Kindred Hospital New Jersey - Rahway is a 34-bed long-term acute care hospital located on the 4th floor within the RWJ University Hospital based in the medical district of Rahway, close to several educational institutions and Madison Avenue Park. We offer the same in depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness.
Job Summary
Responsible for planning and implementing the performance improvement program to meet the needs of the hospital. Provides education to medical staff, hospital staff, and the Governing Body. Facilitates performance improvement and continuous quality improvement (CQI) activities throughout the hospital. Acts as a resource to the administrative team, department managers, and medical staff. Performs clinical risk management functions and assists department managers with preparation for medical staff committees. Maintains oversight responsibility for all regulatory body surveys, including The Joint Commission (TJC), State Licensing Reviews, and CMS Validation surveys. Serves as the Facility Ethics & Compliance Officer.
Essential Functions
Plans, implements, and oversees the hospital-wide performance improvement program to meet organizational goals.
Facilitates performance improvement and CQI activities through collaboration with clinical leadership, department managers, ancillary services, the administrative team, and the Governing Body.
Maintains awareness of regulatory changes and ensures alignment with current accreditation standards and best practices.
Oversees preparation for regulatory surveys and audits; educates departments to ensure compliance with applicable requirements.
Uses database systems to document occurrences, medical staff review activities, and committee actions, and prepares reports for leadership and committees.
Communicates effectively with physicians, staff, CCO, and administrative leadership regarding quality and compliance initiatives.
Collaborates across departments to support patient care improvement and organizational performance initiatives.
Participates in risk management and patient safety activities.
Provides support to medical staff officers, committee chairs, and the Governing Body as needed.
Serves as primary liaison to the Regional Compliance Director and acts as the main point of contact for compliance-related questions or concerns.
Escalates compliance issues appropriately and participates in regular compliance reviews and discussions.
Prepares and submits quarterly compliance reports to facility leadership and the Regional Compliance Director.
Ensures CMS, NHSN, and other quality reporting requirements are accurate, complete, and submitted timely.
Knowledge/Skills/Abilities/Expectations
Excellent oral and written communication and interpersonal skills.
Basic computer skills with working knowledge of Microsoft Office and related systems.
Knowledge of federal, state, and local healthcare regulations and compliance requirements.
Understanding of accreditation standards and performance improvement methodologies.
Strong critical thinking, prioritization, and time management skills.
Ability to work under stress and respond effectively in urgent situations.
Ability to travel as required.
Pay range: $93,267 - $118,289
ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.Education
Bachelor’s Degree in a healthcare-related field (required) And
Bachelor’s Degree in Nursing (preferred)
Licenses/Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice, Upon Hire (preferred) And
CPHQ - Certified Professional in Healthcare Quality Upon Hire (preferred)
Experience
3+ years of experience in Quality and/or Risk Management in a hospital setting (required)
...tidy * Ability to lift hand weights, demonstrate full body pushups, and maintain high-energy for 50-minute class is required* All instructors are required to complete a 3.5-day training at one of our corporate training centers, as well as significant 'at home' study and...
...Description Position Overview: We are seeking Experienced Tower Technicians to join our dedicated team. This position plays a critical... .... This is a physically demanding role that involves climbing towers exceeding 300 feet, frequent travel, and working outdoors...
...for future part-time openings. There are a number of departments within the store. A brief description of each department is listed below. We have a history of promoting from within. We post all our full-time positions internally first, so a part-time position could lead...
Class A Driver with Hazmat JobThis is a five day route. Driver will go start the route on Monday, returning on Friday. The pay is $18.00 an hour... ...22 years of age, 2 years driving experience; current CDL-A w/Hazmat endorsement a must (or ability to obtain endorsement...
...Role Overview As theEcommerce Manager, you will play a pivotal role in driving the efficiency, commercial success, and security of the payment ecosystem. You will act as a trusted right hand to the Director of Ecomm, taking ownership of day to day performance, vendor...