Job Title: Director of Clinical Quality

Department : Health Centers, Community and School Based

Supervisor: Chief Operating Officer

FLSA Status: Full-time, Exempt

The Director of Clinical Quality provides strategic, administrative, and clinical services direction to a multi-disciplinary clinical team in a Federally Qualified Health Center (FQHC) setting focused on providing patient and family centered care with a targeted focus on instituting and sustaining evidenced-based clinical, patient care, and ambulatory clinic setting practices, adhering to regulatory and accreditation standards related to ambulatory clinic settings, continuous quality improvement and assurance, clinical risk and compliance management, and patient and family satisfaction. He/She is accountable for providing leadership related to all facets of clinical operations within the community health center and school-based health center (Health Centers) settings (medical, dental and behavioral health), utilizing available resources to meet/exceed established clinical, operational, and fiscal goals. Duties include; but, are not limited to, oversee day-to-day management of the clinical operations at all Health Centers; personnel management; clinical risk program management; clinical quality program management; developing and implementing policies, procedures, and directives; setting and monitoring budgets; fiscal management; handling communications; and making procurement and purchasing decisions.

Areas of Responsibility

Clinical Quality, Compliance and Reporting:

 Oversee a clinic-wide quality improvement program inclusive of all staff and providers, develops and maintains a written clinic quality improvement plan and ensures quarterly and annual reporting and evaluation of the plan’s effectiveness to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Develops and maintains a key performance indicator measurement work plan and reporting calendar to ensure timely data collection, aggregation, analysis, and reporting of established performance measures related to key operational and clinical processes and outcomes.

 Leads and monitors performance of quality improvement teams through various quality improvement methodologies such as Plan Do Study Act cycle and provides status and outcome reports to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Manages electronic storage of quality improvement and clinical risk management reports to promote ongoing access for key stakeholders.

 Oversees a clinical risk management and compliance program, develops and maintains a written clinical risk management program plan and quarterly and annual evaluation of the plan’s effectiveness and ensures that all required elements of the clinical risk management and compliance program are addressed, maintained, and reported on quarterly and annual basis to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Develops and maintains clinical services policies and procedures related to the clinical operations and practice, risk management and compliance programs.

 In consultation with the CEO, submits mandatory notification of known or suspected clinical operations and clinical risk management compliance violations to the appropriate regulatory agencies.

 Develops and maintains up-to-date knowledge of clinical operations and clinical risk management compliance requirements and related laws and regulations as mandated or recommended by Health Resources and Service Administration (HRSA), Office of Inspector General (OIG), Centers for Medicare and Medicaid Services (CMS), and other agencies; attends outside corporate compliance trainings provided by National Association of Community Health Centers (NACHC), Georgia Primary Care Association (GPCA) and/or other agencies as directed.

 Develops and maintains policies and procedures related to the clinical risk management program.

 Develops and oversees processes for internal incident reporting reports findings on a quarterly and annual basis to key stakeholders (i.e. clinical staff, clinic and organizational leadership, and Board of Directors).

 Reviews incident reports and conducts follow up investigations as warranted, investigates and evaluates claims and potential claims.

 Oversees a clinic-wide patient safety program, develops and maintains a written patient safety plan and annual evaluation of the plan’s effectiveness and develops and maintains policies and procedures related to the patient safety program.

 Directs and manages the credentialing and privileging process for all providers and clinical staff

 Collaborates with the Chief Medical Officer (CMO) in the investigation of clinical events including sentinel events, sentinel event near misses, and significant adverse events; leads and/or participates in the development of root cause analyses as directed by the CMO.

 Carries out all other duties as assigned by the Chief Operating Officer.

Clinical Operations:

 Forms triad management relationship between Chief Medical Officer and and revenue cycle director for day-to-day operations of the Health Centers

 Provides supervisory support to the clinical support staff including the medical assistants, dental assistants, and other designated staff members

 Develops and facilitates workshops and in-service trainings for clinical teams

 Be available to step into a teaching or support role when needed

Direct Reports:

 The Director of Clinical Operations supervises the Clinical Operations Manager and the Community Health Worker, along with indirect reports of the Medical and Dental Assistant teams.

Skills and Qualifications

 7 years of professional experience required

 Minimum of 5 years in an outpatient operations setting

 Minimum of 3 years of supervisory or management experience

 Baccalaureate degree in nursing and/or higher level of educational program in the health care administration, nursing, related program. Master’s degree preferred

 Current registered nurse license in the State of Georgia

 FQHC experience preferred

 Minimum of 24 months experience with the health needs of the population served

 Within the last two years, continuing education for professional licensure (30 hours every 2 years) is required; continuing education appropriate to administrative practice (16 hours every 2 years) is preferred

 Certification in Basic Life Support (BLS)

 Electronic Medical Records experience, e-Clinical Works preferred

 Must be committed to improving medical and psychosocial outcomes for children, adolescents, and adults served by the Health Centers

 Must be committed to the Community Health Center and School-Based Models of Care

 Must demonstrate good leadership skills and be able to communicate effectively with staff, school administrators, and Whitefoord administrators and Board of Directors

 Must have excellent communication skills and able to quickly adapt and stratify content for a varied age range; and have a working knowledge of health disparities and underserved community health issues

 MS Office Suite (i.e. MS Word, MS Excel, MS PPT, etc.)

About Whitefoord

In 1995, Dr. George W. Brumley, former Chair of Pediatrics at Emory University School of Medicine, and his former student, Dr. Veda Johnson, established Whitefoord, Inc. to address the health and educational needs of children and families of the Whitefoord Elementary School District in southeast Atlanta. Through an in-school health center and a child development program, Dr. Brumley and Dr. Johnson made a crucial connection between health and academic success: healthy children stayed in school and achieved more.

From its roots in health and education, Whitefoord soon grew beyond the in-school health center at Whitefoord Elementary School to meet even more clinical needs of children and families. Whitefoord established as a Federally Qualified Health Center (FQHC) and after 17 years of operating health centers only in schools, opened its first-ever community-based Family Medical Center in the Kirkwood neighborhood in the fall of 2012 to treat children and adults.

Whitefoord operations currently consists of

• Whitefoord Health Center

o a 5500 square foot, purpose designed and built ambulatory medical center opened in Sept 2020 providing the following clinical services

 medical

 dental

 behavioral health

• Whitefoord Elementary School Health Center

o This is the original Whitefoord school based health center location that previously served the students of Whitefoord Elementary School until the school closure in 2017

o Currently operates as a Whitefoord dental care location

• School Based Health Centers

o Toomer Elementary School

o King Middle School

o Woodson Park Academy KIPP School at Grove Park (currently in implementation stage)

• YMCA Early Learning Centers

o Whitefoord has partnered with the YMCA Early Education program to provide well child screenings at several YMCA Early Education locations

• Whitefoord Early Learning Academy (WELA)

o Early education program for students from six weeks to PreK

o Located in the former Whitefoord Elementary School building

We are extremely proud of our 2 decade history of achievement and positive impact on the Edgewood and East Atlanta communities and are equally excited about our growth opportunities going forward. In order to add to our leadership team and accomplish our intended goals, we seek to attract candidates who are laser focused and committed to improving the lives of our patients, students and families