Quality Measurement Data Manager

Stony Brook Medicine
86700 - 104040
United States, New York, East Setauket
Dec 16, 2024
Position Summary The Quality Measurement Data Manager will be responsible for chart abstraction/data capture and improvement activities related to various external quality reporting requirements typically including but not limited to CMS/TJC measure sets reporting and NYS and professional society registry reporting. The primary focus of these registries is to collect data from patient records and identify opportunities for improvement resulting in improved outcomes for patients receiving care at Stony Brook Medicine. Duties of the Quality Measurement Data Manager may include the following but are not limited to: Continually analyze new and revised specifications for assigned quality registries typically including but not limited to CMS/TJC measure sets, NYS, and professional society registries. Develop a comprehensive understanding of reporting requirements, educate Quality Measurement & Analytics (QMA), Quality Improvement (QI), relevant clinical staff, Informational Technology (IT), and Clinical Transformation regarding potential impact on workflow requirements. Perform gap analysis to identify registry data elements not currently captured in the legal health record. Participate in and/or manage collaborative projects with IT and relevant clinical staff to develop mechanisms for capturing data elements. Perform hybrid medical record review of cases, validation, outlier cases drill-down, and other clinical data abstraction activities as necessary to support external quality reporting and quality improvement activities. Continually take steps to ensure the accuracy of all data captured for measure sets and registries. Provide guidance to relevant clinical staff regarding areas of variance with guidelines as demonstrated by the registries. This includes accessing standard reports as well as preparation of basic custom reports. Provide guidance and support on clinical topics to other QMA personnel, QI, and other analytical and clinical departments. Generate ad-hoc reports and perform ad-hoc responsibilities as deemed appropriate by the QMA Supervisor. Maintain awareness of institutional quality priorities and work collaboratively with colleagues in QMA, the Quality Management Division, IT, clinical and ancillary services, and Hospital Leadership to accomplish organizational goals. Qualifications Required: Registered Nurse, physician assistant or other clinical care provider with three or more years of nursing or clinical experience OR Licensed Practical nurse with 5 or more years of nursing or clinical experience Ability to work independently as well as collaboratively with diverse populations of healthcare workers is critical Ability to navigate an electronic medical record Basic computer skills including spreadsheet, word processing, and presentations Demonstrated ability to grow and adapt in a changing environment Superior organizational skills, detail oriented, and ability to set priorities, be persistent and follow through Preferred: Bachelor's degree in nursing or other advanced clinical education Five or more years of surgical clinical experience Clinical chart review and abstraction experience and ability Prior experience with health care quality reporting and/or interpreting health care regulatory/accreditation requirements Skill in presenting information to a variety of audiences Experience in collaborative design of electronic health record components Intermediate experience with Excel 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. ______________________________________________________________________________________________________________________________________ Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. All Hospital positions may be subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair. This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. 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 Medicine's Employee Health Services* Complete electronic reference check with a minimum of three (3) professional references. Successfully complete a 4 panel drug screen* Meet Regulatory Requirements for pre-employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. The hiring department will be responsible for any fee incurred for examination. _____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and 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. If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.* *In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed* *here. Visit our* WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University 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. Anticipated Pay Range: The salary range (or hiring range) for this position is $86700 - $104040 / year. The above salary range represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate's validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired. Some positions offer annual supplemental pay such as: Location pay for UUP, CSEA & PEF full-time positions ($3400) Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line. Job Number: 2404523 Official Job Title : TH Staff Associate Job Field : Administrative & Professional (non-Clinical) Primary Location : US-NY-East Setauket Department/Hiring Area : Quality Measurement and Analytics Schedule : Full-time Shift : Day Shift Shift Hours : 8:30 - 17:00 Pass Days : Sat, Sun Posting Start Date : Dec 16, 2024 Posting End Date : Mar 17, 2025, 3:59:00 AM Salary : 86700 - 104040 Salary Grade : SL4 SBU Area : Stony Brook University Hospital