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**Req Number** 172544

Job Description

Provides direction, oversight and coordination of quality management, performance improvement activities across the health system. Advises on the design and execution of quality management programs and performance improvement efforts that support patient safety and ongoing enhancement of service to patients and customers of the health system.

Job Responsibility

+ Provides strategic advice and guidance to the Clinical Quality Management & Performance Improvement functions.

+ Advises and works with health system team to apply appropriate methodologies and relevant quality tools to evaluate results and support patient safety.

+ Advises on the analysis of performance data with comparison over time and comparisons to internal and external benchmarks to identify improvement opportunities.

+ Ensures plans and designs are consistent with internal and external expectations for accreditation, regulatory compliance, and public reporting as required. Maintains current knowledge of regulatory agency requirements pertaining to Quality Management/Performance Improvement activities. Participates in continuous survey readiness activities as required.

+ Advises/participates in Root Cause Analysis studies and performance improvement activities with risk reduction strategies to mitigate or prevent adverse events when applicable.

+ Supports Patient Safety through active participation in the identification of actual or potential patient safety issues; oversees the development of appropriate risk reduction strategies, use of tools, and methods that support patient safety.

+ Serves as liaison between Northwell Health and its entities/service lines to support implementation and integration of performance; and quality improvement processes to optimize patient outcomes, enhance operational effectiveness and facilitate healthy communities.

+ Provides education and training related to quality management/performance improvement.

+ Participates in organizational committees, as applicable.

+ Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions.

Job Qualification

+ Bachelor's Degree in Nursing, required. Master's Degree, preferred. Current license to practice as a Registered Professional Nurse, in New York State, plus specialized certifications as needed.

+ 5+ years of clinical nursing experience and minimum of 5+ years of experience related to quality/ performance improvement or other related experience required.

+ Joint Commission prep/regulatory-accreditation experience, preferred.

+ Knowledge of root cause analysis/patient safety principles, preferred.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $114000-$182000/year

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.