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Director, Quality Management Services


Partners in Care, part of the Visiting Nurse Service of New York, provides a wide range of personalized home care services, from skilled nursing, bathing, grooming, to appointment assistance. Care can be short-term, on-going, or even round-the-clock.

As part of the VNSNY family, Partners in Care shares its commitment to quality and compassionate care. Our clients recognize and appreciate that commitment. More than 85 percent of Partners in Care clients who were surveyed expressed overall satisfaction with the services they received, and said they were likely to recommend us to friends and family.

VNSNY is committed to culturally sensitive care to meet the diverse needs of various communities around New York. We provide welcoming, safe home health services to all individuals—regardless of race, religion, color, national origin, age, disability, sex, sexual orientation, gender identity, or gender expression. VNSNY is proud to be accredited by the Community Health Accreditation Program (CHAP), as well as by SAGE Care with platinum level LGBT cultural competency credential.

Our services are available to residents of all five boroughs of New York City, as well as Nassau, Suffolk, Westchester, and Rockland Counties.

Responsibilities and Qualifications


Leads the advancement and integration of quality assessment and quality performance improvement strategies one of the following VNSNY Provider Services organizations – CHHA, Hospice, or Partners in Care. Develops, implements and refines quality and safety programs at the inter-professional level through consultation, program activities and collaboration across VNSNY. Ensures the delivery of safe cost-effective home health care to patients and families served by VNSNY. Oversees the development of quality metrics to support performance improvement initiatives and quality/compliance oversight. Builds shared vision to incorporate a culture that is data driven and aligns with evidenced based best practices that are compliant with regulatory, accreditation, professional and enterprise standards. Facilitates and supports operational changes and activities which further quality improvement and clinical staff development goals. Supports VNSNY’s strategic goals and meeting its financial targets. Works under general direction.


Designs, initiates, and oversees quality assessment and performance improvement programs, based on the application of continuous improvement principles and best practices, in collaboration with program leadership.

Creates and manages reporting and analysis of multiple quality performance indicators. Presents findings to management, staff and the governing body. Collaborates with the senior leadership to establish annual performance targets and oversee the preparation of VNSNY Annual Reports.

Evaluates the impact of industry and regulatory changes on Quality Improvement programs and recommends appropriate and necessary changes.

Identifies and evaluates data needs, trends and target areas of improvement. Collaborates with teams to identify and test strategies for change improvement. Ensures that all improvement actions are evaluated for effectiveness.

Ensures program services and operations are compliant with federal, state and accrediting organization requirements and professional standards. Collaborates with Compliance department in the design and analysis of compliance reviews to identify and address areas of compliance risk.

Responsible for the coordination of all regulatory audits including, but not limited to, NYS DOH, CHAP, Sandata, and OMIG.

Measures, analyzes and tracks quality performance indicators to enable assessment of processes of care, services and operations. Identifies trends and areas of opportunity; recommends solutions; and leads implementation of changes.

Directs staff in the investigation and resolution of patient service incidents and responds to patient complaints and grievances. Coordinates investigation of serious complaints and incidents. Recommends corrective actions. Ensures logging, tracking and resolution of complaints, grievances and incidents. Analyzes and maintains statistical data concerning complaints and incidents.

Responds to DOH complaints. Maintains and monitors tracking system for DOH complaints, statements of deficiencies and plans of correction. Collaborates and follows-up with staff to ensure timely completion of correction plans.

Participates with other VNSNY staff in interacting with regulatory, health and community agencies in identifying and influencing public policy issues that relate to VNSNY. Represents VNSNY internally and externally and increases public awareness of program through education, presentations and marketing of services.

Develops and leads an effective management team in establishing and achieving goals and objectives consistent with providing the highest standards of care.

Maintains knowledge of and evaluates the impact of industry, regulatory and accreditation changes. Recommends appropriate and necessary program changes. Coordinates with other teams to integrate and monitor requirements in the practice environment.

Provides oversight of VNSNY Quality Scorecard and other metrics related to regulatory compliance and performance improvement initiatives.

Tracks and monitors quality improvement project work plans, including objectives, task, and time frames to ensure deliverable are completed on time. Identifies and responds to changing project circumstances and communicates issues to leadership as appropriate. Creates and delivers presentations on project status and/or outcomes to senior leadership and/or VNSNY board members upon request. Leads project evaluation process at project close.

Ensures quality initiatives are aligned with CMS Triple Aim framework: improving the patient’s experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of healthcare.

Performs all duties inherent in a managerial role. Ensures effective staff training, evaluates staff performance, provides input for the development of the departmental budget and hires, promotes and terminates staff and recommends salary actions as appropriate.

Participate in special projects and perform other duties as required.

For Hospice only:

Directs implementation of clinical documentation processes in the hospice electronic health record in collaboration with the Hospice Information Services Manager.

Responds to Additional Development Requests and other clinical record requests from the Hospice fiscal intermediary.

Participates in the design of a training curriculum integrating Palliative Care into community-based facilities like nursing homes and medical practices.

For Partner in Care only:

Serves as chairperson of the QA committee. Responsible for holding quarterly Quality Assurance Committee meetings, as well as preparing the quarterly report for the Partners In Care Board of Directors.

Serves as Director of Patient Services. Responsible for the oversight of the Health Provider Network (HPN) account as relates to, compliance with NYSDOH requirements related to use of the portal, the Electronic Plan of Correction, and issuing guidance and communications received from the Health Provider Network such as Dear Administrator letters.

Oversees the implementation of workforce development initiatives under the Long Term Care Workforce Investment Organization (LTC WIO) as it aligns with value-based payment arrangements with MLTC plans.

Licensure: Current license and registration to practice as a Registered Professional Nurse or Physical Therapist in New York State required.

Education: Bachelor’s degree in Nursing, health care, or a related field required. Master’s degree preferred.

Experience: Minimum of six years’ experience in clinical quality improvement, performance measurement, and systems analysis, preferably in a home or community, based health care organization, required. Minimum of three years of supervisory experience required. Knowledge of health care delivery systems, patient care and clinical processes required. Knowledge of clinical quality assessment, improvement and data analysis techniques required. Ability to perform statistical/quantitative analysis required. Demonstrated ability to lead project teams, develop project plans with corporate wide impact, and work in team groups required. Effective oral/written communication, presentation skills required. Proficiency in the field of training and staff development preferred. Proficient with personal computers, including Windows, Excel, Word and Power Point required.JT2018

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