General Summary:

The Director of Medical Operations and Risk Management is responsible for the development, management, and delivery of clinic-based support services for the Adult Care and Pediatric Care departments in accordance with internal and external policies, procedures, standards, and regulations. The role serves to ensure successful day-to-day medical support operations in the delivery of high-quality clinical services across all sites. Responsible for overseeing the operational efficiency and quality of medical support related services and programs at all medical and pediatric clinic sites through the leadership of site managers. Works in collaboration with the Director of Care Coordination. Responsible for Risk Management program and staff.

Clinical Staff and Services

• In conjunction with the CMO and Strategic Growth Initiatives, develops and oversees clinical nursing programs;
• Member of the Quality Improvement Committee. Helps develop Quality goals and drives performance;
• Provide eCW leadership and training to clinical staff. (Directly or indirectly);
• Responsible for developing, revising, and communicating clinical policies and procedures as they relate to medical support staff members through regularly scheduled staff meetings and other established means. Including being facilitated by other site managers;
• Establishes and maintains medical support clinical competency tools allowing for annual job skill performance evaluations;
• Works closely with HR to assure that medical support job descriptions are current;
• In collaboration with physician site leads and site managers, identifies individual and staff-wide training needs and facilitates ongoing staff development initiatives;
• In collaboration with physician site leads and site managers monitors and ensures clinical operational performance goals are maintained across CCH sites;
• Works with the Leadership Team to discuss opportunities to optimize staffing, appointment schedules, and patient workflows, as needed to meet goals;
• Ensure communication of goals, objectives, policies, and procedures both up and down the chain of command through meetings, huddles, and other forms of communication;
• Reviews laboratory services operations to assure accurate and efficient services as well as compliance with CLIA;
• Create healthy accountable ministry/mission relationships with all direct subordinate team members;
• Maintain positive working relationships with all providers and managers, foster collaboration and communication among all staff, and managers;
• Provides support for Dental Operations as necessary and requested from Dental Leadership;
• With input from the Physician Site Lead, perform team member evaluations;
• Institutes programs that improve quality and patient safety;
• Ensure that designated staff members provide a rapid and comprehensive response to patient complaints;
• Ensures compliance with legal and regulatory requirements monitors the effectiveness of current practices and procedures in producing desired results;
• Works with department managers to ensure all departments are working in concert with are working in concert with each other to achieve quality outcomes in safety, satisfaction, service, and process improvement

Risk Management

• Responsible for the execution of Risk Management Program in collaboration the CMO and Leadership Team;
• Serves as the Risk and Compliance Manager when this position is vacated;
• Ensures compliance with standards outlined in the Federally Qualified Health Center (FQHC) Compliance Manual and the Federal Tort Claims Act Compliance Manual;
• Proactively evaluate areas of organizational risk based on internal assessments and provides feedback to the CMO of observation

Required Knowledge, Skills, Abilities:

• Eager and able to embody the Mission, Vision, and Core Values of CCH
• Able and willing to demonstrate love, compassion, and genuine care when interacting with others
• Thorough understanding of practices, policies, and standards involved in healthcare, finance, and risk
• Superior verbal and written communication and interpersonal skills
• Proficient in Microsoft Office, Google Workspace, Electronic Health Records, or related software
• Excellent analytical, decision-making, and problem-solving skills

Education and Experience: 

• Bachelor’s degree in healthcare administration, nursing, risk management, or related field; Master’s preferred
• Professional Nurse, Licensed Independent Practitioner (LIP), or Licensed Healthcare Professional with a current State (GA) license
• Extensive and diversified background with at least 10 years of related experience

Working Conditions: The position has normal office working conditions with the absence of disagreeable elements.

Note: The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.