Manager, Clinical Quality Improvement

THE LAKES COMMUNITY HEALTH CENTER INC; United States; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical and dental insurance

Employer paid group term life and disb

Health Savings Account

Flexible Spending Accounts

Paid Time Off and Holidays with 403(b)

Job summary

NorthLakes Community Clinic is seeking a Clinical Quality Improvement Manager to guide quality initiatives and PCMH implementation across teams. You will monitor QA metrics, develop procedures, and collaborate with nurses and staff to improve patient outcomes and care management processes.

You will oversee training, EHR documentation quality, and reporting to meet accreditation standards while advancing value-based care in our service area.

Qualifications

• Bachelor’s Degree (B.A. or B.S.N) or ADN; RN preferred
• 3-4 years clinical experience in a similar role; experience in quality improvement and practice transformation
• Experience with EHR, data analysis/population health management programs, and Excel is required (or preferred)

Responsibilities

• Guides implementation of quality improvement and PCMH efforts.
• Ensures QI/QA assessments are conducted and outcomes monitored.
• Responsible for development, implementation and updating of QI/QA operating procedures.
• Partners with teams on successful implementation of NCQA PCMH standards and coordinates reports to maintain PCMH accreditation.
• Develops processes for patient outreach to close care gaps and improve outcomes.
• Collaborates in development and training to support consistent documentation in the EHR for quality measures.
• Analyzes quality metrics, gathers information, prepares reports and summarizes findings to support quality improvement.
• Maintains current quality assurance standards, regulations and requirements to support the organization in reaching benchmarks and high quality care.
• Collaborates with Directors and Officers to develop protocols, policies and procedures.
• Develops and delivers training to ensure safe and evidence-based care and promote quality improvement.
• Works with nurses, community health workers and staff to develop care management protocols for patient populations.
• Partners with teams to support team-based care models and other innovative quality programming.
• Assists with related activities for committees and meetings; manages quality staff to meet deliverables.
• Prioritizes concurrent tasks and timelines; identifies obstacles and proposes timely solutions.

Skills

Quality improvement

Clinical coordination

Team collaboration

Education

Bachelor’s Degree (B.A. or B.S.N) or ADN

3-4 years clinical experience

PCMH Certified Content Expert (CCE) certification preferred

Tools

EHR

Data analysis

Population health management programs

Excel

Job description

Caring for our community starts with you. Join a team that believes everyone deserves care. Candidates must reside within NorthLakes' service area at the time of hire and maintain residency throughout employment. The Clinical Quality Improvement Manager supports our teams in delivering evidence-based, patient-centered, lifelong care and helps fulfill our mission to respond to the needs of our communities with an integrated array of quality services. The Clinical Quality Improvement Manager manages clinical quality improvement efforts and Patient Centered Medical Home recognition by facilitating team engagement, and by guiding and supporting planning and implementation of clinical quality initiatives.

Essential Job Functions

• Guides implementation of quality improvement and PCMH efforts.
• Ensures QI/QA assessments are conducted and outcomes monitored.
• Responsible for development, implementation and updating of QI/QA operating procedures.
• Partners with teams on successful implementation of NCQA PCMH standards. Coordinates, prepares and submits required reports to maintain PCMH accreditation.
• Develops processes for patient outreach to close care gaps and improves clinical outcomes for identified populations and facilitate Network attribution projects.
• Collaborates in the development and training to support consistent documentation in the EHR for quality measures.
• Analyzes quality metrics, gathers information, prepares reports, and summarizes findings to support quality improvement efforts and meet requirements.
• Maintains current quality assurance standards, regulations and requirements to support the organization in reaching benchmarks, stay in compliance, and delivers high quality care.
• Collaborates with Directors and Officers to develop protocols, policies, and procedures.
• Develops and delivers training to ensure safe and evidence-based care, and promote quality improvement.
• Works with registered nurses, community health workers and other staff to develop care management protocols for specific patient populations.
• Partners with teams to support team-based care models and other innovative quality programming.
• Assists with related activities for various committees and meetings as assigned.
• Manages quality staff to execute team plans and ensure timely deliverables.
• Prioritizes concurrent tasks and team requests to meet tight deadlines; flags obstacles and proposes solutions in a timely manner.

