Director of Clinical Quality

The Director of Clinical Quality works collaboratively with senior leadership, physicians, compliance, and leadership to develop and implement best practice performance levels in quality and risk management activities to ensure regulatory compliance.

Oversees the quality compliance duties, responsibilities and obligations for the UCOE practice sites to ensure high quality patient care, including but not limited to the following:

Education and Training

Competency Validation

Internal monitoring processes such as EOC rounding, Facility Site Reviews and Infection Prevention Observations

New Service Line Development

Clinical, safety & regulatory requirements related to infection control, occupational safety, mandatory training & competencies

Oversees regulatory readiness, quality measurement, coordinate tracking and reporting of clinical outcomes and follow-up of corrective action plans.

Serves as a resource for all external/internal compliance audits; ensures that corrective action plans are documented in a timely manner and effectively implemented.

Responsible for implementing policies and procedures, developing training programs and auditing/monitoring compliance related matters.

Receives and responds to risk-related patient complaints and incident reports. Assists with timely resolution including development of corrective actions plans.

Leads CCFMG Safety Committee. Prepares and schedules training to cover emergency procedures, workplace safety, and other relevant topics.

Maintains current knowledge of federal, state and local regulations and ensures that the facility leaders are informed of appropriate issues. Understands and complies with infection control, safety and OSHA procedures and regulations.

Performs other duties as assigned.

Requirements

Education:

RN or LVN license required, NP or PA preferred.

Experience:

Education/training experience preferred.

Quality management experience, preferably in a medical practice setting.

3-5 years of experience, preferably in a medical office setting.

Other Requirements:

Current CPR certificate

TB Test

Current Nursing Licensure

PERFORMANCE REQUIREMENTS

Knowledge:

Knowledge of Continuous Quality Improvement (CQI) principles, practices, methods, and tools.

Knowledge of computer applications related to Quality Improvement (QI), including data analysis programs and spreadsheets.

Knowledge of medical records and clinical care processes.

Skills:

Skill in effective education and facilitation of CQI efforts in medical practice.

Skill in application of tracking and reporting methodology using available software by developing appropriate reports.

Skill in conducting QI checks of medical records and other clinical documentation

Abilities:

Ability to educate staff in both verbal and written form about clinical topics and risk management procedures in formal and informal settings.

Ability to interact effectively with health care team members.

Ability to analyze data and identify trends and corrective actions.

Work collaboratively and have effective communication with midlevel providers and physicians

Equipment Operated:

Standard office equipment including computer hardware and software.

Work Environment:

Primarily well lighted office settings.

Frequent contact with a variety of people.

Occasional patient contact.

Mental/Physical Requirements:

Combination of physician office and some classroom settings. May occasionally need to lift/carry/move audiovisual equipment weighing up to 25 pounds. Occasional stress related to deadline pressure.

Safety:

Managers and supervisors are responsible for implementing and maintaining CCFMG’s Employee Safety and Injury and Illness Prevention Program in their work areas and answering employee questions about the programs

Salary Description

$105,000-$140,000 / year