NYC Health + Hospitals

Director of Quality Management

NYC Health + Hospitals • $110K — $130K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree in Quality Management, Hospital Administration, Health Care Administration, or related field; 5 years of experience in strategic development and performance improvement, including 3 years in a supervisory role.
  • Bachelor's degree in the specified fields; 7 years of relevant experience, including 5 years in a supervisory role.
  • Bachelor's degree and 2 years of clinical experience plus 3 years of related experience, with at least 1 year in supervision.
  • Certified Professional in Healthcare Quality (CPHQ) can replace 1 year of experience, but a bachelor's degree and at least 1 year of supervisory experience are still mandatory.

Responsibilities

  • Lead teams to enhance care processes and outcomes.
  • Assist in developing performance improvement goals and policies.
  • Support departments with data access and Epic reporting.
  • Create and maintain reports, dashboards, and visualizations for quality improvement.
  • Serve as a resource for data analysis and presentation within Epic guidelines.
  • Collaborate with stakeholders to deliver actionable reports and timely data.
  • Mentor a high-performing team and foster excellent employee relations.
  • Facilitate quality improvement teams and initiatives across departments.
  • Analyze data to identify trends and recommend performance improvements.
  • Supervise departmental activities and maintain compliance with regulatory standards.

Benefits

  • Comprehensive health benefits for employees working 20+ hours weekly.
  • Retirement savings and pension plans.
  • Paid holidays and vacation per collective bargaining agreements.
  • Loan forgiveness programs for eligible employees.
  • Tuition discounts and professional development opportunities.
  • College savings program.
  • Union benefits for eligible titles.
  • Various employee discount programs.
  • Commuter benefits programs.
Full Job Description
Work Shifts

8:00 A.M - 4:00 P.M

Duties & Responsibilities

SUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Leads teams and system-wide efforts to improve key care processes and outcomes.
  • Assists in the development of goals and objectives, policies, procedures, and protocols as they relate to performance improvement.
  • Support departments in navigating Central Office-mandated Epic restrictions related to data extraction and visualization by providing data access, reporting, analytical, and visualization support.
  • Develop and maintain data extracts, reports, dashboards, and visualizations to support departmental quality improvement, operational monitoring, and decision-making.
  • Serve as a resource to departments that require assistance accessing, analyzing, and presenting Epic data within established system and governance requirements.
  • Partner with the Office of Quality and Safety and departmental stakeholders to identify data needs, translate requirements into actionable reports and visualizations, and ensure timely delivery of accurate and meaningful information.
  • Practice excellent employee relations with attention to employee needs and develop and mentor a high-performing team for all areas of responsibility.
  • Serves as facilitator/ team member/ leader for assigned quality improvement teams and or committees.
  • Works effectively across facility departments to facilitate improvements
  • Abstracts, compiles, analyzes, and evaluates data to identify patterns or trends, using statistical processes and controls and various databases or software programs.
  • Supports in resolving identified concerns or trends through facilitation, coordination, education, monitoring, and evaluation.
  • Manages and participates in departmental projects, workflow processes, and review and/or creation of policies and procedures
  • Facilitates process evaluation, standardization, implementation - integrating evidence-based care into clinical order sets, protocols, pathways, rules, and alerts in the electronic medical record (EPIC system experience preferred)
  • Assures that improvement efforts incorporate all regulatory requirements into process specifications
  • Promotes the mission, vision, and values of NYCHHC/Kings County, and abides by service behavior standards.
  • Creates and prepares reports using statistics and graphics with detail quality, appropriateness, and consistency with best practices.
  • Communicates performance improvement activities to executive leaders through presentations or reports.
  • Research literature or external benchmarks/data in support of performance improvement.
  • Oversees development, design, and or maintenance of databases for Performance Improvement.
  • Analyzes findings and recommends performance improvement initiatives and/or corrective actions.
  • Identifies performance and process improvement opportunities to improve CMS, DOH, HEDIS, URAC, and other agencies accreditation and regulatory standards.
  • Supervises the staff assigned to departmental activities or units and provides professional and administrative directions.
  • Maintains confidentiality of all information as well as the release of any information.
  • Performs other activities as assigned by the Chief Quality Officer or Deputy Chief Quality Officer.


Minimum Qualifications
1. Master's degree from an accredited college or university in Quality Management, Hospital Administration, Health Care Administration, or in a related health care specialization; and five (5)years of experience in the development of organizational strategies and implementation of staffing plans, regulatory survey preparation and compliance, and in performance improvement and/or continuous quality improvement (CQI) initiatives in a hospital or health care setting, three (3) years of which must have been in a responsible administrative, managerial or supervisory capacity; or,
2.Bachelor's degree in the disciplines as described in "1" above; and seven (7) years of related experience, as listed in "1" above, five (5) years of which must have been in a responsible administrative, managerial or supervisory capacity; or,
3.Bachelor's degree in the disciplines as described in "1" above; and two (2) years of clinical, patient careor equivalent experience in a hospital or health care setting, plus three (3) years of related experience,as listed in "1" above, one (1) year of which must have been in a responsible administrative, managerialor supervisory capacity; or
4.A satisfactory equivalent of education, training, and/or experience. Certified Professional in Healthcare Quality (CPHQ) may be substituted for one (1) year of experience, however, all incumbents must have at least a bachelor's degree and one (1) year of responsible administrative, managerial or supervisory experience, as described in "1" above.

Department Preferences

  • Experience working in Performance Improvement.


Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:
  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • Loan Forgiveness Programs for eligible employees
  • College tuition discounts and professional development opportunities
  • College Savings Program
  • Union Benefits for eligible titles
  • Multiple employee discounts programs
  • Commuter Benefits Programs


If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

About NYC Health + Hospitals

NYC Health + Hospitals is a healthcare system that provides medical care to residents of New York City. The system was founded in 1969 and is headquartered in New York, New York. NYC Health + Hospitals has a network of hospitals, clinics, and other healthcare facilities throughout the city. The system provides a wide range of medical services, including primary care, specialty care, and emergency care. NYC Health + Hospitals is committed to providing high-quality, affordable healthcare to all New Yorkers, regardless of their ability to pay.
Learn more about NYC Health + Hospitals
Size
42,000 employees
Industry
Net Income
-$500,000
5 Year Trend
-10%
Revenue
$7 billion

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