Quality Improvement & Standards Manager, Ambulatory Operations

Employment Type

: Full-Time

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NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on Facebook, Twitter, YouTube and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a Quality Improvement & Standards Manager, Ambulatory Operations.

Under the direction of the Sr Director and Director of Clinical Ambulatory Operations, FGP, the incumbent is responsible for acting as a resource to actively promote a culture of quality and safety throughout the FGP Ambulatory facilities. Participates in the development and management of Quality Improvement projects, incorporating standards according to the Joint Commission, NYS DOH and coordinates and oversees other regulatory related responsibilities as assigned.

Job Responsibilities:

  • Identifies need for and assists in design, implementation and monitoring of operational processes/activities to assure compliance with standards and facilitate ongoing survey readiness.
  • Serve as on and off site resource to improve clinical operations through process improvement, strategic planning, managing change in the workplace and building teams. Coordinate AAAASF accreditation for new ambulatory sites performing Office Based Surgery procedures.
  • Oversee office based surgery recertification as per accrediting body for ambulatory sites.
    Reviews and disseminates information pertaining to Joint Commission and NYS DOH compliance activities.
  • Participates in enforcing the regulations governing a multi-specialty ambulatory clinical care center in accordance with FGP standards as well as Article 28 sites.
  • Trains, coaches and/or mentors staff in the methods and tools of continuous quality improvement and root cause analysis.
  • Organize and establish in-services for ambulatory staff.
    Conduct regular environmental inspections with department supervisors to ensure compliance.. Coordinates and serves as a resource for occurrence review.
  • Manages the collection of checklists, logs, surveys, and all other documentation to meet the required standards of care. Disseminates pertinent information to all facilities. Tracks accreditations of the different modalities to ensure timely submission.
  • Oversees the submission and renewal of licenses, certificates and continuing education.
    Assists with CLIA and CLEP
  • Reviews policy and procedure manuals.
  • Collaborates with pertinent departments within the medical center to achieve compliance with standards and regulations.
  • Assists with other regulatory responsibilities as assigned. Other duties as assigned.

Minimum Qualifications:
To qualify you must have a Bachelors degree.  Clinical License (RN, NP or PA).  Five years minimum experience in healthcare operations/ emphasis on healthcare regulations and physician practice operations. Strong analytical and problem-solving skills.  Ability to multi-task and oversee simultaneous projects. Strong interpersonal skills. Excellent written and oral communication skills.

Preferred Qualifications:
Masters in a healthcare strongly preferred.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.

Position Summary:
Under the direction of the Sr Director and Director of Clinical Ambulatory Operations, FGP responsible for acting as a resource to actively promote a culture of quality and safety throughout the FGP Ambulatory facilities. Participates in the development and management of Quality Improvement projects, incorporating standards according to the Joint Commission, NYS DOH and coordinates and oversees other regulatory related responsibilities as assigned.

Minimum Qualifications:
Bachelors degree
Five years minimum experience in healthcare operations/ emphasis on healthcare regulations and physician practice operations
Strong analytical and problem-solving skills
Ability to multi-task and oversee simultaneous projects
Strong interpersonal skills
Excellent written and oral communication skills

Preferred Qualifications:
(Masters in healthcare strongly preferred) RN preferred


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