Essen Health Care · 2 months ago
Associate Director, Quality Operations
Essen Health Care is the largest privately held multispecialty medical group in the Bronx, dedicated to providing high-quality medical care to underserved residents. The Associate Director, Quality Operations, will oversee quality improvement, performance management, and compliance for Health Home staff, ensuring effective care coordination and program outcomes.
Health CareMedical
Responsibilities
In collaboration with Director of Quality and other Health Home (HH) Senior Leaders, establish and monitor quality improvement plan, oversight, and professional development opportunities for HH Care Coordinators, Supervisors and other staff
Oversee quality activities, improving overall program functions, training needs of departments, co-developing strategic plans, creating policies and workflows, and communicating quality improvement goals and plans
Develop, plan and establish quality improvement processes and tools for the HH Program to enhance knowledge and skills of HH workforce, enhance quality care, and improve program outcomes
Explore areas for improvement based on both collected data and engagement with HH Senior Leaders and other staff to identify and implement potential solutions
Generate and update reports using electronic health records, and external and internal databases to gather, synthesize, and convey information effectively and in a meaningful manner
Provide management of and/or review member charts using audit tools, as well as internal tracking tools, to verify eligibility for each enrolled client in the program, to ensure assessments are filled out comprehensively and completely, care plans map to assessments and include SMART goals, and progress notes relate to care plans and chart member’s ongoing movement through the HH program
Identify and provide insight into trends found in charts and documentation to provide staff with the necessary tools, trainings, and guidance to ensure quality care coordination
Participate in implementation and planning to track the timely completion of targeted deliverables, with particular attention on Outreach and Enrollment, Documentation, and Core Service delivery needs
Coordinate with staff across the HH Program departments (i.e., Care Coordination, Administration, Enrollment, HARP), Lead Health Homes, and contracted partners to anticipate and plan for future quality improvement and compliance needs
Coordinate with HH leaders and other staff to ensure all programmatic written Assessments, Plans of Care, and Progress Note documentation is up to standard
Assist with the formulation, implementation and monitoring of corrective actions to ensure program improvement including but not limited to: policy/procedure development and review, working with established benchmarks from lead Health Homes, training, etc., tracking the implementation of corrective actions providing follow-up and ensuring resolution
Conduct reviews of Incident Reports and ensure timely submission to the Lead Health Home and the Department of Health (DOH); this includes incident/accident/grievance tracking and case reviews related to incidents
Facilitate the submission of Outcome Measurement Reports: Track key outcomes and performance measurements throughout the year, aggregating data, analyzing quarterly and annual trends and working collaboratively with HH program staff regarding follow-up activities and improvements
Maintain up-to-date knowledge of HH program regulations and any changes that occur in order to modify policies and procedures on an ongoing basis and ensure compliance with rules and regulations
Attend team and agency staff meetings and participate in strategic planning
Participate in special projects as requested by Essen or Health Homes (HH) leadership
Qualification
Required
A master's degree in Public Administration, Healthcare Administration, Social Work or related field
Minimum 2 years of experience in quality operations/program evaluation
Experience with audit preparation and managing corrective action plans
Familiarity with Electronic Health Records and/or Medicaid Billing, i.e., ePACES, MAPP, PSYCKES
Demonstrated experience in use of common software, including Microsoft Office (i.e., Word, PowerPoint, Excel, etc.)
Excellent communication and interpersonal skills across all levels and backgrounds
Familiarity and/or experience with working with people with mental health, substance use, chronic health conditions and/or psychosocial barriers
Strong administrative writing and reporting skills
Preferred
Bilingual in Spanish
Company
Essen Health Care
Essen Health Care is a premiere healthcare network in New York with over 400 providers across Manhattan, Bronx, Queens, Staten Island, Long Island and Westchester County.
H1B Sponsorship
Essen Health Care has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (34)
2023 (12)
2022 (12)
2021 (49)
2020 (25)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kain Capital
2024-04-30Private Equity
Leadership Team
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