Quality Manager

Type: Full Time

Hours: M-F

Southern WV Health System is looking for someone who wants to become part of a supportive, positive workplace where your contributions truly matter. We provide competitive pay and an exceptional benefits package, including vacation time, sick leave, paid holidays, medical, dental, vision, life, accident insurance and more, plus a 403(b) retirement plan with a 3% employer match after your first year of full-time employment.

The Clinical Quality & Informatics Manager provides leadership for clinical quality improvement, clinical informatics, healthcare data analytics, and performance management across Southern West Virginia Health System (SWVHS). This position combines clinical nursing expertise with data-driven quality improvement to support improved patient outcomes, clinical workflows, regulatory compliance, and organizational performance.

This Manager oversees the Quality Department under the supervision of the Quality & Risk Director and directly supervises referral staff and patient navigators. The position supports quality-related programs and initiatives, including Accountable Care Organization (ACO) activities, Clinically Integrated Network (CIN), clinical quality reporting, and performance improvement.

The Clinical Quality & Informatics Manager serves as a key resource for clinical and operational data and works closely with the Quality & Risk Director, nursing leadership, providers, and other departments to identify opportunities for improvement and implement data-informed solutions.

The position utilizes the electronic health record (EHR), Azara Healthcare, Microsoft Excel, and other reporting and analytics tools to monitor clinical and operational performance, identify care gaps and trends, evaluate clinical workflows, and translate data into actionable recommendations.

Clinical Quality & Performance Improvement

• Promotes the mission, vision, and values of SWVHS.
• Provides leadership and coordination for organizationwide clinical Quality Improvement (QI) activities.
• Facilitates monthly Quality Improvement meetings and supports the development, implementation, and monitoring of QI projects.
• Utilizes clinical, operational, and population health data to identify opportunities for improvement and develop measurable interventions.
• Monitors quality performance and trends across SWVHS locations and work with clinical and operational teams to address identified opportunities.
• Leads the annual review of Quality Improvement policies, procedures, and activities and prepares required reports for leadership and the Board of Directors.
• Provides quarterly quality reports and performance updates to the Board of Directors and executive leadership.
• Travels to SWVHS locations, at least quarterly, to review sitespecific quality metrics, identify barriers, and support quality improvement initiatives.
• Coordinates and/or participates in qualityrelated audits, reviews, and corrective action activities.
• Supports compliance with applicable federal, state, regulatory, payer, and organizational quality requirements.
• Identify opportunities to improve clinical processes, patient outcomes, care coordination, and adherence to evidencebased practices.

Clinical Informatics, Data Analytics & Reporting

• Serves as a key resource for clinical and operational data analysis using the EHR, Azara Healthcare, Microsoft Excel, and other reporting and analytics tools.
• Develops, maintains, and analyzes quality dashboards, reports, scorecards, and other performancemonitoring tools.
• Uses Azara and EHR data to monitor clinical quality measures, preventive care, chronic disease management, care gaps, utilization, patient outcomes, and other key performance indicators.
• Validates and interprets data to identify trends, inconsistencies, opportunities for improvement, and potential dataquality issues.
• Collaborate with the Clinical Staff and other appropriate staff to develop and refine reports, workflows, data collection processes, and clinical decisionsupport tools.
• Translates clinical and operational data into meaningful information that can be understood and used by providers, nurses, managers, and executive leadership.
• Summarizes findings and provides datainformed recommendations to the Chief Quality & Compliance Officer, Quality & Risk Director, and other organizational leaders.
• Supports the development and implementation of standardized processes for collecting, documenting, monitoring, and reporting quality data.
• Applies nursing informatics principles to evaluate clinical workflows and identify opportunities to improve efficiency, documentation, patient care, and the use of health information systems.
• Identifies and assists with resolving workflow or documentation issues that may affect the accuracy, completeness, or reliability of quality data.
• Supports staff education related to EHR functionality, clinical documentation, quality measures, data collection, and workflow changes as appropriate.
• Collaborates with clinical and operational leaders to promote meaningful use of data in decisionmaking and performance improvement.

Care Management & Population Health

• Supports ACO and population health initiatives through quality monitoring, data analysis, caregap identification, and performance improvement activities.
• Assists Regional Nurse Managers with Family Planning, West Virginia Breast and Cervical Cancer Screening, WV EPSDT, and other designated clinical quality programs.
• Works with clinical and care management teams to identify patients requiring outreach, followup, or additional services based on identified care gaps and quality measures.
• Supports the use of data to improve preventive care, chronic disease management, patient outcomes, and access to services.
Supervision, Training & Collaboration
• Directly supervises referral staff and patient navigators, providing direction, support, performance feedback, and development opportunities.
• Train and educate staff regarding quality initiatives, workflows, documentation requirements, performance expectations, and applicable compliance standards.
• Collaborates with providers, nursing leadership, clinical staff, operational leaders, and other departments to implement quality improvement initiatives.
• Serves as a resource to staff regarding quality measures, clinical workflows, data reporting, and performance improvement activities.
• Promotes effective communication and collaboration across departments and SWVHS locations.

Patient Engagement & Other Responsibilities

• Serves as a subject matter resource for the patient portal and supports staff and patients in understanding and utilizing available portal functionality.
• Communicates clearly and demonstrates respect, professionalism, and compassion when interacting with patients, families, employees, providers, and community partners.
• Participates in the AfterHours Call Rotation (RN Only).
• Performs other duties as assigned.
JOB REQUIREMENTS AND PREFERRED QUALIFICATIONSCompetencies
• Demonstrate strong leadership, critical thinking, problemsolving, analytical, and organizational skills.
• Demonstrates knowledge of healthcare quality improvement principles, performance measurement, and population health.
• Applies nursing informatics principles and technology to improve clinical workflows, documentation, patient care, and outcomes.
• Demonstrates the ability to analyze and interpret clinical and operational data and translate findings into actionable recommendations.
• Collaborates effectively with providers, nurses, clinical staff, operational leaders, and multidisciplinary teams.
• Communicates complex information clearly and effectively to both clinical and nonclinical audiences.
• Manages multiple projects, priorities, and deadlines in a fastpaced healthcare environment.
• Maintains confidentiality and handles protected health information in accordance with applicable laws and organizational policies.
• Supports compliance with federal, state, regulatory, payer, and internal standards.
• Demonstrates a commitment to continuous quality improvement and evidencebased practice.

Education (level and type) and Related Work Experience

• Bachelor of Science in Nursing (BSN) from an accredited college or university preferred.
• Current West Virginia Registered Nurse (RN) license preferred.
• Minimum of five (5) years of nursing experience.
• Experience in healthcare quality improvement, clinical informatics, data analytics, population health, care management, performance improvement, or a related area strongly preferred.
• Experience in ambulatory, primary care, FQHC, or community health setting preferred.
• Supervisory or management experience preferred.
• Experience using an electronic health record and analyzing clinical data required.
• Experience with Azara Healthcare or a similar healthcare quality reporting and analytics platform strongly preferred.
• Experience developing, maintaining, or interpreting dashboards, reports, scorecards, or other performance metrics preferred.
• Proficiency in Microsoft Excel and other data reporting and analytics tools required.
• Customer service experience required.