Quality Measurement Data Manager

SCHEDULE: VARIED HOURS/VARIED SHIFTS

JOB DESCRIPTION:

The Quality Measurement Data Manager (QMDM) is responsible for capturing and evaluating data collected from various indicators that have been developed for systems performance improvement. The QMDM performs medical record reviews for potential quality issues and concerns as demonstrated by use of electronic and chart abstracted core measure indicators, quality of care and outcome screens, mortality reviews, readmission reviews, transfers, ED indicators and any other indicator that is approved by the medical staff and/or VP Quality and Regulatory Affairs. The QMDM will develop reports, tables and graphs etc. for capturing and presenting data used to direct, implement, coordinate and improve performance. The QMDM will be responsible for the departmental utilization review function i.e.: insurance company reviews denials management etc. and will assist in the case management function when needed and as directed by the VP or AVP of the department. This role includes, but is not limited to the above, to ensure compliance with all fiscal, regulatory and accrediting requirements as required by the Joint Commission, NYS Department of Health, Office of Mental Health, IPRO, The Justice Center, OASAS, and SAMSHA.etc.

Qualifications:

• Registered Professional nurse currently licensed and registered in the State of New York

• Bachelor’s degree required

• Minimum of 5 years case management, quality assurance and performance improvement experience in an acute care setting

• Committed to continuing professional development

• Ability to work effectively with others.

• Willingness to work closely and cooperatively as a member of an interdisciplinary team

• Effective verbal and written communication skills.

• PRI and SCREEN certified

Preferred:

• Membership in professional organization preferred

• Proficient in Word / Excel.

Physical Demands:

Good vision and hearing

Maintain physical and mental capabilities to perform work related duties.

Must be able to respond quickly in an emergent situation.

Must be able to communicate orally in an emergent situation.

Must be able to use stairs in an emergent situation.

Must be able to walk, carry semi-heavy equipment and reach overhead. Must be able to communicate effectively orally and in writing with staff, physicians, and colleagues.

Special Notes: Resume/CV should be included with the online application.

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.

Prior to start date, the selected candidate must meet the following requirements:

Successfully complete a 4-panel drug screen*

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

• The Human Resources department will be responsible for any fee incurred for examination.

Company Overview:

As part of Stony Brook Medicine, Stony Brook Eastern Long Island Hospital (SBELIH) combines the best in academic and community medicine, improving access to advanced medical care for residents of the North Fork and Shelter Island. With 70 beds, SBELIH is Suffolk County’s first hospital, serving the North Fork since 1905. SBELIH provides care to 25,000 year-round residents and expanding to 60,000 summer residents with comprehensive healthcare solutions, including behavioral health, medical-surgical, orthopedics and general surgery, wound care, interventional pain management and GI, advanced ambulatory care, diagnostic, and physical therapy services. The hospital is also a clinical campus and training site for Stony Brook Medicine, with its first SBELIH Psychiatry resident having graduated in 2022.

Stony Brook Eastern Long Island Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally

StaffCo is a Professional Employer Organization, commonly referred to as a PEO. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Eastern Long Island employees and responsible for employment, including the day-to-day direction and supervision of work.StaffCo is fully responsible for providing all Payroll and Human Resource services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all benefits for which one is eligible. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.

Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.