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 :

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.

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 Eastern Long Island’s Employee Health Services

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

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.

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. 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 employee benefits. 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.

Stony Brook Eastern Long Island Hospital is committed to excellence in diversity and the creation of inclusive learning, and a 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.

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.