Director Of Quality Management

Overview

• Lead quality management initiatives for hospice and palliative care services, ensuring compliance with regulatory standards and enhancing patient care quality.
• Develop and implement Quality Assurance/Performance Improvement (QAPI) plans aligned with industry standards and patient needs.
• Collaborate with senior leadership to recommend strategic quality initiatives and report on key quality indicators.
• Utilize data analysis tools to monitor clinical performance and identify improvement opportunities.
• Ensure compliance with Federal and NYS regulations, serving as a resource on regulatory matters.
• Oversee CMS Hospice Quality Reporting Program, implementing performance improvement projects based on data insights.
• Manage staffing and resources to support departmental services, including recruitment and performance management.
• Facilitate collaboration across clinical and operational departments to enhance care processes and outcomes.

Key Responsibilities & Duties

• Develop and maintain quality management programs for hospice services, ensuring alignment with patient needs and regulatory requirements.
• Collaborate with leadership to establish clinical performance indicators and manage benchmarking activities.
• Utilize PDSA methodology and analytical tools to evaluate performance improvement initiatives.
• Oversee risk management systems to identify and mitigate high-risk processes in care delivery.
• Ensure effective data reporting and analysis to support strategic decision-making and quality improvement.
• Collaborate with the Patient Experience team to enhance service quality and patient satisfaction.
• Manage performance of staff, providing training, development, and corrective action as needed.
• Participate in budget preparation and monitor productivity throughout the year.

Job Requirements

• Bachelor of Science in Nursing (BSN) required; Master’s degree in nursing or related field preferred.
• Registered Professional Nurse licensed in New York State.
• Minimum 5 years of experience in quality management or performance improvement.
• Proficiency in statistical process control tools and data analysis methodologies.
• Knowledge of Federal and NYS Department of Health regulations.
• Experience with CMS Hospice Quality Reporting Program and performance improvement projects.
• Strong leadership and collaboration skills to manage teams and drive quality initiatives.
• Ability to utilize corporate resources effectively, including HR, Compliance, and Information Services.