Quality Improvement Specialist (Full Time)
LOCATION: 30 miles north of Watertown, NY
JOB SUMMARY: The position of quality specialist will encompass all of, but not be limited to, the following positions:
Quality Improvement Coordinator: Provides direction to the Medical Staff, Nursing, and all hospital departments for implementing quality/performance improvement processes and provides assistance as necessary.
Utilization Review Coordinator: Assist with the development of individualized Discharge Plan based on data collection from the interdisciplinary team, patient assessment, patient input, and awareness of the length of stay, and Perform appropriate reviews
Risk Manager: Coordinate with the QM Director/Department Managers for education to staff on the reporting process, Receives and coordinates review of Accident/Incident reports, Assists Revenue Cycle in management of Billing Complaints, Follow all Policies and procedures/regulation for management of complaints, Maintains all logs/records per regulation, Communicates with Malpractice carrier for awareness and maintenance of records that may require their participation, Participate in determination and filing of NYPORTS and RCA if requested.
EDUCATION, EXPERIENCE, CERTIFICATION, LICENSURE:
Registered Nurse with current NYS License
Minimum 3-4 years experience with QI/Risk Management/Utilization Review
Familiar with community/agency support and availability
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