RN Quality Improvement & Metrics Manager

Metro-Community-Health-Center; Pittsburgh (Allegheny County); On-site; USD 90,000 - 125,000; Full time

Job summary

Metro-Community-Health-Center in Pittsburgh seeks an RN Quality Improvement & Metrics Manager to lead organization-wide quality programs, performance measurement, and regulatory compliance, partnering with clinical and operational leaders to improve patient outcomes and access to care.

You will develop dashboards, monitor CQMs, and ensure HRSA and other standards while guiding population health initiatives and value-based care efforts.

Qualifications

• Bachelor of Science in Nursing (BSN) required; master’s degree preferred.
• Minimum five years in nursing with quality improvement and population health experience.
• Experience in HRSA-funded settings or FQHCs preferred.
• Strong data analytics and performance reporting capabilities.

Responsibilities

• Lead organization-wide quality improvement initiatives using evidence-based methodologies.
• Develop dashboards and scorecards to monitor HRSA CQMs and KPIs.
• Coordinate HRSA Operational Site Visits (OSVs), audits, and regulatory reporting.
• Collaborate with clinical and operational leaders to close care gaps and improve outcomes.
• Provide education and coaching on quality metrics to staff and providers.

Skills

Quality Improvement

Population Health

Data Analysis

HRSA Compliance

Performance Improvement

PDSA Methodologies

Leadership

Dashboard Reporting

Interdisciplinary Collaboration

Regulatory Knowledge

Education

BSN

MSN/MPH/Healthcare Administration

Tools

Power BI

Tableau

Excel

NextGen/EHR systems

HIPAA data systems

Job description

POSITION SUMMARY:The RN Quality Improvement & Metrics Manager is responsible for leading the organization’s quality improvement, performance measurement, regulatory compliance, and population health initiatives. This role partners with clinical and operational leaders to improve patient outcomes, enhance access to care, optimize value-based reimbursement, and ensure compliance with Health Resources and Services Administration (HRSA) requirements and other regulatory standards.The successful candidate will use clinical expertise, data analysis, evidence-based practice, and performance improvement methodologies to strengthen organizational quality programs and support the mission of providing high-quality, patient-centered care to medically underserved communities.Mission AlignmentThe RN Quality Improvement & Metrics Manager is committed to advancing the mission of the health center by improving access, quality, equity, and patient outcomes for the communities we serve. This position promotes a culture of continuous improvement and supports the organization’s commitment to delivering high-quality, affordable, and patient-centered primary care.This version is aligned with HRSA expectations and reflects the responsibilities typically expected of an FQHC quality leader. It can also be further customized if your health center participates in specific programs such as Accountable Care Organizations (ACOs), Medicare Shared Savings Program (MSSP), or state Medicaid value-based payment initiatives.ESSENTIAL FUNCTIONS:Quality ImprovementDevelop, implement, and evaluate organization-wide quality improvement initiatives.Lead Performance Improvement (PI) projects using evidence-based methodologies.Facilitate Plan-Do-Study-Act (PDSA) cycles and other quality improvement strategies.In collaboration with the CMO, provide education and regular feedback related to quality metrics and provider performance.Monitor outcomes and recommend system improvements that enhance patient care and operational efficiency.Collaborate with HIPAA Compliance Manager to prepare board reports and meeting agendasQuality Metrics & Performance MonitoringLead monitoring and reporting of key performance measures and others as defined by HRSA health standards:Clinical Quality Measures (CQMs)Preventive health screeningsChronic disease management outcomesDiabetes controlHypertension controlChildhood and adult immunization ratesWomen’s preventive health measuresPopulation health outcomesDevelop dashboards and scorecards that communicate organizational performance to providers, leadership, and governing boards.Serve as a resource for evidence-based practice and clinical quality initiatives.Regulatory ComplianceEnsure compliance with:HRSA Health Center Program requirementsUniform Data System (UDS) reportingCMS quality reporting programsHIPAA regulationsOSHA standardsState Department of Health regulationsPatient-Centered Medical Home (PCMH) standards, when applicableFederal and state quality initiativesCoordinate preparation for HRSA Operational Site Visits (OSVs), accreditation surveys, and external audits.Population Health ManagementCollaborate with clinical teams to improve health outcomes for high-risk and vulnerable patient populations by:Identifying care gapsMonitoring chronic disease registriesImproving preventive care complianceSupporting care management initiativesEvaluating social determinants of health dataDeveloping interventions that improve health equityData Analysis & ReportingAnalyze clinical, financial, and operational data to identify trends and opportunities for improvement.Create meaningful dashboards using electronic health record data.Present findings to executive leadership, Chief Medical Officer, Providers, and RN AdministratorMonitor provider quality performance and recommend improvement strategies.Ensure accuracy of quality reporting submitted to HRSA and other regulatory agencies.EducationEducate providers and staff on quality measures and performance expectations.Develop training related to quality initiatives, clinical guidelines, and regulatory requirements.Promote a culture of continuous quality improvement throughout the organizationPOSITION REQUIREMENTS:Education/ExperienceBachelor of Science in Nursing (BSN) requiredMaster’s degree in nursing, Public Health, Healthcare Administration, or related field preferredLicensureCurrent unrestricted Registered Nurse (RN) licenseSkills/AbilitiesMinimum five (5) years of nursing experienceMinimum three (3) years of experience in quality improvement, clinical quality, population health, regulatory compliance, or performance improvementExperience within a Federally Qualified Health Center, community health center, primary care organization, or ambulatory care setting preferredExperience with Value Based CarePreferred CertificationsCertified Professional in Healthcare Quality (CPHQ)Knowledge, Skills, and AbilitiesDemonstrated knowledge of:HRSA Health Center Program requirementsUniform Data System (UDS)Clinical Quality Measures (CQMs)HEDISValue-Based CarePopulation Health ManagementCare Gap ClosureChronic Disease ManagementEvidence-Based PracticeQuality Improvement methodologiesRegulatory CompliancePatient-Centered Medical Home (PCMH)Health Equity initiativesSocial Determinants of Health (SDOH)Ability to:Interpret complex clinical dataLead interdisciplinary quality initiativesDevelop executive-level reports and dashboardsManage multiple priorities simultaneouslyCommunicate effectively with providers, leadership, and external stakeholdersBuild collaborative relationships across departmentsTechnical SkillsExperience with:Electronic Health Records (eClinicalWorks, Epic, Athenahealth, NextGen, or similar)Microsoft Excel (advanced)Microsoft Power BI or TableauMicrosoft OfficeClinical reporting softwarePopulation health management platformsQuality reporting toolsKey Performance IndicatorsPerformance will be evaluated based on:Achievement of UDS performance goalsImprovement in Clinical Quality MeasuresIncreased preventive screening ratesImproved chronic disease outcomesSuccessful HRSA Operational Site VisitsTimely and accurate UDS reportingIncreased value-based reimbursement performanceReduction in care gapsCompletion and effectiveness of quality improvement initiatives