Overview

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

St. John’s Riverside Hospital is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law.

Personalized care together with advanced technology is what it means to be Community Strong

Responsibilities

Responsible for assisting the AVP Hospital Performance Improvement/Risk Management in overseeing, planning, and implementing new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of all regulatory program review and accreditation surveys and federal/state QI compliance activities. • Utilizes performance improvement model (Plan-Do-Study-Act) to improve patient outcomes Works with standing committees and department heads to accomplish objectives of Performance Improvement programs Participates in Hospital Acquired Conditions reduction activities, including surveillance and workgroups Review and analyze occurrences to determine the need for referrals to appropriate individuals for review. Participates in Risk Management activities including but not limited to internal and external RCAs as needed. Conducts and participates in regulatory program review and accreditation survey preparation and Mock Surveyors to constant state of readiness. Responsible for preparing and conducting Survey Readiness meetings as needed Manages all on-site regulatory and accreditation visits, Coordinates all activities surrounding the application and on-site readiness for Joint Commission, OASAS, DOH, etc. Certifications.

Coordinates the formulation of a comprehensive Plan of Correction (POC) with relevant staff/leaders ensures the monitoring of POCs and providing compliance feedback to stakeholders. Other duties as assigned by Director/AVP of Performance Improvement

Walking, standing, bending and sitting required.

Qualifications

1-3 years of related experience required. Must be proficient in Microsoft Office Suite including Word, Excel & PowerPoint as well as Microsoft Teams. Must possess excellent verbal and written communication skills.Knowledge of medical terminology, clinical concepts and Hospital Regulatory process a plus. Ability to self-learn database management and Internet skills.

NYS RN license required. Bachelor’s degree required; Master’s degree preferred.