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Quality Measurement Data Manager Position Summary The Quality Measurement Data Manager will be responsible for chart abstraction/data capture and improvement activities related to various external quality reporting requirements typically including but not limited to CMS/TJC measure sets reporting and NYS and professional society registry reporting. The primary focus of these registries is to collect data from patient records and identify opportunities for improvement resulting in improved outcomes for patients receiving care at Stony Brook Medicine.
Duties of the Quality Measurement Data Manager may include the following but are not limited to:
Continually analyze new and revised specifications for assigned quality registries typically including but not limited to CMS/TJC measure sets, NYS, and professional society registries. Develop a comprehensive understanding of reporting requirements, educate Quality Measurement & Analytics (QMA), Quality Improvement (QI), relevant clinical staff, Informational Technology (IT), and Clinical Transformation regarding potential impact on workflow requirements.
Perform gap analysis to identify registry data elements not currently captured in the legal health record. Participate in and/or manage collaborative projects with IT and relevant clinical staff to develop mechanisms for capturing data elements.
Perform hybrid medical record review of cases, validation, outlier cases drill-down, and other clinical data abstraction activities as necessary to support external quality reporting and quality improvement activities. Continually take steps to ensure the accuracy of all data captured for measure sets and registries. Provide guidance to relevant clinical staff regarding areas of variance with guidelines as demonstrated by the registries. This includes accessing standard reports as well as preparation of basic custom reports.
Provide guidance and support on clinical topics to other QMA personnel, QI, and other analytical and clinical departments.
Generate ad-hoc reports and perform ad-hoc responsibilities as deemed appropriate by the QMA Supervisor.
Maintain awareness of institutional quality priorities and work collaboratively with colleagues in QMA, the Quality Management Division, IT, clinical and ancillary services, and Hospital Leadership to accomplish organizational goals.
Registered Nurse, physician assistant or other clinical care provider with three or more years of nursing or clinical experience OR Licensed Practical nurse with 5 or more years of nursing or clinical experience.
Ability to work independently as well as collaboratively with diverse populations of healthcare workers is critical
Ability to navigate an electronic medical record.
Basic computer skills including spreadsheet, word processing, and presentations
Demonstrated ability to grow and adapt in a changing environment
Superior organizational skills, detail oriented, and ability to set priorities, be persistent and follow through
Bachelor's degree in nursing or other advanced clinical education
Five or more years of medical/surgical clinical experience
Clinical chart review and abstraction experience and ability
Prior experience with health care quality reporting and/or interpreting health care regulatory/accreditation requirements
Skill in presenting information to a variety of audiences
Experience in collaborative design of electronic health record components
Intermediate experience with Excel
Special Notes: Resume/CV and cover letter should be included with the online application.
In accordance with the New York State Department of Health (DOH) regulation that all hospitals and nursing homes “continuously require all personnel to be fully vaccinated against COVID-19,” Candidates who are not already partially vaccinated must obtain the first dose of the vaccine within three (3) calendar days of acceptance of conditional job offer and must obtain any subsequent doses in accordance with the vaccine protocol, including booster vaccines. Candidates who are partially vaccinated, but not yet fully vaccinated, must complete their vaccination series within three (3) calendar days of job offer or in accordance with vaccine manufacture protocol, whichever comes later.
The regulation also includes those who may be affiliated with or interact with employees of a hospital or nursing home. The regulation allows for limited exemptions with reasonable accommodations, consistent with applicable law.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date. ___________________________________________________________________________________
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions maybe subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position maybe designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 5 panel drug screen*
Successfully complete a Background Check investigation.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination. ___________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access .
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewedhere. Job Number: 2200819Official Job Title: TH Staff AssociateJob Field: Administrative & Professional (non-Clinical)Primary Location: US-NY-East SetauketDepartment/Hiring Area: Quality Measurement and AnalyticsSchedule: Full-time Shift :Day Shift Shift Hours: 0830-1700 Pass Days: Sat, SunPosting Start Date: Mar 21, 2022Posting End Date: Jun 19, 2022, 8:59:00 PMSalary:Commensurate with experienceSalary Grade:SL4