NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Under the supervision of the Associate Director of Quality, develops and maintains systems for monitoring standards of professional activities as mandated under Federal and State legislation. Provides guidance and advice with respect to policies and procedure and priorities in the development of Quality Assurance (QA), Performance Improvement and Utilization Review (UR).
The Accountable Care Manager will be responsible for supporting the Certified Home Health Agency in ensuring the delivery of competent, effective, evidence-based and safe home care services and monitoring compliance with federal, state, and local government regulations, and health system and Community Care policies and protocols.

AREAS OF RESPONSIBILITIES

Ensures regulatory standards and compliance. Maintains absolute privacy, confidentiality and security of all information pertaining to employees and patients. Adheres to health system and Community Care policies.

1. Assesses quality of care by varying methods including but not limited to chart audits, and reviews of OASIS assessments and plans of care, etc. Completes reviews of OASIS assessments in assigned Epic work queues utilizing and incorporating quality assurance data from third party vendors, including Strategic Health Programs (SHP), McBee, etc.

2. Finalizes the patient's plan of care with written input from patient/caregiver, physician and other multidisciplinary health team members.

3. Participates in performance improvement activities, utilization review, and quality assurance and performance improvement (QAPI) program including the QAPI Committee. Assists in the development, planning, implementation, monitoring and evaluation of QAPI initiatives and tools.

4. Participates in the development, planning/coordination, implementation, monitoring and evaluation of QAPI content for new employee orientation and continuing education for all nursing staff; and coordinates with appropriate clinical resources.

5. Assists with the development and implementation of policies and procedures, standard operating procedures and guidelines to aid compliance ith federal, state and local regulations and accreditation standards.

6. Assists with QAPI data collection, analysis, and provides insight on patient issues. Collaborates with clinical managers and directors to identify process measures and outcomes needing improvement plans. Coordinates appropriate communication and documentation between clinical and administrative staff and provides feedback to clinical leadership on all aspects of QAPI initiatives.

7. Participates in comprehensives reviews/investigations of all incidents, complaints, infection control logs, and potentially avoidable events. Identifies incidents that will require a root cause analysis. Reviews the clinical records, establish the event time-line, and may serve as the facilitator of those cases requiring a multi disciplinary team meeting.

8. Identifies trends and opportunities for improvement based on findings of reviews/investigations and establishes action plans for outcome measures requiring improvement including those identified in SHP and McBee reports.

9. Continuously analyzes work flow processes and makes suggestions for improvement and continuously improves knowledge base of QAPI in health care. Monitors and evaluates nursing documentation, and suggest revisions to clinical documentation system. Participates in special projects, focus audits and provides outcome data analyses.

10. Ensures regulatory standards and compliance. Maintains absolute privacy, confidentiality and security of all information pertaining to employees and patients. Adheres to health system and Community Care policies.

1. Valid New York State license and current registration to practice as a Registered Professional Nurse issued by the New York State Education Department (NYSED); and

2. A Baccalaureate degree in Nursing or related health field from an accredited college or university; and

3. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA); and

4. Two (2) years of experience as a Registered Professional Nurse.

KNOWLEDGEABLE IN:
Minimum two (2) years of experience in a Certified Home Health Agency Minimum of 2 years of Public/Community Health and 2 years medical/surgical experience required. MRDD experience preferred.

Demonstrated knowledge regarding Federal, State and local regulations and JCAHO standards for Home Care. Excellent verbal, written, organizational and analytical skills.

COMPUTER PROGRAMS/SOFTWARE OPERATED

EPIC H20 Hyperspace - EPIC H20 Remote Client - Microsoft Office (Word, Excel, PowerPoint, Visio, OneNote

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button or forward your resume to CommunityCareCareers@nychhc.org noting the above Job ID #.124459

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs