Whitefoord Health Center is hiring: Director of Clinical Quality, RN in Atlanta

Job Title: Director of Clinical Quality

Department: Health Centers, Community and School Based

Supervisor: Chief Operating Officer

FLSA Status: Full-time, Exempt

The Director of Clinical Quality provides strategic, administrative, and clinical services direction to a multi-disciplinary clinical team in a Federally Qualified Health Center (FQHC) setting focused on providing patient and family centered care with a targeted focus on instituting and sustaining evidenced-based clinical, patient care, and ambulatory clinic setting practices, adhering to regulatory and accreditation standards related to ambulatory clinic settings, continuous quality improvement and assurance, clinical risk and compliance management, and patient and family satisfaction. He/She is accountable for providing leadership related to all facets of clinical operations within the community health center and school-based health center (Health Centers) settings (medical, dental and behavioral health), utilizing available resources to meet/exceed established clinical, operational, and fiscal goals. Duties include; but, are not limited to, oversee day-to-day management of the clinical operations at all Health Centers; personnel management; clinical risk program management; clinical quality program management; developing and implementing policies, procedures, and directives; setting and monitoring budgets; fiscal management; handling communications; and making procurement and purchasing decisions.

Areas of Responsibility

Clinical Quality, Compliance and Reporting:

 Oversee a clinic-wide quality improvement program inclusive of all staff and providers, develops and maintains a written clinic quality improvement plan and ensures quarterly and annual reporting and evaluation of the plan’s effectiveness to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Develops and maintains a key performance indicator measurement work plan and reporting calendar to ensure timely data collection, aggregation, analysis, and reporting of established performance measures related to key operational and clinical processes and outcomes.

 Leads and monitors performance of quality improvement teams through various quality improvement methodologies such as Plan Do Study Act cycle and provides status and outcome reports to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Manages electronic storage of quality improvement and clinical risk management reports to promote ongoing access for key stakeholders.

 Oversees a clinical risk management and compliance program, develops and maintains a written clinical risk management program plan and quarterly and annual evaluation of the plan’s effectiveness and ensures that all required elements of the clinical risk management and compliance program are addressed, maintained, and reported on quarterly and annual basis to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Develops and maintains clinical services policies and procedures related to the clinical operations and practice, risk management and compliance programs.

 In consultation with the CEO, submits mandatory notification of known or suspected clinical operations and clinical risk management compliance violations to the appropriate regulatory agencies.

 Develops and maintains up-to-date knowledge of clinical operations and clinical risk management compliance requirements and related laws and regulations as mandated or recommended by Health Resources and Service Administration (HRSA), Office of Inspector General (OIG), Centers for Medicare and Medicaid Services (CMS), and other agencies; attends outside corporate compliance trainings provided by National Association of Community Health Centers (NACHC), Georgia Primary Care Association (GPCA) and/or other agencies as directed.

 Develops and maintains policies and procedures related to the clinical risk management program.

 Develops and oversees processes for internal incident reporting reports findings on a quarterly and annual basis to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Reviews incident reports and conducts follow up investigations as warranted, investigates and evaluates claims and potential claims.

 Oversees a clinic-wide patient safety program, develops and maintains a written patient safety plan and annual evaluation of the plan’s effectiveness and develops and maintains policies and procedures related to the patient safety program.

 Directs and manages the credentialing and privileging process for all providers and clinical staff

 Collaborates with the Chief Medical Officer (CMO) in the investigation of clinical events including sentinel events, sentinel event near misses, and significant adverse events; leads and/or participates in the development of root cause analyses as directed by the CMO.

 Carries out all other duties as assigned by the Chief Operating Officer.

Clinical Operations:

 Forms triad management relationship between Chief Medical Officer and and revenue cycle director for day-to-day operations of the Health Centers

 Provides supervisory support to the clinical support staff including the medical assistants, dental assistants, and other designated staff members

 Develops and facilitates workshops and in-service trainings for clinical teams

 Be available to step into a teaching or support role when needed

Direct Reports:

 The Director of Clinical Quality supervises the Clinical Operations Manager and the Care Coordinators, along with indirect reports of the Medical and Dental Assistant teams.

Skills and Qualifications

 7 years of professional experience required

 Minimum of 5 years in an outpatient operations setting

 Minimum of 3 years of supervisory or management experience

 Baccalaureate degree in nursing and/or higher level of educational program in the health care administration, nursing, related program. Master’s degree preferred

 Current registered nurse license in the State of Georgia

 FQHC experience preferred

 Minimum of 24 months experience with the health needs of the population served

 Within the last two years, continuing education for professional licensure (30 hours every 2 years) is required; continuing education appropriate to administrative practice (16 hours every 2 years) is preferred

 Certification in Basic Life Support (BLS)

 Electronic Medical Records experience, e-Clinical Works preferred

 Must be committed to improving medical and psychosocial outcomes for children, adolescents, and adults served by the Health Centers

 Must be committed to the Community Health Center and School-Based Models of Care

 Must demonstrate good leadership skills and be able to communicate effectively with staff, school administrators, and Whitefoord administrators and Board of Directors

 Must have excellent communication skills and able to quickly adapt and stratify content for a varied age range; and have a working knowledge of health disparities and underserved community health issues

 MS Office Suite (i.e. MS Word, MS Excel, MS PPT, etc.)

LANGUAGE SKILLS: Must possess above-average command of speaking and writing skills.

REASONING ABILITY: Knowledge of development and marketing skills, strong verbal and written analytical and interpersonal skill, and the ability to prioritize workload and set goals. Analyzes problems or procedures and decides on a correct course of action when a choice can be made; makes logical and timely decisions; identifies and applies logic and reason to resolution of problems; exhibits flexibility and willingness to learn; deals professionally with unexpected situations.

A list of physical demands, equipment, & work environment demands can be reviewed in Human Resources. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees. They are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish an employment contract and are subject to change at the employer's discretion.