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Director of Quality Improvement

2 months ago


Toledo, United States Neighborhood Health Association Full time
Job DescriptionJob DescriptionSalary:

Neighborhood Health Association (NHA) is seeking a Director of Quality and Performance Improvement. As a leadership role this position is responsible for collaboration in all areas of the business operations as it relates to quality and performance improvement activities. This position has oversight of accreditation requirements and reporting (TJC, PCMH, NCQA), annual program reporting to government agencies (UDS, HEIDIS, CPC), and an opportunity to share and celebrate the great work our providers do at NHA We're seeking energetic and motivated individuals looking to take their next step in expanding their management skills, reporting challenges, and those who love detail driven work.


Duties, Functions And Responsibilities

  • Develop, implement and monitor a comprehensive organizational strategy to ensure continuous improvement;
  • Subject matter expert and champion responsible for working with and supporting leadership to improve quality measures, benchmarking, best practices and patient satisfaction;
  • Develop ongoing programs to educate staff regarding quality standards, risk management and organizational improvement initiatives;
  • Lead and manage risk management initiatives by effectively monitoring and identifying risks implementing risk mitigation strategies developing strategies to ensure adherence to desired outcomes and standards;
  • Ensure interdepartmental collaboration to control costs, mitigate risks, adhere to industry standards and best practices by managing and monitoring risk management functions;
  • Monitor changes from accreditation governing bodies and updates policies and procedures as appropriate.
  • Assist with new-hire orientation program and training of new staff in accord with grant and regulatory requirements;
  • Lead and manage all Infection Control efforts at all NHA locations;
  • Lead and manage Quality Improvement Staff
  • Primary contact for site visitor activities including but not limited to:
    • Appropriate projection of site visit days
    • Performs review and acceptance of Plans of Correction (POC)
    • Finalizes accreditation finding and request-for-organization POC in response to all deficiencies
  • Leads performance improvement activities


Knowledge, Skills, And Abilities:

  • Knowledge in principles related to Patient Centered Medical Home, Meaningful Use and Quality Improvement
  • Broad knowledge of population health management and preventive health screening standards
  • Advanced working knowledge of risk analysis best practices and procedures
  • Advanced working knowledge of Microsoft Excel, Access and system tools utilized for risk analysis
  • Advanced working knowledge of relevant legal and regulatory requirements
  • Detailed working knowledge of accreditation standards as they relate to FQHC’s


Education Minimum qualifications:

  • Bachelor's Degree in Health Services, Public Administration, or related field Credentials
  • Certification in one or more of the following preferred:
    • Certified Healthcare Quality Professional (CPHQ)
    • Certified Black Belt (Lean, Six Sigma)


Work Experience:

  • Demonstrated experience efficiently managing a professional staff, setting and maintaining clear and consistent standards for staff performance
  • Experience developing and managing strategic plans, implementing goals in an organized fashion
  • Experience in assessments, accreditation reviews, or audits where performance standards are established and reviewed
  • Significant knowledge of medical practices and procedures within in a primary care environment.
  • Demonstrated success and familiarity with tools, technology, and systems typical found within most progressive health care environments (i.e. personal computer skills, spreadsheets, word processing, patient records systems, EMR systems, etc.)


-This is a full-time, exempt salary position, Monday – Friday, no weekends or holidays

-Excellent benefits including Health, Dental and Vision Insurance, PTO and 11 paid holidays.

-We are a drug free workplace, and an Equal Opportunity Employer.


Who We Are:

Neighborhood Health Association (NHA), a Federally Qualified Health Center (FQHC), is the largest community health center system in Northwest Ohio with partnerships that include ProMedica, Mercy Health, and University of Toledo Medical Center. NHA has grown from a single location in 1969 to 12 medical and dental clinics throughout Lucas County. Today we operate multiple health centers including pediatrics, adult medicine, dental services, and health care for the homeless, women’s health center, senior centers and a full service pharmacy with lab services on site.

For more than 50 years, NHA has placed a strong focus on prevention and empowering individual responsibility in managing their health care and overall well-being. Our services are acutely responsive to the needs of everyone throughout the communities we serve, providing excellent care and the best health practices.


Our Mission: Through our exceptional health care services, we empower and educate, aggressively working to eliminate health care inequities, while supporting personal responsibility for one’s own health regardless of the ability to pay.