Address
Form of work
SalaryAbout NYC Health + Hospitals:
NYC Health + Hospitals/At Home reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description:
PURPOSE OF POSITION
Under direction of the Associate Executive Director (AED), the Quality Assurance Analyst (QAA) will support the quality review and evaluation of care coordination (CC) records. The QAA will assume responsibility for supporting the Division’s quality improvement initiatives and compliance with regulatory requirements. The QAA will be responsible for the completion of care coordination chart audit activities, execution of corrective action plans, and support in development of training materials designed to remove any perceived gaps. The QAA will support the management of incident reporting and fair hearing activities/data and is primarily responsible for processing all case enrollment status changes in the Electronic Medical Record (EMR) for our care management agency.
AREAS OF RESPONSIBILITIES
1. Care Coordination Chart Auditing
2. Care Coordination Training Support
3. Care Coordination Incident Reporting
4. Care Coordination Enrollment Support
Duties & Responsibilities
PURPOSE OF POSITION
Under direction of the Associate Executive Director (AED), the Quality Assurance Analyst (QAA) will support the quality review and evaluation of care coordination (CC) records. The QAA will assume responsibility for supporting the Division’s quality improvement initiatives and compliance with regulatory requirements. The QAA will be responsible for the completion of care coordination chart audit activities, execution of corrective action plans, and support in development of training materials designed to remove any perceived gaps. The QAA will support the management of incident reporting and fair hearing activities/data and is primarily responsible for processing all case enrollment status changes in the Electronic Medical Record (EMR) for our care management agency.
AREAS OF RESPONSIBILITIES
1. Care Coordination Chart Auditing
2. Care Coordination Training Support
3. Care Coordination Incident Reporting
4. Care Coordination Enrollment Support
SUMMARY OF DUTIES AND RESPONSIBILITIES
1. Conduct regular independent reviews for the NYCH+H care management agency using standardized chart review tool(s) to review documentation activities (charts) for quality, completeness and compliance with all federal, state, local, and agency regulations.
2. Assist with the execution and monitoring of written action plans that identify a specific, measurable, attainable set of activities designed to improve any deficits observed in documentation/records in collaboration with the quality manager.
3. Monitor the completion of corrective action chart reviews and escalate any past-due or clinically compromising outcomes to the quality manager to ensure resolution is achieved.
4. Review and track all incoming incident, grievance, complaint and fair hearing reports to ensure accuracy and completeness. Ensure that documentation around the incident, grievance, and/or fair hearing is conducted accurately. Escalate reports that require further investigation to manager for review. Complete chart reviews for any incidents, grievances, and fair hearing and verify that recommended follow up/corrective action is completed by target dates as appropriate to federal/state/local policy.
5. Enter all received incidents and complaints in the proper system of record (e.g. VOICE, department tracker). Maintain and prepare metrics reports to demonstrate trends in incidents/complaints.
6. Participate and document incident, grievance, and complaint case conferences to provide support and guidance to team; ensure that patients are connected to appropriate levels of care and that all required/supporting documentation is on record as needed.
7. Co-author quarterly QAPI Board Report showcasing divisional progress across KPIs and Objectives & Key Results (OKRs). Support tracking of all needed report metrics and follow up with business leaders.
8. Support Divisional QAPI committee preparation (e.g. tracking attendance, agenda development, minutes, follow up action items, etc.).
9. Maintain positive partnerships with all colleagues and team members (inter and intra departmental). Support the design of shared programmatic goals and development/application of interventions and projects to achieve those goals.
10. Support development and delivery of staff training/education as needed to improve QA/QI outcomes. Support the development and implementation of new policies, processes and procedures designed to improve the overall workflows.
11. Participate in creation and implementation of needed trainings to support Care Management Agency in deficient areas. Assist in monitoring attendance of required trainings and conducting follow up with agencies not in compliance.
12. Extract patient satisfaction survey data from Press Ganey portal and provide data processing, staging, and analysis for delivery to identified manager(s).
13. Maintain expertise in working within the assigned Electronic Health Record System(s) of the agency.
14. May attend outside meetings or conferences and or other duties as deemed necessary.
15. Other duties as assigned.
Minimum Qualifications:
EDUCATIONAL LEVEL:
Bachelor’s degree in healthcare administration, social work, nursing or related field.
YEARS OF EXPERIENCE:
· One years’ experience in quality improvement, patient safety or related field community healthcare setting preferred; or
A satisfactory equivalent of experience, education and training
KNOWLEDGEABLE IN:
Developing, implementing and evaluating quality improvement initiatives. Excellent analytical, problem solving, and decision-making skills. Strong attention to detail.
Additional Qualifications
EQUIPMENT/MACHINES OPERATED:
Printer/Scanner/Copier/Fax machine, Laptop/Tablet
COMPUTER PROGRAMS/SOFTWARE OPERATED
Required: Microsoft Office Suite (Excel, Outlook, PowerPoint, Word), WebEx and Epic Medical Record System. Preferred: Tableau
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
- Loan Forgiveness Programs for eligible employees
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- College tuition discounts and professional development opportunities
- Multiple employee discounts programs
Job Type: Full-time
Pay: $58,726.00 - $67,535.00 per year
Work Location: In person
