Quality Improvement Specialist (NY-RAH) - Geriatrics and Palliative Care

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.


The Quality Improvement (QI) Specialist works on-site at nursing facilities and serve as a designated liaison for the New York-Reducing Avoidable Hospitalizations (NY–RAH) project to promote better care for long-stay nursing facility residents. NY-RAH is part of a national demonstration and is funded through a cooperative agreement with the national Medicare and Medicaid Coordination Office. The project and the position are expected to continue through 2020. This individual splits their time traveling between a minimum of two, maximum of three, nursing facilities located geographically within a reasonable distance. 


The QI Specialist collects and analyzes data, identifies patterns and trends, and develops actionable next steps to reduce avoidable hospitalizations. The QI Specialist works with facility leadership to train facility front line staff; coordinate and facilitate meetings to review hospitalizations with transfer hospitals; and develops new processes and policies. S/he works with the nursing facility administrator, director of nursing, and medical director to identify the necessary resources to improve the quality of care of residents and support treatment in the appropriate setting. The QI Specialist is supported in these activities by the NY-RAH project management team, including data analytic specialists.


Roles & Responsibilities:

  • Completes Quality Improvement tools and conducts Root Cause Analyses on transfers and review, report, and interprets conclusions to facility leadership
  • Conducts Performance Improvement Projects at the facility using project-provided claims data using the CMS Quality Assurance Performance Improvement (QAPI) principles
  • Works with facility leadership on preventative action plans based on QAPI audit findings, deviations, and events related to potentially avoidable transfers; plans follow-up audits/PDSA cycles to assess if the desired effect / change was achieved
  • Trains facility staff on best practices for identifying, documenting, and communicating changes of conditions using the INTERACT principles and tools
  • Reviews documentation and assess effectiveness of documentation review approaches; analyzes causes and develop solutions for documentation failures
  • Develops training materials and presentations for nursing facility staff based on areas of improvement defined in the Performance Improvement Projects and/or claims data
  • Presents project updates as requested
  • Works with NY-RAH project staff with other project responsibilities as necessary
  • Other duties as assigned
  • Education: Bachelor’s degree required
  • Nursing or other clinical background/experience preferred
  • Experience: Long-term care experience in either a clinical or administrative capacity
  • Knowledge of the INTERACT program preferred
  • Knowledge of QAPI or Lean/Six Sigma Principles required 
  • Licenses: Clinical Prof License (Multiple Disciplines)

Strength Through Diversity


The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.


We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care. 


Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.


Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.


The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation. 


EOE Minorities/Women/Disabled/Veterans



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