$86,678 - $143,963 a year
Salary Range; Min $86,378 Mid $115,170 Max $143,963 and is based on full years of experience.
A salary differential will be added to this role.
Due to our commitment to equity and fairness PPSNE does not negotiate salaries.
Additional Information:
Telecommuting is allowed.
Internal Number: 000000000000000002
Planned Parenthood of Southern New England
Care. No Matter What.
We are Planned Parenthood of Southern New England, one of the region’s largest and most trusted providers of reproductive health care. We are recognized for the wide array of services we provide, the outstanding sexual health education we deliver, and our strong commitment to social justice. Working for Planned Parenthood is more than a job; it’s being a part of a powerful movement. Together, we’ll take pride in shaping the future of sexual health and reproductive rights for all people.
What you'll be doing:
The Director of Clinical Quality Improvement (DCQI) reports directly to the Chief Medical Officer and is responsible for the Clinical Quality Improvement Program (CQI) and the Clinical Risk and Quality Management Program (RQM)as defined in the PPFA Medical Standards and Guidelines.
The CQI Program assures safe and effective clinical outcomes by tracking, trending, and improving clinical quality outcomes on a continuous basis. The Clinical RQM Program includes managing systems and processes to reduce risk and liability and to ensure high quality care in compliance with PPFA, federal, and state regulations. The Clinical RQM program includes active and systemic identification, intervention, and monitoring to support ongoing clinical quality.
The Director of Clinical Quality Improvement is an innovative leader who directs PPSNE’s Clinical Quality Improvement program to ensure exemplary, high quality, data driven patient centered care. The Director of Quality Improvement also works as a member of the Clinical Support Team to maintain a Practice Transformation experience: integrating administrative, financial, and clinical systems for better performance and improved outcomes, with particular attention to the clinical outcomes for patients who identify as Black, Indigenous, and People of Color (BIPOC).
The Director of Clinical Quality Improvement manages the after-hours on-call program. The Director of Clinical Quality Improvement supervises the QI/Lab Nurse Manager and the Manager of Centralized Follow up. The Director of Clinical Quality Management will have a passionate commitment to PPSNE’s mission and values with a deep sense of accountability to the communities we serve.
Essential Function
Champions continuous quality improvement activities across the affiliate by partnering with multiple departments and using data to focus on quality measures, health disparities, and clinical compliance. Implements system and process improvements and engages in PPFA continuous quality improvement special projects. Partners closely with the Director of Clinical Services in these efforts.
Responsible for Clinical Quality Improvement Work Plan: Oversees incident reporting process to ensure complete, timely, and accurate reporting. Uses Incident reporting as an opportunity for continuous learning and identifying training needs.
Designs, performs, and analyzes annual chart audits for high-risk services as required by PPFA and other clinical audits to ensure accurate EHR documentation in support of excellent patient care.
Tracks adverse events and complications for each provider and reviews these regularly with the CMO, program directors, and the RQM committee.
Performs root cause analysis and other problem-solving activities to identify effective corrective actions and process improvements.
Oversees patient follow-up systems to ensure timely and accurate care. Audits referrals processes and follow up care.
Partners with the Director of EHR and the Lead Clinicians to ensure quality documentation and compliance with Medical Standards & Guidelines.
Oversees the clinical skills performance review and corrective action process for licensed clinical staff by designing, implementing, and following up on performance review processes.
Partners with other PPSNE departments to focus on quality measures, health disparities, and clinical compliance. Implements system and process improvements and engages in PPFA continuous quality improvement special projects.
Collaborates with the Clinical Support Team to draft, implement, and maintain policies required for CQI and Clinical RQM Programs to function effectively.
Chairs the RQM Clinical Quality Improvement Subcommittee meetings, at least once each quarter.
Clinical RQM: Participates in the affiliate-wide Risk and Quality Management program activities, bringing the clinical perspective.
Partners with Quality Assurance Manager, QI and Lab Nurse Manager, Health Center Trainers, and center staff to ensure that health centers comply with state and PPFA regulations/requirements.
Ensures accurate billing and coding to receive appropriate reimbursement from payers by partnering with Director of Special Projects.
Reviews and amends charts for accurate billing. Participates in the annual coding audit/training process.
Staff training and education: Partners with Lead Clinicians to provide ongoing training and clinical updates as needed to ensure proactive quality improvement, as well as process improvement in response to audit findings, incident reports, and Press Ganey results through clinician conference calls, clinician conferences, site staff meetings, clinician communication, and direct work with center staff.
Provides clinician orientation, proctoring, and ongoing training for new hires and seasoned clinicians in conjunction with the Director of Clinical services and Lead Clinicians. Ensures documentation of all proctoring, privilege, and training in conjunction with the Health Center Training team.
Collaborates with others as necessary to resolve clinical performance-related issues with clinicians including providing written corrective actions.
External Responsibilities: Remains up to date on PPFA and ARMS quality program requirements and innovations.
Collaborates with ARMS staff and attorneys to prevent and/or resolve legal actions. Engages in service recovery with patients.
Coordinates with and for DPH/DOH inspections and corrective actions.
