Associate Medical Director, Quality - Emergency ...

Nicklaus Children's Hospital is hiring a BC/BE Fellowship-trained Pediatric Emergency Medicine Physician to serve as Associate Medical Director of Quality for the following community-based Emergency Department's:Nicklaus Children's Health System - Main Emergency Dept.Baptist Health South FloridaHomestead Hospital's Pediatric Emergency DepartmentMastroianni Family Pediatric Emergency Department at Jupiter Medical CenterThis person will collaborate with the Medical Director, Pediatric ED, and Director of Community Initiatives to focus on managing quality performance and improvement activities in the Emergency Department. This person will also support administrative call, serving as one of primary points of contact for the department, provider concerns, and reviewing end-of-shift nurse reports to address patient/provider care delivery issues. This is a hybrid clinical/quality role that will require work between all community emergency departments, although the employee can be primarily based out of one of the locations. Academic AffiliationThis position includes appointment to the Faculty of FIU Herbert Wertheim College of Medicine. Opportunities for clinical and translational research abound.Job Specific Duties Include:Assist with resolution of care delivery issues and patient grievances within designated program and campus. Assist in the development and revision of clinical policies, procedures, and care protocols to optimize outcomes as they pertain to quality management of the Emergency Department. Ensure compliance with medical staff bylaws and other accreditation standards and regulations (American College of Surgeons for Trauma and all relevant regulatory agencies as applicable). Review data to identify opportunities to improve overall quality of care delivered in the ED. Identify and assist in creating effective PI /Quality initiatives which qualify for ABP MOC Part 4 Activity. Ensure effective communication between program physicians, APPs, and other team members. Identifies and participates in ongoing education for/by physicians and staff.Share Administrative on-call responsibilities with other Emergency Department Directors to provide support to attendees, troubleshoot flow and at-capacity issues, and provide crisis management. Participate in medical staff, hospital committees, performance improvement, or other committees as assigned. Participate and see patients as part of Medical Group's TeleHealth program. Consistently treat Medical Group employees, colleagues, patients and their families, and others who accompany patients to office and hospital visits in a professional and respectful manner. Participate in and cooperate with the peer review, Quality Improvement and Quality Management programs and procedures of Medical Group and assist in the development and achievement of clinical quality indicators and outcomes. Comply with all rules, regulations, and policies established by Medical Group, the Occupational Safety & Health Administration, all federal, state, and local agencies, and other accreditation organizations Comply with all Medicare, Medicaid, and other third-party payor reimbursement rules and OIG compliance standards. Participate in any Ethics Training Programs and Compliance Training Programs established by Medical Group and Hospital. Assist Medical Group in the investigation, documentation, and resolution of any issue arising out of Medical Group's dealings with peer review and all regulatory agencies having jurisdiction relating to the Practice Site.Maintain a minimum performance of 85% or higher adherence to evidence-based guidelines for process as established by the National Center for Quality Assurance (NCQA) that apply to the Physician's practice for ambulatory and inpatient practice. Maintain 90% or higher to those Hospital Quality Alliance metrics for hospitalized patients that apply to the Physician's practice. Provide teaching services to the Hospital's residents and fellows in accordance with the requirements of the Hospital's medical education program and the Accreditation Council for Graduate Medical Education ("ACGME"). Accompany representatives of Medical Group's parent, NCHS, and NCHS affiliates to events to discuss issues relating to NCHS or NCHS affiliates' operations. Achieve the annual Press Ganey physician-related patient satisfaction target as provided by the Hospital. Adhere to standard Computerized Physician Order Entry ("CPOE") processes and will input a minimum of 95% of Physician's orders for inpatients through the CPOE system provided by the Hospital and adhere to a 95% compliance with medical record coding accuracy. Complete medical records pursuant to the requirements of the Hospital's Medical Staff Bylaws and Medical Group guidelines. Completes NCHS quarterly curriculum. Participate in community events and educational lectures to other physicians.Application review begins immediately and will continue until the position is filled. All inquiries and applications will remain confidential. Competitive compensation and a robust benefits package are included. Qualified candidates may apply online or contact:Joyce Berger, Physician Recruiterjoyce.berger@ or 786-501-6189

Created: 2025-10-02