Director, Provider Quality and Performance Improvement

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

• Designs, initiates, and oversees quality assessment and performance improvement programs, based on the application of continuous improvement principles and best practices, in collaboration with program leadership.
• Creates and manages reporting and analysis of multiple quality performance indicators. Presents findings to management, staff and the governing body. Collaborates with the senior leadership to establish annual performance targets and oversee the preparation of VNS Health Annual Reports.
• Evaluates the impact of industry and regulatory changes on Quality Improvement programs and recommends appropriate and necessary changes.
• Identifies and evaluates data needs, trends and target areas of improvement. Collaborates with teams to identify and test strategies for change improvement. Ensures that all improvement actions are evaluated for effectiveness.
• Ensures program services and operations are compliant with federal, state and accrediting organization requirements and professional standards. Collaborates with Compliance department in the design and analysis of compliance reviews to identify and address areas of compliance risk.\
• Coordinates of all regulatory audits including, but not limited to, NYS DOH, CHAP, Contract Administration, and OMIG.
• Measures, analyzes and tracks quality performance indicators to enable assessment of processes of care, services and operations. Identifies trends and areas of opportunity; recommends solutions; and leads implementation of changes.
• Directs staff in the investigation and resolution of patient service incidents and responds to patient complaints and grievances. Coordinates investigation of serious complaints and incidents. Recommends corrective actions. Ensures logging, tracking and resolution of complaints, grievances and incidents. Analyzes and maintains statistical data concerning complaints and incidents.
• Responds to DOH complaints. Maintains and monitors tracking system for DOH complaints, statements of deficiencies and plans of correction. Collaborates and follows-up with staff to ensure timely completion of correction plans.
• Participates with other VNS Health staff in interacting with regulatory, health and community agencies in identifying and influencing public policy issues that relate to VNS Health. Represents VNS Health internally and externally and increases public awareness of program through education, presentations and marketing of services.
• Develop and lead an effective management team in establishing and achieving goals and objectives consistent with providing the highest standards of care.
• Maintains knowledge of and evaluates the impact of industry, regulatory and accreditation changes. Recommends appropriate and necessary program changes. Coordinates with other teams to integrate and monitor requirements in the practice environment.
• Provides oversight of VNS Health Quality Scorecard and other metrics related to regulatory compliance and performance improvement initiatives.
• Tracks and monitor quality improvement project work plans, including objectives, task, and time frames to ensure deliverable are completed on time. Identifies and responds to changing project circumstances and communicates issues to leadership as appropriate. Creates and delivers presentations on project status and/or outcomes to senior leadership and/or VNS Health board members upon request. Leads project evaluation process at project close.
• Ensures quality initiatives are aligned with CMS Triple Aim framework: improving the patient's experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of healthcare.
• Performs all duties inherent in a managerial role. Ensures effective staff training, evaluates staff performance, provides input for the development of the departmental budget and hires, promotes and terminates staff and recommends salary actions as appropriate.
• For Hospice Only:
• Directs implementation of clinical documentation processes in the hospice electronic health record in collaboration with the Hospice Information Services Manager.
• Responds to Additional Development Requests and other clinical record requests from the Hospice fiscal intermediary.
• Participates in the design of a training curriculum integrating Palliative Care into community-based facilities like nursing homes and medical practices.