Director of Performance Improvement

Director of Performance Improvement

The Director of Performance Improvement provides leadership and oversight for the Home Care Division's Performance Improvement Program, quality review activities,
Infection Prevention and Control Program, Managed Care, regulatory compliance initiatives, medical review audits and appeals, and related risk management activities. 

The Director monitors clinical quality and organizational performance, including OASIS outcomes and Home Health Value-Based Purchasing (HHVBP), identifies trends and 
opportunities for improvement, and collaborates with clinical and operational leadership to develop, implement and monitor performance improvement initiatives.

The Director oversees medical review activities and coordinates responses to Medicare and payer audits, including RAC, TPE, SMRC, MAC and commercial payer reviews, 
as well as the appeals process. The Director provides oversight of Managed Care activities, monitors federal and state regulatory requirements, supports regulatory readiness and survey activities, and oversees infection prevention and control activities. The Director participates in root cause analyses and corrective action initiatives and collaborates with Home Care and Catholic Health leadership and interdisciplinary teams to promote regulatory compliance, patient safety and quality outcomes. 

The Director leads Performance Improvement and other assigned meetings and committees and analyzes and presents clinical, operational, financial, regulatory and performance data, trends and recommendations to Home Care and Catholic Health leadership, committees and governing bodies.

Minimum Qualifications:

• New York State Registered Nurse license
• Master's degree in Nursing, Healthcare Administration, Business Administration, Public Health
  or a related healthcare field.
• A minimum of five years of progressive management experience in a Medicare-certified home health agency
• Strong knowledge of Medicare Conditions of Participation, OASIS, HHVBP, infection prevention and control, regulatory requirements, audits, appeals and home health reimbursement.

The Director must possess strong leadership, analytical, communication, presentation and meeting facilitation skills and be proficient in Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook and Teams

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job, and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.