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Job Details

Director Quality Resource Services Full Time Day

Req #: 0000137414
Category: Nursing
Status: Full-Time
Shift: Day
Facility: Trinitas Regional Medical Center
Department: Quality Resource Services
Location:
WILLIAMSON STREET, 235 Williamson Street, Elizabeth, NJ 07202

Job Overview:

Trinitas Regional Medical Center, an RWJBH facility is searching for a Director of Performance Improvement with supportive and empowering leadership qualities,

The Director will have the opportunity to develop their team while collaborating with hospital leadership and working closely with the Chief Medical Officer,

This individual must be patient-centered, inquisitive with a desire to learn and continuously stay updated with current healthcare rules and regulations that pertain to Performance Improvement,

We are seeking candidates that are familiar with initiatives such as High Reliability, patient safety, regulatory compliance, infection prevention, Root-Cause Analysis, Apparent-Cause analysis, Leapfrog, CMS stars, patient experience, AHRQ, Health grades, Joint Commission, Hospital Compare and Case Management/Utilization to name a few,

The candidate should share in the mission, vision and values of the RWJBH family

Qualifications:

Required:

  • BSN
  • Master s degree in healthcare related field (MSN/MHA) preferred with a minimum of 5+ years experience in quality/performance improvement/patient safety/ accreditation
  • Required to achieve quality/patient safety certification within 2 years of hire
  • Certification as a CPHQ/Six Sigma

Preferred:

  • Minimum 5 years nursing experience or applicable experience related to advanced degree in an acute care facility.
  • Minimum 5 years of experience evidencing a proven track record with managing regulatory compliance and increasing Leapfrog, CMS, HCAHPS, and other quality scores.
  • In-depth knowledge of Joint Commission, NJDOH and Federal guidelines, regulations and standards, having prepared, and participated in State, Joint Commission, and CMS surveys.
  • In-depth knowledge of Leapfrog, IHI, AHRQ, Healthgrades, Joint Commission site, Hospital Compare (NJDHSS and CMS), Quality Net, Press- Ganey. Case Management/Utilization a plus.
  • Proficient ability to analyze data from various data sources for improvement and patient safety initiatives such as, Nuance and EPIC preferred (Word, Power Point, Excel, Outlook)

Certifications and Licenses Required:

  • Certification as a CPHQ/Six Sigma
  • BLS from the American Heart Association

Scheduling Requirements:

  • Full Time
  • Day Shift, 35 hours per week

Essential Functions:

Directs the hospital wide Quality, Safety and HRO initiatives. Serves as the lead and coordination efforts for our quality programs, high reliability journey, safety behaviors, and patient experience. Monitors experience scores and assists the VP and hospital leadership in the planning and implementation of tactics, methods and work plans. Identifies areas of opportunity for improvement, champions the development of policies and procedures. Assists leaders in the management and follow up of the patient/family grievance process and ensures timely responses while identifying trends; will serve as an electronic incident reporting administrator. Serves as an internal consultant in education and training for HRO behaviors and encourages employee recognition and engagement. In collaboration with leaders, mentors and grows the safety coach program. Represents Trinitas Regional Medical Cneter as the liaison for quality and experience system meetings and strategies.

Other Duties:

Patient experience: Maintains positive relationships with all patients, employees, physicians, visitors, and guests Utilizes a variety of feedback to improve processes and services to meet and exceed customer needs. It uses sound employee relations practices and maintains high levels of visibility and accessibility. Follows through on all customer requests and inquiries in a timely fashion. Makes recommendations to Senior Team regarding improvement strategies through program development

Quality Management: Utilizes principles of CQI in all work situations. Seeks feedback and recommendations from others to improve quality, processes and services. Contributes to improving quality services and productivity (takes the initiative to continually evaluate one s work, report problems, suggest solutions and try new ideas) Plans and conducts meetings with department leaders to review trends and strategies to improve patient and employee experience. Assumes role as lead for all RCA and ACA work and partners with Medical Staff Office in the peer review process.

Safety Together: Provide expert knowledge, leadership and mentoring in patient safety & quality initiatives utilizing safety and high reliability science. Strategize with personnel at all levels to develop and coordinate patient safety programs. Provide coaching and hands-on support of quality and safety strategies.

Sustainability: Determines priorities and organizes work and time to meet them. Follows sound employee retention techniques; tactfully and diplomatically interacts with others and resolves conflicts effectively Demonstrates cultural competency and ability to maintain a diverse workforce

Execution: Completes tasks and assignments in a timely, accurate and efficient manner. Remains positive and focused despite obstacles and setbacks. Demonstrates a sense of urgency in completing assignments. Organizes multiple assignments and/or projects simultaneously to accomplish goals.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

  • Paid Time Off (PTO)
  • Medical and Prescription Drug Insurance
  • Dental and Vision Insurance
  • Retirement Plans
  • Short & Long Term Disability
  • Life & Accidental Death Insurance
  • Tuition Reimbursement
  • Health Care/Dependent Care Flexible Spending Accounts
  • Wellness Programs
  • Voluntary Benefits
  • Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer


RWJBarnabas Health is an Equal Opportunity Employer

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