Director of Quality Improvement

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.

Job Summary

The Director of Quality Improvement and Population Health leads the Quality Improvement and Population Health Department, driving initiatives to enhance care delivery, improve patient outcomes, and ensure clinical quality and safety standards are met. This role oversees efforts to improve health outcomes for both patients seen at TrueCare and patients assigned to a health plan but not yet engaged with TrueCare, ensuring equitable, high-quality care across all populations.

Responsibilities

• Department Leadership:
1. Lead the Quality Improvement and Population Health Department, ensuring alignment with organizational goals and priorities.
2. Oversee improvement efforts for both patients seen at TrueCare and patients assigned to a health plan but not yet engaged with TrueCare.
• Population Health Management:
1. Develop and implement programs for preventive care and chronic disease management.
2. Prioritize and coordinate outreach efforts to engage patients assigned to TrueCare by health plans who have not yet received services, ensuring alignment with population health goals.
3. Address social determinants of health (SDOH) to improve outcomes and reduce health disparities.
4. Use risk stratification and patient segmentation to identify and prioritize interventions for high-risk populations.
• Quality Improvement Initiatives:
1. Drive efforts to enhance clinical processes, improve patient safety, and meet regulatory standards.
2. Monitor and improve performance on quality metrics, including patient satisfaction and clinical outcomes.
3. Implement PDSA cycles and other improvement methodologies to test and scale new processes.
• Data and Analytics:
1. Use data analytics to monitor performance, identify trends, and guide decision-making.
2. Work with Enterprise Analytics and other stakeholders to develop dashboards and reports to track quality and population health outcomes and communicate progress to stakeholders.
• Collaboration and Partnerships:
1. Work with clinical and operational leaders to ensure initiatives are integrated into workflows and care delivery.
2. Partner with Diversity, Equity, and Inclusion (DEI) and Health Equity subject matter experts to ensure strategies are informed, impactful, and meet broader organizational goals.
3. Build partnerships with community organizations to address health needs and expand resources for patients.
4. Serve as the primary liaison for population health initiatives to external healthcare partners, providers, and applicable regulatory and credentialing organizations, ensuring alignment with TrueCare's goals and standards.
• Value-Based Care and Quality Incentives:
1. Participate in and lead efforts to transition TrueCare into a professional risk and advanced payment environment, focusing on strategies that reward exceptional clinical care, service excellence, and quality improvement.
2. Work closely with payers to manage and optimize pay-for-performance and quality incentive programs, ensuring TrueCare maximizes opportunities to enhance care quality while meeting financial targets.
3. Monitor and report on the performance of pay-for-performance initiatives and quality incentive programs, leveraging data analytics to inform strategies for improvement.
• Regulatory Compliance and Accreditation:
1. Lead efforts and manage applications for Patient-Centered Medical Home (PCMH) accreditation, ensuring adherence to required standards and guidelines.
2. Ensure compliance with regulatory requirements and prepare for accreditation reviews.
3. Align department efforts with the standards of agencies such as CMS, NCQA, HRSA, DHCS, and other agencies.
• Staff Development and Training:
1. Lead, mentor, and develop the Quality Improvement and Population Health team.
2. Provide education and training for staff to build a culture of continuous quality improvement and patient-centered care.
• Continuous Feedback and Improvement:
1. Establish systems for continuous feedback loops to refine programs and processes based on outcomes and staff/patient input.
• Use stakeholder feedback to prioritize initiatives and develop actionable proposals for review and approval.

Requirements

• Bachelor's degree in nursing from an accredited college plus a minimum of 5 years' clinical nursing experience.
• Previous experience leading quality improvement and/or change management processes and implementation cycles.
• Proven ability to lead multidisciplinary teams, including clinical, operational, and administrative staff.
• Registered Nurse (RN) licensure in California.
• Will be required to travel between all TrueCare's sites and locations; therefore, a California Driver's License, proof of valid insurance, and clean driving record may be required.

Preferred Qualifications

• Master's in Public Health.
• 1 to 3 years of experience leading a quality improvement program.
• Familiarity with Lean Six Sigma Model for Improvement and other quality improvement frameworks.
• Additional certification or coursework in patient safety and quality.

Benefits

• Competitive Compensation
• Competitive Time Off
• Low-cost health, dental, vision & life insurance
• CME
• Incentive Bonus Plan and Signing Bonus