Responsibilities
The Clinical Director of Quality will :
- Develop and maintain department specific quality dashboards (Patient Care Services, ED, and Perioperative)
- Lead and / or support clinical process improvement teams as needed to achieve quality and performance improvement goals
- Oversee the management of and responsible for data analysis, collection and outcome measures related to CMS, NYS, AHA, Q-HIP, NDNQI, etc.
- Conduct intermittent clinical audits based upon organizational needs related to regulatory compliance, new process, or policy
- Coordinate mortality reviews
- Serve as a regulatory resource regarding state and federal regulations and standards, including but not limited to CMS, TJC, and NYS
- Create and present data needed for evaluation and appropriate action by committees, leadership, and quality improvement teams
- Assist in improving patient experience through analysis of data and implementation of initiatives to improve performance
- Perform other duties, as needed
Qualifications :
- 2 years of related experience
- Bachelor's Degree
- NYS Registered Nurse (RN) license
- Open to a Quality or Stroke Coordinator background
Desired Skills :
- Master’s Degree in Healthcare specialty
- Stroke experience
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