Quality and Compliance Coordinator

POSITION SUMMARY:

The Quality and Compliance Coordinator will work closely with the clinical team to support planning, development, implementation and monitoring of the clinical quality assurance/improvement and risk management activities essential to improving patient/client outcomes, mitigating risks and reducing financial and reputational risk to Good Neighbor Community Health Center. This position will monitor clinical quality indicators, assure that peer reviews are completed timely and are addressed by appropriate supervisors, assure clinical staff are appropriately trained to address required clinical activities to meet quality measures. Monitor and address requirements for accreditation and federal/state governing bodies related to clinical quality, monitor and address clinical policy requirements.

ESSENTIAL JOB FUNCTIONS:

Quality Improvement:

1. In collaboration with the clinical leadership, develops and implements quality assurance/improvement activities for clinical quality. Develops processes and reporting procedures intended for the purpose of independent monitoring of a variety of quality indicators and adherence to agency policy and procedures.

2. Assist in the development and maintenance of Clinical Policy as requested and appropriate.

3. Monitors quality through audit, data review, and analysis to assure problems are identified and are reported appropriately to Leadership.

4. Utilizes quality improvement methods of assessment, planning, implementation, and evaluation, using the PDSA (Plan, Do, Study, Act) model for continuous quality improvement activities, monitors and reports progress to the QI team.

5. Audits agency programs for compliance with organizational guidelines related to quality health care, addresses areas of concern with appropriate Leadership and Administration.

6. Works with appropriate Leadership to identify and coordinate required or needed training activities related to quality assurance/improvement. (HRSA, 340b, Title X, Regions etc.)

7. Assist in monitoring 340b compliance related to medication use and distribution.

8. Works with Leadership to assure that staff are compliant with identified competencies, works with clinical managers/supervisors to address deficits and training needs as related to areas of competencies not met.

9. Completes reporting for Clinical Quality Improvement activities (PDSA’s) and reports quarterly to the QI committee.

10. Works in collaboration with the CQRC/COO to assure clinical work follows compliance requirements with accreditation standards including but not limited to The Joint Commissions and compliance standards for Health Resources and Services Administration.

11. Will develop and maintain a strong understanding of UDS, and HEDIS measures and works with Clinical leadership to apply requirements to clinical quality.

12. Work with billing office to address 3rd party payor reporting requirements for quality and value-based care, coding and payment requirements.

13. Perform all other duties as assigned.

EDUCATION:

Nursing, Social Work, Public Health or related field preferred, or related experience in quality and data considered.

REQUIRED SKILLS:

· Strong understanding of quality improvement methods of assessment.

· Proficient with Microsoft Office Suite, including but not limited to Excel, Word, and Outlook. Experience in Electronic Health Records beneficial.

· Minimum of 1 year of experience in clinical QI practices. Strong ability to work independently and as part of a team.

· Exceptional time management and organizational skills.

· Strong knowledge of health care, and public health processes. Ability to work well with individuals of diverse socioeconomic, cultural, and intellectual backgrounds.

PREFERRED SKILLS:

· Previous experience working in a hospital, clinic or physician’s office preferred.

· High preference given to experience in FQHC Practice or Health Care clinic setting.

SUPERVISION:

None

PHYSICAL REQUIREMENTS:

May require sitting for a long period of time. Some bending, lifting, stooping and stretching required. Requires normal range of hearing and eyesight. Requires eye-hand coordination and manual dexterity to operate office equipment such as computer keyboard, photocopier, telephone and calculator. Some lifting may be involved, up to 35 pounds.

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Education:

• Associate (Required)

Experience:

• Clinical QI practices: 1 year (Preferred)

Ability to Commute:

• Columbus, NE 68601 (Required)

Ability to Relocate:

• Columbus, NE 68601: Relocate before starting work (Required)

Work Location: In person