Qualifications and Education Requirements Minimum Level of Completed Education: Bachelor’s Degree (B.A. or B.S.N) or Associates Degree in Nursing (ADN) Prior years of experience in similar role: 3-4 years clinical experience or combination of experience and training (RN, MA, or other clinical provider), AND at least 1 year experience in quality improvement and practice transformation Experience with systems, computer applications/software: EHR, data analysis/ population health management programs, and excel Required (or Preferred) Licensure/Cert/Credentials: RN preferred and PCMH Certified Content Expert (CCE) certification preferred.

Physical Demands

• Potential exposure to airborne disease (50%)
• Potential risk of blood borne exposure (25%)
• Regular and as-needed travel required, up to (50%)
• Position is eligible for partially remote work

Benefit Statement

For full time and part time employees who work 24 or more hours per week we offer a generous benefits package that includes:

• Medical and dental insurance
• Employer paid group term life and disability
• Employer contribution toward Health Savings Account
• Flexible Spending Accounts
• Paid Time Off (PTO), Paid Holidays and Paid Leave Bank 403(b) with a 4% employer match
• Various voluntary benefits: Vision Insurance Supplemental Life, AD&D and Disability Tuition reimbursement Health and Wellness reimbursement program Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members Partner of HRSA/NHSC loan repayment program

Our Mission is to respond to the healthcare needs of our communities with an integrated array of quality services and actively remove barriers to wellness.

NorthLakes Community Clinic is an Equal Opportunity Employer.

All qualified applicants will be considered for employment regardless of age, race, color, creed, religion, sex, sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

All offers of employment are contingent upon successful completion of a criminal background check and references.

At NorthLakes Community Clinic, our organizational competencies highlight the behaviors and values that guide how we work and provide a shared foundation for performance, development, and growth throughout an employee’s career with us.

NorthLakes Community Clinic Organizational Competencies

• Mission Driven -Advances the organizational mission, visionand values inexecutingjob duties.
• Customer Service - Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
• Quality- Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
• Creativity- Generates new ideas, supports change, provides innovative solutions, solves problems creatively.
• Integrity- Earns the trust and confidence of coworkers and customers through honest communication, ethical behavior and professionalism in all interactions.
• Teamwork-Contributes to meeting team deadlines and responsibilities, listens to others and values opinions, helps team to meet goals, welcomes newcomers and promotes a cooperative team atmosphere.
• Self-Development- Seeks out and accepts feedback, is a proactive learner, takes on tough assignments to improve skills, keeps knowledge and skills up-to-date, turns mistakes into learning opportunities.
• Job Knowledge- Understands duties and responsibilities, possesses necessary job knowledge and technical skills, maintains job knowledge current.
• Communication- Understand and communicate effectively with others using a variety of contexts and formats, which includes writing, speaking, reading, listening and interpersonal skills.
• Dependability- Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
• Trauma/Resilience Informed - Understands that trauma is prevalent and resilience can be cultivatedand improved; and operates in a mannerconsistent with these principles.

NorthLakes Community Clinic is a Federally Qualified Health Center with 19 clinic locations serving rural communities throughout northern Wisconsin. We were created to make quality healthcare more accessible and affordable. We welcome patients with BadgerCare/Medicaid, Medicare, private insurance, and no insurance, and offer Sliding Fee Scale for those who qualify. Our work extends beyond our clinics through partnerships with schools, nursing homes, and community organizations. Since 2008, NorthLakes has continued to grow in response to the needs of the communities we serve. As a Community Health Center, we serve patients regardless of insurance status or ability to pay, offer sliding fees to qualifying patients, accept Medicaid, Medicare, and most insurance plans, and provide care without discrimination. NorthLakes is governed by a patient-majority board of directors representing the communities we serve. Our vision is healthy, prosperous, engaged communities where everyone thrives.