Job Description

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

Quality improvement managers may act as knowledge experts for continuous improvement activities in all clinical, functional and administrative areas. They monitor various department processes, such as care complaints and medical record assessments, in order to recommend actions to address any risks or vulnerabilities

Responsibilities

• Under the Director of Quality, manages primary aspects of quality program for the Health Home Division, inclusive of monitoring key health outcomes, establishing performance improvement projects, and resolution of gaps-in-care.
• Oversee quarterly audits, results and implement actions to address any identified improvement opportunities.
• Lead monthly QI meetings to ensure compliance and adherence to all metrics, policies and protocols.
• Manage implementation and execution of corrective action plans in response to program evaluation reports
• Identify trends from standardized chart review tool(s) to enhance compliance of care coordination activities with all federal, state, local, and agency regulations.
• Supervise chart audit practices through development and maintenance of appropriate guidance/policy documentation of these processes.
• Synthesize data that aggregates quality projects outcomes (chart reviews, incident reports, gaps-in-care, quality scorecards, HEDIS measures, etc.) for the Health Home membership.
• Supports implementation and update of Federal, State, local, and payer policy/guidelines, inclusive of Health Home policies changes/updates.
• Develop written action plans using PDSA model to improve any deficits in documentation/records.
• Monitors execution of appropriate QI activities (e.g. staff training, coaching) to support quality oversight and ensure that corrective action plans are completed by target dates.
• Monitors quality metric benchmarks such as HEDIS measures, triple aim initiatives (reduce hospital and ER/ED visits; increase primary care connections)
• Oversee reportable incident protocol and review compliance with all incidents reports in accordance with lead health home and and/or New York State Department of Health policies and recommendations.
• Support development and delivery of training/education to improve QA/QI outcomes.
• Attend system-wide quality initiative meetings, and all other out of system quality initiatives/conferences to represent Health Home program.

Qualifications

• Master's degree in Social Work, Clinical Fields, Healthcare Fields (e.g. clinical/health/social)
• Minimum 3 years Managerial Experience and at least 5 years supervisory experience
• Experience with quality and compliance, audits, Health Home, Medicaid and DOH regulations.
• Experience with population health and integrated care models.
• Experience with electronic health records (EHRs), Medicaid billing, ePACES, Medicaid Analytical Patient Portal (MAPP), Universal Assessment System (UAS)
• Proficient with Microsoft excel, including advanced skills with high level reports.
• Have a basic understanding of Care Management

Salary: $65,000-$80,000

Equal Opportunity Employer

ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.