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CH
Catholic Health
Director of Performance Improvement
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Based on New York data
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What they do
A Clinical Director directs and manages a medical practice, clinic, hospital, or other clinical setting. Organizes and manages of staff physicians, policy implementation, and ensures that standards for medical care are communicated and maintained.
$157,617 / year median in New York
+18% projected growth
Job Description
Overview Director of Performance Improvement The Director of Performance Improvement provides leadership and oversight for the Home Care Division's Performance Improvement Program, quality review activities,Infection Prevention and Control Program, Managed Care, regulatory compliance initiatives, medical review audits and appeals, and related risk management activities. The Director monitors clinical quality and organizational performance, including OASIS outcomes and Home Health Value-Based Purchasing (HHVBP), identifies trends and opportunities for improvement, and collaborates with clinical and operational leadership to develop, implement and monitor performance improvement initiatives. The Director oversees medical review activities and coordinates responses to Medicare and payer audits, including RAC, TPE, SMRC, MAC and commercial payer reviews, as well as the appeals process. The Director provides oversight of Managed Care activities, monitors federal and state regulatory requirements, supports regulatory readiness and survey activities, and oversees infection prevention and control activities. The Director participates in root cause analyses and corrective action initiatives and collaborates with Home Care and Catholic Health leadership and interdisciplinary teams to promote regulatory compliance, patient safety and quality outcomes. The Director leads Performance Improvement and other assigned meetings and committees and analyzes and presents clinical, operational, financial, regulatory and performance data, trends and recommendations to Home Care and Catholic Health leadership, committees and governing bodies.