Upstate Family Health Center, Inc.
Director of Quality, Risk Management, and Compliance
Upstate Family Health Center, Inc., Utica, New York, United States
Director of Quality, Risk Management, and Compliance
Upstate Family Health Center, Inc. is seeking a
Director of Quality, Risk Management, and Compliance . Base pay range
$100,000.00/yr - $120,000.00/yr . Hours: Monday - Friday 8:00am - 6:00pm. This role oversees quality improvement, risk management, and regulatory compliance within the Federally Qualified Health Center (FQHC). Overview
The Director will develop and implement strategies to enhance patient care quality, minimize risks, and ensure adherence to applicable laws and guidelines. The Director Quality, Risk Management and Compliance reports to the Chief Medical Officer. Responsibilities
Develop, 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 plans, and progress tracking. Conduct regular audits and assessments to ensure compliance with internal policies and external regulations. Maintain working knowledge of a comprehensive health quality program (e.g., patient safety, peer review, infection control). Ensure achievement of the organization"s mission by creating infrastructure that enhances clinical and quality outcomes. Ensure continuous improvement by evaluating and recommending actions based on market demands, regulatory standards, and clinical practice. Collaborate with the CMO and key stakeholders to meet clinical and quality metrics. Ensure Quality Improvement and Compliance standards are met for major grants and funders (FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS, etc.). Work with Grants Manager to assist in grant writing for new funding sources and renewals for continued funding. In coordination with the CMO, develop, implement, and enforce clinical policies in line with funding requirements. Chair the Quality Management program and participate in at least one Quality Improvement conference per year. Develop custom reports with Clinical Leadership and Practice Management to support quality care and operations. Respond to ad hoc internal data requests from Leadership and oversee clinical applications to ensure data accuracy and cohesive workflows (e.g., EHR). Monitor clinical compliance of providers (MD, NP, PA, RNs) and share findings with the CMO and Senior Director of Clinical Operations. Oversee quality incentive programs (CCA, ACO, IPA). Risk Management
Identify potential risks and implement strategies to mitigate them, including policy development. Conduct risk assessments and develop action plans to address identified risks. Oversee incident reporting and investigation processes to identify trends and prevent recurrence. Provide training and support to staff on risk management practices and protocols. Compliance Management
Serve as Program administrator for FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS funding grants. Ensure compliance with all federal, state, and local regulations, including those specific to FQHCs. Develop and update compliance policies and procedures to reflect regulatory changes. Conduct regular compliance audits and reviews to address potential issues. Serve as the primary point of contact for regulatory agencies and manage related documentation. Leadership and Team Management
Lead and mentor the Quality, Risk Management, and Compliance team to foster a culture of continuous improvement and accountability. Collaborate with other departments to integrate quality, risk management, and compliance efforts. Develop and deliver training programs on quality improvement, risk management, and compliance. Supervisory responsibilities are subject to change based on organizational needs. Reporting and Communication
Prepare and present reports to senior management and the Board of Directors on quality, risk management, and compliance activities. Communicate with staff, patients, and stakeholders on quality, risk, and compliance issues. Stay current with industry trends, regulatory changes, and best practices to ensure ongoing compliance. Administer and analyze annual Patient Satisfaction Survey; coordinate quarterly Quality Management Committee and monthly sub-committees. Coordinate and manage Quality Improvement Projects; present monthly reports to the QPI Committee and quarterly updates to the Board, including key data reports and UDS/Pt Satisfaction metrics. Develop, update, and maintain Quality Improvement/Assurance and Clinical Application Policies and Procedures and present to the Board for review as needed. Coordinate with CMO on peer-to-peer chart reviews and risk event-driven Quality Improvement projects. Ensure timely submission of monthly and quarterly data progress reports required by funders. Work with Clinical Leadership and Practice Management to create custom reports for ongoing quality care and operations and respond to ad hoc data requests. Oversee Clinical Applications to ensure quality and data accuracy and cohesive workflows. Other Details
Work environment: Generally in a clinical office; some duties may occur outside the clinical setting. Availability for occasional after-hours work. Travel: Occasional local travel between main clinic and SBHCs. Work hours: 40 Hours/Week (M-F 8:00am - 4:30pm) Required Screenings: Credentialing and Privileging for UFHC to provide direct services. Equal Opportunity Employer. Upstate Family Health Center is an Equal Opportunity Employer.
