Able to abstract and submit core measures data to TJC and CMS; supervise data abstractors.
Coordinates performance improvement activities throughout the organization.
Coordinates accreditation and regulatory surveys.
Conducts tracer activates to ensure ongoing survey readiness.
Works with and motivates staff, physicians and leadership to participate in performance improvement activities.
Collaborates with all disciplines/departments (including Risk Management and Infection Prevention) in the organization to obtain the highest level of patient outcomes.
Coordinates policy process within the organization to ensure policies are updated appropriately and new policies are written as needed.
Educates all members of the organization, including physicians and senior leaders on performance improvement tools and processes.
Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectations
Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental, and infection control standards. Assesses gaps in policies and procedures, and create necessary policies and procedures to fulfill these gaps.
Understands and adheres to the Medical Center’s Code of Conduct.
Familiar with the Medical Center’s Mission, Vision, and Values Statements.
3-5 years of proven experience as a quality manager in a hospital setting.
Strong knowledge of regulatory and accrediting agencies (NJ DOH, TJC, CMS, OSHA) standards.
Strong computer skill, including knowledge of statistical software such as Minitab and/or SAS.
Must have strong medical chart review skills.
Strong verbal, written communication and presentation skills, must be an organized self-starter as
well as a team player.
Talent for leading and facilitating group and team meetings.
Ability to maintain a calm, professional demeanor under pressure.
Comfort in handling challenging situations that may involve adverse outcomes.
Internal Number: 10070
About New Bridge Medical Center
New Bridge Medical Center, a Clinical affiliate of Rutgers Biomedical and Health Sciences, is a 1,070 bed hospital located at 230 East Ridgewood Avenue in Paramus, NJ. Founded in 1916 to treat patients with contagious diseases, the medical center is both the largest hospital and licensed nursing home in New Jersey and the fourth-largest publicly owned hospital in the nation.
New Bridge Medical Center provides high-quality comprehensive services including long-term care, behavioral health care and acute care to the greater Bergen County community. Additionally with 323, New Bridge Medical Center is one of the largest medical facilities providing a continuum of care for behavioral health community and is a safety net provider for the mentally impaired, elderly, uninsured or underinsured for the state of New Jersey.
As a compliment to its long-term care and behavioral health/substance abuse expertise, New Bridge Medical Center offers acute medical services, including: 24/7 emergency department; surgical suites; physical rehabilitation; pharmacy; laboratory; radiologic services (including digital mammography) and more than 20 ambulatory specialties available through its clinic.