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The possibilities are endless...
 
Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.
 
If this describes you then let’s talk!
 
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time

Work Shift

Compensation Range

The base pay scale for this position is $83,000.00 - $126,875.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What you will be doing

JOB DESCRIPTION

Quality & Patient Safety Specialist

Full-Time

 

Overview:

The Quality & Patient Safety Specialist facilitates and participates in the implementation of Hospital for Special Surgery's Quality and Patient Safety Improvement Program in conjunction with the Quality & Accreditation Department leadership. The Specialist supports organizational quality and patient safety priorities by identification, development, implementation and assessment of clinical quality and patient safety improvement initiatives. The specialist supports HRO initiatives including the ongoing readiness program and tracer activities in compliance with accreditation and regulatory agencies. The Specialist acts as a subject matter liaison to hospital departments/service lines to provide guidance on performance improvement activities through the identification of opportunities for improvement, seeking solutions, and establish monitoring and evaluating strategies. Works in collaboration with all staff including administration, physicians/clinicians, and allied health to support the quality, patient safety, and performance improvement process. Other responsibilities may include facilitating data collections to include coordinating publicly reported quality measures, working with federal payment linked quality programs or event reporting to the New York State. Supports the physician quality program. The Quality and Safety Specialist also completes other necessary duties as assigned by the Quality & Accreditation Department leadership. 

Responsibilities:

Exercises Leadership - Develops knowledgeDevelops and maintains knowledge of federal and state regulatory requirements related to departmental data, accreditation and patient safety, and public reporting programs.Achieves Professional & Business Objectives - Coordination and facilitation. Maintains independent membership and/or ability to facilitate departmental and hospital level Teams. Coordinates and facilities activities associated with workgroups/committees such as meeting agendas, minutes, reports to ensure accurate information and follow-up is completed. Develops/Manages Processes & Systems - Quality and Performance Improvement Applies models for improvement and methodologies and the appropriate change management concepts to achieve successful project outcomes. Develops SMMRT aims and/or family of measures, i.e. operational definitions and sources, for ongoing quality assessment and performance improvement initiatives. Utilizes quality improvement tools to visualize a process, gather and organize information, understand variations and relationships, and to evaluate the output to successfully redesign initiatives toward improved performance. Translates evidence-based knowledge into practice to improve outcomes. Creates, updates and accurately interprets data in a timely manner. Achieves Professional & Business Objectives - Prepares data Conducts ongoing medical record review, analyzes data and compiles reports as required. Prepares and presents data in appropriate format and reviews/validates for accuracy for public reporting and committee deadlines. Prepares RCA documents (i.e. fishbone, RCA... ), performs associated literature searches and ensures throughput of information. Supports the design and implementation of an improvement plan. Establishes and anticipates deadlines associated with routine functions. Independently follows open items through to completion. Achieves Professional & Business Objectives - Recognizes adverse events Understands adverse event definitions as defined by HSS and other regulatory agencies that require further analysis and/or reporting to NYS DOH. Maintains knowledge regarding RCA process. Participates in risk reduction strategies to ensure ongoing assessment of patient safety processes and practices in compliance with local, state, federal and regulatory agencies. Evaluates ICD coded complications, grievances, and occurrence reporting referrals for safety or care delivery concerns and succinctly describes concern to relevant stakeholders or peer review committee. Achieves Professional & Business Objectives - Effectively communicates Effectively and efficiently communicates via verbal, written, in person, or remotely with various departments to disseminate and receive information as requested. Provides information and presentations succinctly. Maintains Documentation & Manages Information - Documents review and data abstraction. Conducts document review for Quality Improvement and Patient Safety purposes. Maintains documentation/record, as appropriate, related to the review indicators in accordance with Departmental and Committee directives. Accurately reviews and abstract data according to data specifications and/or supports reports aligned with data definitions for internal and external reporting purposes. Able to analyze data, identify trends and present appropriately to stakeholders. Upholds Standards/Expectations of HSS Staff- Time Management Manages time appropriately to meet project, department, and hospital needs, and if conflicting priorities are present, escalates to supervisor. Upholds Standards/Expectations of HSS Staff- Maintains and develops competence Maintains and develops competence through required in-service and continuing educational programs. Completes, on a timely basis, all staff/manager organization-wide annual in-service modules. Collaborates with peers, physicians, and other members of the team as appropriate. Upholds HSS Professional/Clinical Standards - Promotes a professional atmosphere Promotes a professional atmosphere through courteous communication, cooperation, and respect for patients, visitors and members of the health care team. 

 

YEARS OF EXPERIENCE REQUIRED


YEARS OF EXPERIENCE PREFERRED
Proficiency with Microsoft Office Applications with a focus on Excel, PowerPoint and Access. Ability to interpret technical and regulatory specifications with fluency in communicating, organizationwide. Ability to identify, analyze and optimize quality indicators and benchmarking criteria. Must work well with staff at all levels and possess ability to share knowledge and facilitate teams.

PHYSICAL WORKING CONDITIONS
Sitting in a comfortable position with frequent opportunity to move about Sitting in a comfortable position with frequent opportunity to move about the department and traverse the hospital campus. Examples: executive, management, administrative and secretarial positions.

ENVIRONMENTAL WORKING CONDITIONS
Comfortable indoor area Located in a comfortable indoor area. Examples: executive, management and secretarial positions.

HAZARDS OSHA
Category 3 Tasks that involve no exposure to blood, body fluids, tissues, or other potentially infectious materials and Category 1 tasks are not a condition of employment.

POSITION & UNIT ACCOUNTABILITIES

Develops/Manages Processes & Systems - Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans.Upholds Standards/Expectations of HSS Staff - Ensures compliance Ensures compliance of managed care companies with negotiated contracts.Upholds Standards/Expectations of HSS Staff - Resolves payor issues Followsup and resolving payment issues with Insurance Payors.Upholds Standards/Expectations of HSS Staff - Acts as liaison Acts as a liaison between physician offices and Insurance Payors.Upholds Standards/Expectations of HSS Staff - Assists with meetings Schedules, coordinates, and documents for all PHO related meetings.Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.Upholds Standards/Expectations of HSS Staff - Oversees PHO line Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues.Upholds Standards/Expectations of HSS Staff - Attendance Maintains satisfactory attendance record.Upholds Standards/Expectations of HSS Staff - Maintains punctuality Reports for duty punctually.Upholds Standards/Expectations of HSS Staff - Adjusts to change Adjusts to changing situations and work assignments.

EDUCATION REQUIRED
A Bachelor's degree in Nursing, PA or other related clinical disciplines. Bachelors Nursing

EDUCATION PREFERRED
Masters

CERTIFICATIONS/LICENSURE REQUIRED
Registered clinical professional (RN, PA, other)

CERTIFICATIONS/LICENSURE PREFERRED
CPHQ, CJCP, CPPS

SKILLS REQUIRED


SKILLS PREFERRED
Ability to chair a committee, lead a group and keep the committee on point for respective outcome(s). Experience with performance improvement initiatives and project management experience helpful.

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.