational goals.
• Assists in coordinating investigations of state reportable incidents, complaints, sentinel events, and citations, ensuring thorough data collection for corrective actions.
• Participates in special projects related to quality and patient safety issues; assists in developing recommendations and coordinating the implementation of corrective action plans.
• Prepares monthly variance reports for leadership, physicians, and other hospital personnel as needed.
• Presents patient-specific issues and concerns to appropriate leadership and Performance Improvement Committees to drive resolution.
• Utilizes various office technologies and data analysis tools to perform job functions, including the creation of documents for formal presentations and reports.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• BSN nursing degree, required. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed
• Current license to practice as a Registered Professional Nurse OR as a Nurse Practitioner in New York State OR current Licensed Registered Physician Assistant by New York State Department of Education, required.
• One-three (1-3) years clinical experience including general knowledge of QM principles, NYPORTS and TJC requirements.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).