| Cornell Health (CH) is a fully accredited ambulatory care center with more than 200 employees, committed to providing integrated and culturally sensitive medical, mental health, health promotion and public health services for the diverse Cornell community. CH is nationally recognized for innovation and leadership in the development of integrated, cost-effective, and community-based services and campus health initiatives.|
This position reports to the Director of Operations, and collaborates with all departments to coordinate systems and programs on behalf of administrative and clinical leadership. The position oversees key compliance and quality functions for Cornell Health, as well as the accreditation process with the Accreditation Association of Ambulatory Health Centers (a comprehensive review whose main focus is on quality and compliance, the primary domains of this position). Areas of responsibility include:
Quality Initiatives: Chairs the Quality Initiatives Workgroup and independently oversees, coordinates and guides quality Initiative processes, including:
- Quality Improvement (dynamic and innovative studies evaluating systems, processes and outcomes)
- Quality Assurance (routine studies that monitor key systems and processes, typically related to regulatory compliance and risk management)
- Peer Review (explorations of compliance and outcomes at an individual clinician level)
- Benchmarking (comparisons to peer organizations, from both college health and the broader industry)
- Utilization Review (evaluation of high-volume, -risk, and –cost services, and new programs, to guide key decisions around clinical and administrative programs)
- Assists administrative and clinical departments in developing and completing meaningful projects and reports in all of the above categories.
Compliance Management- Independently oversees, coordinates and guides compliance activities, including:
- Credentialing and privileging for all licensed staff
- Compliance monitoring for clinical policies (e.g., timely charting, continuing education requirements; drafts letter for supervisor of provider for improvement and tracks performance/improvement)
- Affiliation agreements (related to CH clinical training programs)
- Business Associate Agreements
- Contracts with outside agencies and medical providers
- Compliance monitoring for federal, state, and local legal requirements by studying existing and new legislation; enforcing adherence to requirements; advising management on needed actions
Risk Management/Infection Control – Chairs the Risk Management and Infection Control Workgroup and independently oversees, coordinates and guides related activities. Assures linkage of risk management and quality initiatives processes, and manages the occurrence report process, tracking and documenting all occurrence evaluations, interventions and outcomes.
Other duties: Participates in on-going development of clinical data repository and dashboard reporting; manages projects on behalf of the Director of Operations.
Essential Employee -This position is considered an Essential Employees; those needed on campus to meet the needs of students, research programs, or general operations when the university is in reduced operating status or closed.
Employees are required to report misses and near misses immediately to supervisor and via occurrence report. OSHA Category Blood Borne Pathogen 2, Tuberculosis 2, Ergonomics 2
Essential Employee Status:
In the event of an emergency or public health crisis, the position assists with preparing for and responding to health center crisis response. Must be able to provide 'mobile support' for schedule management, task tracking and follow-up, and general coordination of a wide range of health center activities. Employees are required to report misses and near misses in all circumstances.
- Master's degree or equivalent combination of education and training/experience in related clinical and/or administrative area
- 3 -5 years' of experience in one or more of the following areas: quality initiatives, compliance management, and/or credentialing/privileging of licensed health care providers.
- Experience working in an accredited health care facility
- Excellent organizational, writing, and editing skills.
- Ability to delegate or significantly influence others to manage multiple priorities, meet deadlines, and handle sensitive and confidential information with general supervision.
- Attention to detail, accuracy, and an ability to communicate effectively with external and internal contacts from a service-focused environment.
- Intermediate-to-expert knowledge of entire MS Office suite software, email systems, and cloud-based platforms/applications such as SharePoint.
- Visa sponsorship is not available for this position.
- Experience using an electronic health record keeping system.
- Certified Medical Staff Coordinator (CMSC) and/or Certified Provider Credentialing Specialist (CPCS). If not certified at the time of hire, certification must be obtained within two (2) years for CPSC, and/or four (4) years for CMSC depending on experience and satisfying of National Association of Medical Staff Services educational requirements.
- Project management experience highly desirable.
University Job Title:Plan/ Research Assoc I
Pay Rate Type:Salary
Contact Name:Timothy Glanton
Number of Openings:1
Diversity and Inclusion are a part of Cornell University's heritage. We are a recognized employer and educator valuing AA/EEO, Protected Veterans and Individuals with Disabilities.2017-01-06-08:00