Director of Quality, Risk, and Clinical Compliance - FAMILY HEALTH CARE CENTER OF KALAMAZOO : Job Details

Director of Quality, Risk Management, and Clinical ComplianceThe Director of Quality, Risk Management, and Clinical Compliance oversees all activities related to quality improvement, risk management, and regulatory Clinical Compliance within the Federally Qualified Health Center. This role ensures that the organization maintains high standards of care and adheres to federal, state, and local regulations. The Director is tasked with developing and implementing strategies to enhance patient care quality, minimize risks, and ensure Clinical Compliance with applicable laws and guidelines.The Director of Quality, Risk Management, and Clinical Compliance reports to the Executive Director of Clinical Operations.BENEFITS:Highly competitive payExcellent (cost-effective) Health InsuranceVision & Dental InsuranceCompany-paid Life & Accidental Death InsuranceCompany-paid Long Term Disability InsuranceVoluntary Life, Accidental Death, Short Term Disability, and other supplemental offeringsPre-tax 403(b) retirement planGenerous Paid Time Off (PTO)8 Paid HolidaysResponsibilities:Quality ImprovementDevelop, implement, and manage the organization's Quality Improvement (QI) program to enhance patient care and operational efficiency.Monitor and evaluate clinical performance indicators and patient outcomes.Lead QI initiatives, including goal setting, action plan development, and progress tracking.Conduct regular audits and assessments to ensure Clinical Compliance with internal policies and external regulations.Ensure the organization's mission is accomplished by creating an infrastructure that enhances clinical and quality outcomes.Work closely with the Executive Director of Clinical Operations and key stakeholders to meet all clinical and quality metrics.Ensure Quality Improvement Clinical Compliance standards are met for all major grants and funders, such as HRSA, FTCA, and HHS.Assist in grant writing for new funding sources.Oversee the Quality Committee and create custom reports for ongoing quality care.Risk ManagementIdentify, assess, and develop strategies to mitigate potential risks affecting operations, care quality, reputation, or profitability.Develop policies and procedures to support risk management that align with organizational goals.Conduct risk assessments and create action plans to address identified risks.Oversee incident reporting, investigations, and risk trend analysis.Provide training to staff on risk management practices.Monitor and manage the organization's FTCA program and Medical Malpractice Insurance Program.Clinical Compliance ManagementServe as Program Administrator for FQHC/HRSA, FTCA, and HHS funding grants.Ensure organizational Clinical Compliance with federal, state, and local regulations, particularly those specific to FQHCs.Develop and update Clinical Compliance policies to reflect regulatory changes and best practices.Conduct regular Clinical Compliance audits and serve as regulatory agencies' primary point of contact.Leadership and Team ManagementLead and mentor the Quality, Risk Management, and Clinical Compliance team, fostering a culture of continuous improvement and accountability.Collaborate with departments to integrate quality, risk management, and Clinical Compliance efforts.Develop and deliver staff training on quality improvement, risk management, and Clinical Compliance.Reporting and CommunicationPrepare and present reports on quality, risk management, and Clinical Compliance to senior management.Coordinate bi-monthly Board Quality Sub-committee, monthly Continuing Quality Management Committee, and other sub-committees.Present monthly reports on key data, progress, and activities to stakeholders.Other Duties:Oversee Clinical Applications to ensure data accuracy and cohesive workflows.Develop and maintain Quality Improvement/Assurance and Clinical Application policies and procedures.Perform other duties as assigned.Minimum QualificationsEducation:Master's degree in a health-related field such as health sciences, public health, or health administration.Credentials:Certified Healthcare Quality Professional (CPHQ) preferred or required to obtain certification within one year of employment.LEAN training is strongly preferred.Work Experience:Experience in Quality Assurance, Risk Management, and Clinical Compliance is required.Experience managing a team and setting clear performance standards.Preferred experience in federally qualified health centers (FQHC), non-profit community health centers, and primary care environments.Strong familiarity with healthcare tools and systems such as EMR and patient record systems.Family Health Center has the right to modify the duties and functions of the job description based on the organization's needs.#J-18808-Ljbffr