Job Description

Job Description

Job Description

Director of Quality and Risk Management

At HealthCore Clinic, we pride ourselves on being a premier medical employer and learning institution for individuals willing to serve the underinsured. Our “You-Centered” approach to healthcare for our clients only works because we employ, train and retain the best of the best.

At Healthcore Clinic, we believe healthcare is a human right whose access should not be bound by finances. If you believe in our philosophy and are fun loving, open minded, caring and flexible with your schedule, then you have come to the right place. We are people serving people, serving people. We are looking for a dynamic individual to join our family at Healthcore Clinic.

Job Purpose: The Director of Quality and Risk Management at HealthCore Clinic is pivotal in overseeing the clinic’s Quality Improvement and Assurance (QI/QA) and risk management initiatives. This role ensures compliance with Health Resources and Services Administration (HRSA) standards, fosters high-quality patient care, and addresses potential risks and compliance issues. This position will work in close collaboration with the Chief Medical Officer to integrate clinical insights and medical judgment into quality and risk management processes.

Job Description

This strategic role requires balancing quality assurance with comprehensive risk management. The individual will lead initiatives in performance measurement, information management, accreditation, consultation, and training. Additionally, the role involves overseeing risk assessment and mitigation processes, ensuring these efforts are aligned with clinical insights provided by the Chief Medical Officer. This position will also support grant research and writing.

Key Responsibilities:

1. Quality Assurance and Improvement:
• Develop, implement, and maintain a board-approved QI/QA program that addresses the quality and utilization of services, focusing on patient satisfaction, safety, and grievance processes.
• Conduct and oversee periodic assessments, in concert with the Chief Medical Officer, to evaluate service utilization and quality based on systematic patient record reviews.
• Implement changes as necessary, integrating medical judgment through collaboration with the Chief Medical Officer to enhance service provision and compliance with HRSA guidelines.
2. Risk Management:
• Identify potential risks to patient safety and organizational integrity, developing and implementing strategies to mitigate these risks.
• Ensure alignment with healthcare regulations and standards to prevent adverse events and effectively manage patient grievances, coordinating closely with the Chief Medical Officer to incorporate clinical perspectives.
• Oversee the organization's compliance with federal and state laws, particularly concerning patient privacy and data security.
3. Leadership and Communication:
• Serve as the focal point for integrating quality and risk management programs, ensuring alignment with clinical insights and medical oversight provided by the Chief Medical Officer.
• Maintain continuous communication with the governing board and management, reporting on QI/QA and risk management outcomes, strategic recommendations, and clinical insights.
• Develop organizational policies related to quality and risk management, ensuring adherence by staff and integration of medical expertise from the Chief Medical Officer.
4. Training and Policy Development:
• Lead training initiatives related to quality improvement, risk avoidance, and compliance, emphasizing the integration of clinical judgment and insights.
• Develop and refine policies and procedures to enhance the quality of patient care and minimize risks, in collaboration with the Chief Medical Officer.
5. Accreditation and Evaluation:
• Manage processes related to achieving and maintaining accreditation standards, incorporating clinical judgments from medical professionals.
• Coordinate and supervise internal and external audits to ensure continuous compliance and improvement, integrating clinical insights.
6. Other:
• Other duties as assigned.

Qualifications and Requirements:

• Associate’s Degree required in healthcare administration, nursing, public health, or related field. Bachelor’s Degree or higher in a relevant field is preferred.
• Extensive experience in quality improvement, risk management, preferably in a healthcare setting.
• Strong collaboration skills, especially in working closely with medical professionals to integrate clinical insights.
• Proficient in the use of healthcare IT systems, including Electronic Health Records (EHR).
• Excellent leadership, analytical, and project management skills.

HealthCore Clinic offers competitive salaries with benefits for positions in medical and non-medical fields. Not only is HealthCore a renowned employer with excellent employee satisfaction ratings, but we are also innovators in the field of community health services. Some of the benefits we offer include:

· Medical Health Insurance

· Dental Insurance

· Vision (HCC paid for employee only)

· Healthcare FSA

· Voluntary Life Insurance, HCC paid

· HCC Paid STD and LTD

· 401K with HCC 6% matching contribution

· Tuition Reimbursement

· 10 paid Holidays

Not only is Healthcore Clinic a great place to get care, it’s also a great place to work!

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