Clinical Quality Manager- EngageMED

Description

Clinical Quality Manager

Primary Role

This position reports to the Director of Quality and leads the overall quality strategy and quality operations for the assigned Independent Client Practices.

Responsibilities

• Manage quality programs and assigned quality department staff
• Oversee ACO and value-based care initiatives
• Monitor clinic quality scores and performance metrics, population health outcomes, and identify opportunities for continued improvement
• Lead monthly meetings with clinic managers providing progress in clinic quality scores and performance metrics, as well as improvement strategies and best practices for the clinics to follow.
• Direct and assist the Senior Quality Care Coordinators in the development, implementation, and the improvement of workflows, policies and procedures.
• Collaborate and coordinate with providers, clinic leadership, and operational teams to support quality initiatives, evidence-based practices and strategic goals
• Lead and participate in payer, ACO, and quality performance meetings with outside vendors such as Aledade, BluePrint, Stellar, etc.
• Collaborate with the Quality Director, Senior Care Coordinators, and Clinic Managers on new programs, strategic initiatives, and department goals
• Assist in preparing for audits, payer reviews, regulatory compliance activities
• Support implementation and monitoring of care gap closure activities and population health programs
• Help grow and expand the Quality Department through development and implementation of Chronic Care Management (CCM) and other care management programs
• Promote a culture of continuous improvement focused on patient outcomes, operational efficiency, and value-based care success.
• Oversee MIPS reporting and performance tracking for all clinic locations, ensuring accurate data submission, measure compliance, and optimization of quality scores and reimbursement opportunities through the Merit-based Incentive Payment System (MIPS) program
  
  

Experience Requirements: 5 years clinical nursing experience, unencumbered RN license and experience in quality improvement and practice transformation; Knowledge of HIT/EHR; Experience in care management and population health; Team leadership and management experience required.

Skills

• Intermediate level computer skills (Excel, Word, Power Point and Outlook).
• Type 50 wpm.
• Exceptional skills in business English and spelling are required.
• Ability to maintain confidentiality.
• Strong oral and written communication skills.
• Ability to compile presentations.
• Creativity.
• Customer service.
• Ability to meet deadlines.
• Attention to detail.
• Flexibility.
• Medical terminology.
• Ability to work collaboratively and independently to achieve stated goals.
• Initiative.
• Facilitator.
• Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public.
• Ability to multitask.
• Ability to prioritize.
• Strong organizational skills.
• Problem solving skills.
• Professionalism.
• Project management skills.
• Ability to read, interpret and apply laws, rules and regulations.
• Knowledge of quality improvement processes and techniques.
• Valid driver’s license and active Auto insurance required
• Travel may be required.
• Time management skills.
  
  

Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):

Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to travel as needed. Must be able to lift and transport 25 pounds. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.