Director of Quality bei MEDICAL ASSOCIATES PLUS

Description

Position Summary
The Director of Quality Management supports the mission and vision of the organization by coordinating clinical performance improvement activities across all provider and practice sites. This role works closely with the Chief Medical Officer to manage quality initiatives, ensure regulatory compliance, and lead continuous quality improvement (CQI) efforts. The Director also serves as the Risk Manager for the organization, overseeing safety protocols and regulatory adherence across the multi-site health center. In collaboration with Operations and Clinical Managers, this position ensures timely delivery of patient services and compliance with all Quality Assurance and Community Health Center Program requirements.
________________________________________
Essential Duties and Responsibilities
Duties include but are not limited to:
1.    Collaborate with the CMO to ensure all Quality Performance Measures, FTCA, and PCMH requirements are met.
2.    Support the Quality Improvement (QI) Manager in designing, implementing, and maintaining a comprehensive CQI program, including utilization and risk management.
3.    Educate staff and providers on QI processes and compliance requirements.
4.    Lead QI program implementation across the organization.
5.    Assist in scheduling, conducting, and reporting peer reviews to the Board of Directors quarterly.
6.    Oversee clinical safety and risk management, including updating risk-related policies and protocols.
7.    Assist Clinical and Operations Managers in addressing patient complaints related to clinical care.
8.    Act as the liaison between providers and internal departments.
9.    Participate in senior leadership strategic planning with a focus on quality care integration.
10.    Coordinate with the Chief Technology Officer to ensure data systems support quality tracking and reporting.
11.    Research and maintain compliance with clinical regulatory standards, including HRSA 330 grants, CLIA, FTCA, PCMH, and OSHA.
12.    Lead the Infection Control program, including staff training, implementation, and oversight.
13.    Ensure all sites are properly stocked with clinical supplies and vaccines.
14.    Co-chair the QI Committee, lead follow-ups on corrective actions, and drive organization-wide performance improvement.
15.    Maintain and update clinical policies and procedure manuals.
16.    Monitor adherence to clinical protocols and assess quality measures.
17.    Collect, analyze, and report clinical outcomes data for UDS and HRSA audits.
18.    Complete the clinical components of the UDS report, attend related trainings, and ensure accurate data reporting across sites.
19.    Oversee and ensure entry and documentation of sample medications into EHR and logbooks.
20.    Complete FTCA applications and submit them to the CEO for entry into EHB.
21.    Serve on quality-related committees including CQI and Risk Management.
22.    Maintain and configure eClinicalWorks templates and alerts to ensure compliance with ACO, PCMH, SAC, NAP, Medicare, and other initiatives.
23.    Ensure all sites maintain Level III PCMH recognition.
24.    Coordinate care transitions and post-discharge follow-up with hospitals and clinical managers.
25.    Lead quality orientation for new employees.
26.    Serve as the Clinical Lead for emergency preparedness and disaster response.
27.    Maintain strict confidentiality related to patients, staff, and organizational operations.
28.    Uphold the organization’s Mission, Values, and Standards of Conduct.
29.    Perform other duties as assigned.
________________________________________
 

Qualifications

Education and Licensure Requirements

• Bachelor’s degree from an accredited institution is required.
• Master’s degree in Healthcare Administration, Nursing, Public Health, or a related field is preferred.
• Leadership experience in a Federally Qualified Health Center (FQHC) and experience with quality initiatives required.
• Valid state licensure or certifications where applicable.

Experience, Knowledge, and Skills

• Strong interpersonal and communication skills.
• Ability to interact professionally with patients, staff, and external stakeholders.
• Proven leadership and problem-solving abilities.
• Demonstrated initiative, integrity, and accountability.
• Experience in managing stress and multitasking under pressure.
• Expertise in EMR/EHR systems (especially eClinicalWorks).
• Knowledge of performance improvement methodologies and data analysis.
• Familiarity with state and federal healthcare compliance standards.
• Understanding of primary care trends and evidence-based practices.
• Competency in employee safety and infection control standards.
• Knowledge of community resources, intake processes, and conflict management.

Physical Demands

• Must be able to perform all duties with or without reasonable accommodation.
• Ability to sit or stand for extended periods.
• Occasional lifting of up to 30 pounds.
• Manual dexterity is sufficient to operate a keyboard and other office equipment.
• Sufficient vision and hearing (with or without prosthetics) to perform job duties.
• Flexibility to move throughout the facility and cope with frequent interruptions.
• Ability to work collaboratively with diverse teams.

Working Conditions

• Office and clinical environment.
• Regular interaction with diverse groups, including patients, staff, vendors, and partners.
• May occasionally require extended hours, evenings, or weekends.
• Requires discretion, tact, and professional judgment on a daily basis.

Disclaimer

This job description is intended to provide a general overview of the responsibilities and requirements of this position. It is not an exhaustive list and is subject to change at the discretion of Medical Associates Plus. Duties may be added, removed, or modified to meet organizational needs.

Medical Associates Plus reserves the right to assign work location, work hours, and job duties to meet the needs of the organization.