Clinical Consultation and Care: Provides clinical consultation (by phone, Teams, or other methods) to manage urgent and ongoing clinical issues including clinical consultation and support.
Continues active clinical practice as a licensed clinician, delivering direct patient care 1 day per week, on average.
Supervisory: Supports the manager of Centralized Follow Up to grow the department and implement system and process improvements to meet the changing follow up needs of the agency.
Supports the QI and Lab Nurse Manager in their functions performing audits and as the Laboratory Technical Consultant.
Oversees PPSNE after hours/on call program and manages clinicians who provide clinical consultation and support by phone during evenings and weekends for on-call regions.
Work Culture: Works and collaborates with all the members of the Clinical Services Team (CST) to support the services provided at PPSNE.
Completes all responsibilities according to established protocols, policies, and standard practices in the areas of customer service, quality assurance and regulatory compliance programs such as HIPAA, OSHA and CLIA.
Key Requirements
Graduation from a recognized Nurse Practitioner, Physician Assistant, Certified Nurse Midwifery, or Medical School with a concentration in adult, family practice, or women’s health.
Appropriate professional certification (ANCC, AANP, NCC, NCCPA or MD).
Current state licensure in CT and RI as a Nurse Practitioner, Physician's Assistant or Medical Doctor required.
Minimum of 5 years of reproductive health experience in direct patient care.
Minimum of 3year of management experience preferred.
CPR certification.
Clinical teaching experience preferred.
Previous experience in a quality improvement role preferred.
Commitment to PPSNE’s mission and values: Passionate commitment to PPSNE’s mission and values, especially those related to health equity, centering on racial equity and a deep sense of accountability to the communities we serve.
Alignment with and dedication to PPSNE’s strategic plans.
Strong commitment to PPSNE’s In This Together values, and all of the health services offered at PPSNE.
Ability to foster work across difference in your teams: Demonstrated ability to work and build trust across cultural differences as well as to effectively communicate across differences.
Demonstrated commitment to enhancing your team’s practices related to racial equity and mitigating the impact of structural racism and other inequities within healthcare systems and institutions.
Demonstrated ability to help direct-reports and other team members navigate working across difference, including racial difference, so that many perspectives are heard and considered in decision-making.
Consistently integrates a deep understanding of key racial equity concepts into work projects and interactions by addressing structural implications and disproportionate impacts of policies, activities, and decisions on race, class, and other group identities within the context of job responsibilities and projects.
Demonstrated understanding of and ability to navigate how race dynamics impact supervisory relationships, organizational culture, clinical service delivery, partnerships, campaigns, and coalition work.
Leadership: Excellent relationship building and communication skills, including a high level of self-awareness, empathy, and humility in interpersonal interactions.
Demonstrated ability to intervene in problematic dynamics and deepen a racial equity approach within an organization or team.
Prior success in fostering cross-departmental partnerships and collaborations to advance success of organizational priorities.
Well versed in change management theory and implementation of new programs and processes for health systems.
Work approach and pace: Sound judgement and grace under pressure with a track record of anticipating problems and negotiating solutions.
A systems thinker with a focus on outcomes, impact, and finances.
Must be able to work in a moderately stressful, fast paced, high volume environment that requires direct contact with a diverse patient and employee base.
Demonstrated project development and management skills, including excellent follow through for multiple projects at multiple locations, with the ability to work independently as needed.
Demonstrated ability to be responsive to changing priorities and simultaneously handle multiple complex initiatives.
Superb attention to detail; ability to lead and follow processes and procedures from beginning to end.
Ability to utilize data to inform the decision-making process with a race and equity lens for disparities.
Ability to routinely travel to health centers and other locations.
Proficient with Microsoft Office, EHR and skilled with use and application of information technology.
Personal Attributes
Collaborative leader.
Problem-solver.
Life-long learner.
Continued focus on personal and professional growth.
Committed to diversity, equity, and inclusion.
Culturally responsive.
The Payoff
Reduce health disparities in our communities.
Work collaboratively with a passionate group of staff members and volunteers.
Take a stand on internal key issues that matter to you.
Work in a fast-paced, high energy, dynamic environment with a team who is passionate about primary care, and the mission.
$86,678 - $143,963 a year
Salary Range; Min $86,378 Mid $115,170 Max $143,963 and is based on full years of experience.
A salary differential will be added to this role.
Due to our commitment to equity and fairness PPSNE does not negotiate salaries.
PPSNE is an equal employment opportunity employer and does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law. We are committed to building an inclusive workplace that values diversity and inclusion and reflects the diversity of our communities and patients. We strongly encourage people of color and members of the LGBTQ community to apply.
PPSNE offers a comprehensive benefit package which includes; Health, dental and vision insurance, retirement savings, paid parental leave, tuition reimbursement, generous paid time off, a flexible spending account, wellness program and more.
Planned Parenthood of Southern New England
Care. No Matter What.
We are Planned Parenthood of Southern New England, one of the region’s largest and most trusted providers of reproductive health care. We are recognized for the wide array of services we provide, the outstanding sexual health education we deliver, and our strong commitment to social justice. Working for Planned Parenthood is more than a job; it’s being a part of a powerful movement. Together, we’ll take pride in shaping the future of sexual health and reproductive rights for all people.
