Overview

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

Personalized care together with advanced technology is what it means to be Community Strong

Responsibilities

The Quality Specialist is responsible for assisting the AVP Hospital Performance Improvement in overseeing, planning, and implementing new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of Joint Commission accreditation surveys and federal/state QI compliance activities.

Under the general direction of the AVP Performance Improvement/Risk Management, the following job duties are essential:

• Maintain cooperative relationship with the Chairman of Performance Improvement Committee, Medical Staff , Vice President of Medical Affairs and Vice President of Nursing.
• Assists in implementing an ongoing Performance Improvement program which systematically evaluates patient safety, care, and satisfaction to identify opportunities for improvement.
• Reviews data related to clinical care and hospital services, identifies areas for improvement.
• Utilizes performance improvement model (Plan-Do-Study-Act) to improve patient outcomes
• Works with standing committees and department heads to accomplish objectives of Performance Improvement programs.
• Upload and retrieve Quality data and reports from Regulatory and vendor’s internal and external databases.
• Perform medical record review, including review of electronic medical records to investigate clinical quality of care (QOC) complaints. Review provider records against clinical and procedural established standards
• Ensure timely and accurate QOC case resolution within NYS DOH and CMS regulatory requirements dependent online of business.
• Ensure each QOC review is supported by nationally recognized and accepted sources/clinical practice guidelines. Provide citations and references in support of findings and for use in member communications.
• Implement and monitor provider corrective action plans as needed. Ensure provider responses are received timely and actions are implemented.
• Assists in directing personnel in collecting data, analyzing, and using clinically valid criteria to assess problems and recommend improvements.
• Develops tools to audit and monitor outcomes at the unit level.
• Actively participates in Committees relevant to Performance Improvement programs at Riverside Health Care System.
• Analyzes Nursing Performance Improvement activities and findings; and recommends performance and systems improvement.
• Assist Directors in formulating unit-based Performance Improvement activities.
• Reviews, evaluates, and submits reports of Nursing Performance Improvement activities to AVP Performance Improvement/Risk Management and VP Nursing.
• Reports Performance Improvement activities to the Hospital Performance Improvement Committee.
• Performs other assigned duties at the discretion of Performance Improvement Leadership.

Qualifications

• Currently licensed and registered to practice as a Registered Professional Nurse in New York. Bachelor’s Degree in Nursing preferred. 
• Previous Performance Improvement experience preferred.
• Proficient in Microsoft applications including Word, Excel, Outlook, Microsoft Teams and Power Point.
• Excellent written and verbal communication skills.
• Ability to self-learn database management and internet skills.
• Ability to work and relate well to others on all levels in all departments.
• Must be trustworthy, independent, and self-motivated.