#J-18808-Ljbffr
Upstate Family Health Center, Inc. is seeking a
Director of Quality, Risk Management, and Compliance . Base pay range
$100,000.00/yr - $120,000.00/yr . Hours: Monday - Friday 8:00am - 6:00pm. This role oversees quality improvement, risk management, and regulatory compliance within the Federally Qualified Health Center (FQHC). Overview
The Director will develop and implement strategies to enhance patient care quality, minimize risks, and ensure adherence to applicable laws and guidelines. The Director Quality, Risk Management and Compliance reports to the Chief Medical Officer. Responsibilities
Develop, 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 plans, and progress tracking. Conduct regular audits and assessments to ensure compliance with internal policies and external regulations. Maintain working knowledge of a comprehensive health quality program (e.g., patient safety, peer review, infection control). Ensure achievement of the organization"s mission by creating infrastructure that enhances clinical and quality outcomes. Ensure continuous improvement by evaluating and recommending actions based on market demands, regulatory standards, and clinical practice. Collaborate with the CMO and key stakeholders to meet clinical and quality metrics. Ensure Quality Improvement and Compliance standards are met for major grants and funders (FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS, etc.). Work with Grants Manager to assist in grant writing for new funding sources and renewals for continued funding. In coordination with the CMO, develop, implement, and enforce clinical policies in line with funding requirements. Chair the Quality Management program and participate in at least one Quality Improvement conference per year. Develop custom reports with Clinical Leadership and Practice Management to support quality care and operations. Respond to ad hoc internal data requests from Leadership and oversee clinical applications to ensure data accuracy and cohesive workflows (e.g., EHR). Monitor clinical compliance of providers (MD, NP, PA, RNs) and share findings with the CMO and Senior Director of Clinical Operations. Oversee quality incentive programs (CCA, ACO, IPA). Risk Management
Identify potential risks and implement strategies to mitigate them, including policy development. Conduct risk assessments and develop action plans to address identified risks. Oversee incident reporting and investigation processes to identify trends and prevent recurrence. Provide training and support to staff on risk management practices and protocols. Compliance Management
Serve as Program administrator for FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS funding grants. Ensure compliance with all federal, state, and local regulations, including those specific to FQHCs. Develop and update compliance policies and procedures to reflect regulatory changes. Conduct regular compliance audits and reviews to address potential issues. Serve as the primary point of contact for regulatory agencies and manage related documentation. Leadership and Team Management
Lead and mentor the Quality, Risk Management, and Compliance team to foster a culture of continuous improvement and accountability. Collaborate with other departments to integrate quality, risk management, and compliance efforts. Develop and deliver training programs on quality improvement, risk management, and compliance. Supervisory responsibilities are subject to change based on organizational needs. Reporting and Communication
Prepare and present reports to senior management and the Board of Directors on quality, risk management, and compliance activities. Communicate with staff, patients, and stakeholders on quality, risk, and compliance issues. Stay current with industry trends, regulatory changes, and best practices to ensure ongoing compliance. Administer and analyze annual Patient Satisfaction Survey; coordinate quarterly Quality Management Committee and monthly sub-committees. Coordinate and manage Quality Improvement Projects; present monthly reports to the QPI Committee and quarterly updates to the Board, including key data reports and UDS/Pt Satisfaction metrics. Develop, update, and maintain Quality Improvement/Assurance and Clinical Application Policies and Procedures and present to the Board for review as needed. Coordinate with CMO on peer-to-peer chart reviews and risk event-driven Quality Improvement projects. Ensure timely submission of monthly and quarterly data progress reports required by funders. Work with Clinical Leadership and Practice Management to create custom reports for ongoing quality care and operations and respond to ad hoc data requests. Oversee Clinical Applications to ensure quality and data accuracy and cohesive workflows. Other Details
Work environment: Generally in a clinical office; some duties may occur outside the clinical setting. Availability for occasional after-hours work. Travel: Occasional local travel between main clinic and SBHCs. Work hours: 40 Hours/Week (M-F 8:00am - 4:30pm) Required Screenings: Credentialing and Privileging for UFHC to provide direct services. Equal Opportunity Employer. Upstate Family Health Center is an Equal Opportunity Employer.
#J-18808-Ljbffr