Director of Medical Group Clinical Quality

2 weeks ago

Burbank, United States Lakeside Medical Full time

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

* Essential Duties and Responsibilities include the following:

1. Serves as principal subject matter expert within the team and across the staff model business that focuses on healthcare quality improvement programs

2. Responsible for achieving clinic goals and driving improved efficiencies for the following key operational metrics: utilization management; patient experience/satisfaction and provider satisfaction

3. Leads engagements focused on the development, implementation, and the evaluation of quality measures and other tools using data

4. Collaborates with all members of the healthcare team to develop and implement tactical plans focused on healthcare quality including opportunities for evidence generation, stakeholder engagement, advocacy and education

5. Responsible for the deliverables for projects on which the RN is the executive sponsor

6. Solves complex issues in a timely and efficient manner with minimal management oversight

7. Identify clinical staff learning needs and then develop a planned approach to bridging the gap

8. Develop specific population health programs that drive improved patient care

9. Oversee, coordinate and implement regulatory activities and site reviews as required to ensure a state of continuous readiness

10. Ensure that all clinics comply with and understand the quality program, reporting elements and regulatory requirements

11. Develop and organize annual training for clinical staff; provide remedial education as needed

12. Participates in community education and service projects

13. Participates on the organizational Safety Committee

14. Participate in the planning and development of any clinic policies and procedures for clinic

15. Knowledge of medical risk management

16. All other duties as assigned

* Education and/or Experience:

1. Graduate from an accredited Registered Nursing Program; Masters preferred

2. Holds a valid, unrestricted RN license in the state of California

3. 3 years of acute care or outpatient experience

4. 2-3 years of managed care experience, a plus

5. Leadership skills with the ability to direct the activities of other within a project team setting

6. Strong communication and presentation skills

7. Extensive knowledge of health care regulatory requirements

8. Strong experience in developing and managing large, complex projects

9. Proven analytical ability in identifying problems, developing solutions and implement effective courses of action

10. Demonstrated ability and success to lead organizations through regulatory reviews

11. Ability to read, analyze and interpret general business and medical periodicals, professional journals, technical procedures and state and federal regulations

12. Ability to effectively write reports, correspondence and policy/procedure manuals.

13. Ability to present information and respond to questions posed from various groups and audiences

We offer a full benefits package which includes employer paid medical, pharmacy and dental benefits. We offer a generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account (FSA), Tuition Reimbursement & Licensed Renewal Fees for our clinical staff.

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

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