Performance Optimization Coordinator/Utilization Review Specialist

2 weeks ago

Montour Falls, United States Schuyler Hospital Full time

WORK AND LIVE WHERE OTHERS VACATION

We will deliver the highest quality health care in partnership with our community, one person at a time.

CAYUGA HEALTH SYSTEM

Montour Falls, NY

1.5 hours from Syracuse

1.5 hours from Rochester

4.5 hours from NYC

4 hours from Philadelphia

2.5 hours from Buffalo

4.5 hours to Toronto/Ottawa

  • Situated in the heart of the Finger Lakes wine country
  • Quaint village on the south end of Seneca Lake Breathtaking year-round natural beauty Lakes, waterfalls and trails for hiking
  • The thrill of motor racing

At Cayuga Health System, we believe that hospitals are shaped by the people they serve. Schuyler Hospital is a 16-bed critical access hospital, with a 120-bed skilled nursing facility attached. Schuyler Hospital's main campus - on our over 50 acre facility overlooking breathtaking Seneca Lake - is located in Montour Falls, New York.

For 100 years, Schuyler Hospital has been the healthcare provider for all ages in and around Schuyler County. Our long tradition of combining personal care with advanced technology provides a level of comfort, trust, and security that leads to outstanding patient satisfaction ratings. At Schuyler Hospital, we offer a wide range of medical services to the community, a highly skilled medical staff, and devotion to personalized care and service.

While our main hospital campus is located in Montour Falls, we have evolved over the years into a network of providers, programs, and services that reaches throughout Schuyler County and into southern Yates and Seneca Counties to meet the healthcare needs of a population of over 32,000 residents.


THINGS TO DO:

Sunsets, scenery, and experiences - The Watkins Glen area is the heart of the Finger Lakes. Close to it all, but away from it all, Watkins Glen and Schuyler County is a welcoming place with epic natural beauty, hometown charm, and unique adventures for all.

  • Guided Winery, Brewery and Distillery Tours
  • Watkins Glen State Park
  • Finger Lakes National Forest
  • Seneca Lake, plus 3 other lakes to enjoy
  • Waterfalls
  • Watkins Glen International Raceway
  • Orchards, creameries and farms


Schuyler Hospital is seeking a full time Performance Optimization Coordinator/Utilization Review Specialist. The Performance Optimization Coordinator will be responsible for the coordination of activities that fall under the Performance Optimization umbrella (Infection Control & Prevention, Patient Relations, Quality, Performance Improvement, Regulatory and Risk Management) under the Quality and Clinical Risk Management Department at Schuyler Hospital, directly reporting to the Manager of Quality, Patient Safety and Clinical Risk Management with a dotted line to the Infection Prevention RN.

The coordinator will assist in daily operations of the department and support the management of the patient safety and patient relations database, manage data for units and engage members throughout SH in performance improvement,.

This position will perform basic analysis of data and will create, prepare, and deliver reports to various departments as directed by the Manager of Quality, Patient Safety and Clinical Risk Management. The Coordinator will be the primary contact for Patient Relations and will serve as the entity's official Patient Advocate for both inpatient and outpatient departments on SH's campus. Under Patient Relations, the duties will include, but are not limited to, receiving department correspondence, speaking to patients, following up on concerns with appropriate stakeholders, meeting regulatory deadlines associated with formal responses to complaints/grievances, orientation and special education. Under Quality and Performance Improvement, the duties will include, but are not limited to, creating and executing risk assessments, sharing information from risk assessments and incidents with respective committees, implementing/sustaining unit/department huddles to sustain the high reliability program and assess/improve clinical regulatory compliance. In addition, this position will be responsible for reviewing patient's utilization records and use nationally recognized standards of care guidelines to evaluate hospital admissions, length of stay, and assure the level of care is medically necessary and at the most appropriate level. This position will analyze utilization and quality trends and make recommendations to management on improvement opportunities.

Qualifications Required: RN-Registered Nurse-New York State Education Department (NYSED)

Work Experience: At least 3+ years of relevant work experience Specific Skills: Excellent organizational skills, attention to detail, excellent communication skills (verbal and written) Within 1 year of hire, the coordinator must complete Lean Six Sigma Yellow Belt, which will be issued by Cayuga Health System Within 2 years of hire, the coordinator must complete Lean Six Sigma Green Belt, which will be issued by Cayuga Health System.

Excellent verbal, written and interpersonal communication skills Knowledge of word processing and database management. Ability to learn new software programs as they are implemented to better facilitate processes For physical demands of position, including vision, hearing, repetitive motion and environment.

Preferred: Education: Bachelor's Degree, preferably in Business Administration or Healthcare Administration (Applicants with an acceptable combination of relevant experience and education that provides the required knowledge and abilities may be considered). Experience working with Quality, Data, Performance Improvement, Risk Management, Customer Relations, Medical Staff programs highly desirable.

Cayuga Health System Commitment to Diversity, Equity & Inclusion

Cayuga Health System commits to treat all people with dignity so that everyone who comes to us is safe, cared for, and respected. We will support the growth of our employees and the health of our community by embracing the rich diversity of social and cultural identities, needs, and life circumstances of all people. We strive to recognize and overcome personal biases and systemic policies that marginalize others and contribute to disparities in healthcare access, equitable care, and good health outcomes.

Cayuga Health is dedicated to our vision for diversity, equity, and inclusion. As we strive towards our vision, we welcome the opportunity to work alongside a diverse range of employees.



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