Director of Clinical Services and Quality

6 days ago

Houston, United States HOPE Clinic Full time

Description:
**POSITION TITLE**: Director of Clinical Services and Quality Improvements

**LOCATION**: HOPE Health and Wellness Center

**REPORTS TO**: Chief Executive Officer (CEO)

**EDUCATION**: Master’s degree or higher in healthcare-related field

**WORK EXPERIENCE**: Five years of community center experience required, FQHC experience preferred, and supervisory experience preferred

**SALARY**: Depends on Experience

**FLSA STATUS**: Salary - Exempt

**POSITION TYPE**: Full-Time

HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

**JOB SUMMARY**:
The Director of Clinical Services and Quality Improvement will oversee and direct all quality improvement activities across multiple departments to ensure that the quality and efficiency of patient care is aligned with HOPE Clinic’s missions, vision, and values. The Director of Clinical Services and Quality Improvement will promote a culture of Continuous Quality Improvement to enhance patient outcomes and advance staff service experience. The Director of Clinical Services and Quality Improvement will be able to collect, analyze, and report clinical data to HOPE Clinic management and the Board of Directors to promote HOPE Clinic’s impact as a community health center.

**MAJOR DUTIES & RESPONSIBILITIES**:
Clinical Quality Improvements (CQI) and Risk Management:

- Develop goals and objectives related to Continuous Quality Improvement and Risk Management and its components;
- Coordinate and oversee HOPE Clinic CQI Plan development, review, revision, and implementation;
- Chair and manage the CQI monthly committee meetings;
- Provide monthly written reports to the BOD;
- Support CMO and CEO in any health service suits and claims;
- Prepare agendas and all pertinent quality improvement and risk management information to be presented to the CQI Committee, clinic management and the Board of Directors;
- Coordinate and manage all quality reporting in conjunction with other departmental managers and staff as appropriate;
- Retrieve, review, analyze, and prepare clinical practice data to present findings to clinic management and the Board of Directors for improved clinical development practices;
- Provide consultation, counsel and guidance to professional staff within HOPE Clinic;
- Serve as HOPE Clinic’s Risk Manager;
- Responsible for the overall direction, coordination, and evaluation of Continuous Quality Improvement and Risk Management program;
- Develop, coordinate, and administer health center wide systems for risk identification, investigation, and reduction;
- Maintain statistics to ensure that pertinent patient data relative to incidents is accurate, available and secure;
- Use evidence-based processes to analyze, recommend and provide support practices seeking to improve performance on quality measures to engage in work redesign, changes in organization systems, policies, procedures and quality improvement process within the organization;
- Develop, review and revise policies and procedures related to Quality/Risk Management;
- Review patient/family/physician complaints for liability risk and resolution;
- Establish screening criteria for review of health center wide patterns;
- Log and trend incident reports and follow up on problems and/or patterns that emerge from this review;
- Maintain the HOPE Clinic policy manual;
- Oversee the Quality Improvement Department including areas such as performance improvement and reporting, internal and external audits, data collection, overall quality and compliance management;
- Perform supervisory responsibilities in accordance with the organization's policies and applicable laws;
- Interview, hire and train employees within the department;
- Plan, assign and direct work to achieve the goals as determined by HOPE Clinic;
- Appraise performance for supervised employees which may include rewarding and disciplining employees;
- Address complaints and resolve problems across a multidisciplinary team;
- Supervise the clinical administrative assistant and any future employees in Quality/Risk Management.

Director of Clinical Services
- Participate in the HOPE Clinic Administrative team meetings, strategic planning and decision-making efforts;
- Collaborate with the Chief Medical Officer to lead the clinical services of HOPE Clinic;
- Assist HOPE Clinic Administration and the Chief Medical Officer in new clinical program development;
- Ensure participatory decision-making processes are followed, and appropriate design and implementation is established;
- Collaborate with administration, clinic management, and the Chief Medical Officer to set and meet the clinical objectives

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