Director of Quality/Risk

Overview

Nehalem Bay Health Center and Pharmacy seeks an experienced, highly motivated Director of Quality/Risk to lead and direct all quality and risk management activities for the health center.

Duties

• Develops, implements, and manages the health center’s quality assurance (QA) and quality improvement (QI) program in accordance with the mission of the health center, federal/ state grant requirements, and private funders.
• Works with the Medical Director and Dental Director in the development and implementation of the QA/QI plan.
• Educates and trains staff on the health center’s QA/QI plan.
• Develops systems to collect, summarize, and evaluate performance data in accordance with federal and state laws and regulations.
• Coordinates and implements various reports and audits.
• Develops and implements systems, policies, and procedures for analysis of performance measurement data.
• Continually develops knowledge in data collection required for all federal, state, and private grants obtained by the health center.
• Conferences with management and work collaboratively in the design and review of reporting procedures used for quality assurance, including determination of the validity and appropriateness of quality assurance criteria and management.
• Collects, analyzes, and disseminates information regarding performance improvement indicators.
• Develops, leads, facilitates, and advises the Quality Assurance Committee of the Board of Directors.
• Investigates and reports compliance issues for all grants requirements, including employees/volunteers and contracted employees and vendors.
• Educates and trains staff on their respective responsibilities within the QA/QI plan.
• Participates in the evolution and refinement of the quality assurance and quality improvement process, sharing data and other information that has been collected.
• Monitors the policy and procedure manual for the health center and keeps the health center’s administrative management team informed regarding policies/procedures needing updates or review.
• Creates, edits, and/or updates policies and procedures, as needed; or facilitates others in their creation, editing or updating.
• Manages the organizational risk management program, including identification, assessment, mitigation, and monitoring of clinical and operational risks.
• Coordinates incident reporting, investigations, trend analysis, corrective action plans, and follow-up with appropriate leadership.
• Serves as the designated HIPAA Privacy Officer, overseeing compliance with applicable HIPAA Privacy, Security, and Breach Notification requirements in coordination with IT and organizational leadership.
• Develops, maintains, and reviews HIPAA privacy and confidentiality policies, procedures, workforce training, and compliance documentation.
• Coordinates review and investigation of potential HIPAA violations, complaints, and suspected breaches; facilitates required risk assessments, mitigation, documentation, and notifications in consultation with leadership and legal counsel as appropriate.
• Oversees processes for patient privacy rights, including access requests, amendments, restrictions, and accounting of disclosures, in coordination with designated staff.
• Conducts or coordinates periodic risk and compliance assessments, monitors corrective actions, and reports significant quality, risk, and HIPAA compliance concerns to leadership.
• Performs other related duties as assigned by the COO or senior leadership.

Skills/Attributes

• Experience with health care operations, electronic medical record information systems, health information management, utilization management, support and clinical services, and financial reporting.
• Ability to multi-task.
• Ability to analyze reports and interpret data.
• Knowledge of healthcare risk management, HIPAA privacy and security requirements, incident investigation, and regulatory compliance.
• Demonstrated time management skills, self-motivation, and perseverance.

Qualifications

• Bachelor’s degree in a related field, or equivalent combination of training and experience.
• A minimum of five (5) years in healthcare experience, required.
• Strong understanding of healthcare operations, required.
• Experience working with non-profit organizations, preferred.
• Excellent written, verbal, and interpersonal communication skills.
• Proficient computer skills to include but not limited to: Microsoft Office, Excel, Publisher, PowerPoint, and Outlook.

Pay: $100,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• AD&D insurance
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Loan forgiveness
• Loan repayment program
• Paid time off
• Prescription drug insurance
• Professional development assistance
• Retirement plan
• Vision insurance
• Wellness program

Work Location: In person

Salary : $100,000 - $150,000