Vice President,Quality Management Job Yonkers area,New York USA,Management

Vice President Of Quality Management

The Vice President of Quality Management is responsible for the strategic development and implementation of Saint Joseph's Medical Center's Patient Safety and Quality Program. The quality program includes initiatives to maximize quality, improve patient safety, and mitigate risk.

In collaboration with the SJMC Senior Leadership Team, the Vice President of Quality and Risk functions as the Patient Safety Officer to develop and prioritize organizational quality initiatives to ensure that patient safety is integrated into all initiatives, whether clinical, operational, or related to improving the patient experience.

This position coordinates external regulatory surveys and data reporting to ensure organizational performance meets desired objectives.

Duties and responsibilities include:

Serving as Patient Safety Officer.
Promoting organizational understanding, communication, and coordination of Quality Management programs through the established quality committee structure, creating targeted work groups and ensuring state goals and objectives are met.
Maintaining and establishing indicators for monitoring and evaluating the quality and appropriateness of care and services.
Assessing continuous improvement in monitored indicator activities.
Monitoring member satisfaction and directing initiatives for improvement while evaluating the effectiveness of interventions across the continuum of care.
Serving as the primary contact for regulatory agencies and maintaining awareness of regulatory requirements and updates.
Developing and implementing programs to improve safety and decrease risk.
Providing primary support to the Risk Management Program, including claims management, insurance management, and regulatory reporting.
Providing oversight of the Corporate Compliance Program, ensuring adherence to federal and state compliance requirements.
Serving as a role model and leader to colleagues and staff throughout the organization.
Representing the organization internally and externally as required.

Risk management responsibilities include:

Working with leadership in organizational operations, quality, etc.

Serving on the Audit Committee, Quality Assessment and Performance Improvement Subcommittee, Performance Improvement Safety Council, and Radiation Safety Committee.

Having authority to retain, direct, and approve compensation of defense counsel.

Conducting analyses to identify patterns that could result in compensable events.

Responding to the needs of the Medical Staff and department heads regarding Risk Management.

Developing and implementing facility policies and procedures affecting liability exposure.

Selecting and utilizing consulting services, brokers, carriers, and related resources.

Providing summary reports for incidents, claims, reserves, and claim payments.

Complying with state and federal laws, regulations, and reporting requirements related to patient care, patient safety, and investigations.

Reviewing contracts and agreements for compliance with Saint Joseph's Medical Center insurance specifications.

Working with defense counsel by providing required information, data, materials, and policies for active and potential claims.

Reporting and preparing written reports for the New York Patient Occurrence Reporting and Tracking System (NYPORTS).

Preparing reports and providing NYPORTS data for the Quality Assessment and Performance Improvement Subcommittee.

Reviewing occurrence reports and preparing summaries for the Environment of Care and Audit Committees.

Providing in-service education for facility staff.

Reviewing medical records for areas of potential liability exposure.

Reviewing occurrence reports and other reporting tools for patterns and trends that could result in compensable events.

Managing the Institutional Review Board (IRB) as it relates to facility policies and legal requirements.

Developing and implementing facility policies and procedures to meet legal requirements.

Procuring outside loss prevention services.

Claims management duties include:

Managing reporting procedures, system maintenance, claim investigations, reserve establishment, legal counsel selection, claimant communications, settlements, and actuarial services.

Ensuring compliance with Medicare and Medicaid regulations related to claim settlements.

Managing federal Section 111 SCHIP reporting for Medicare Secondary Payer requirements.

Reporting claims information to the Audit Committee.

Directing investigative activities.

Directing claims handling and defense preparation with attorneys and insurers.

Projecting future costs related to losses, insurance, and other risk management activities.

Managing and resolving claims within the self-insured program in collaboration with the Chief Financial Officer, President & CEO, and Board of Trustees when applicable.

Risk financing responsibilities include:

Maintaining familiarity with insurance markets.

Planning, coordinating, and administering a comprehensive insurance program, including purchasing,…

Vice President, Quality Management