Clinical Quality and Assurance Manager

On-Site Service:

Federally Qualified Health Center

Reports To:

Quality Management Director

Reporting to the Quality Management Director, the Clinical Quality and Assurance Manager is responsible for planning and implementing the performance improvement program to meet the needs of the agency. He/She is responsible for providing education to departmental staff regarding quality measures and facilitates performance improvement activities and clinical quality improvement activities throughout the agency. The Clinical Quality and Assurance Manager assists with preparation for required meetings and audits and must demonstrate the following personal and physical qualifications which are essential functions of the position.

Essential Duties and Responsibilities

•Ensures all actions, job performance, personal conduct and communications represent the organization in a highly professional manner.

•Works to positively support and improve the quality, efficiency and effectiveness of CCIH’s approach to patient-centered care.

•Works as a progressive change agent and transformational leader in alignment with CCIH’s organizational values; coordinates performance improvement activities and develops process improvements in coordination with staff and leadership.

•Collaborates with the management team to develop objective and meaningful quality goals and outcomes relative to each division; reviews data assessment methods/tools to ensure that both qualitative and quantitative data is accessible to measure important aspects of care/service.

•Gathers and analyzes clinical data from the Electronic Medical Record and identifies trends in the delivery of care; ensures clinical documentation meets current standards and policies.

•Utilizes information obtained via performance improvement activities to seek and act on opportunities to improve patient care processes.

•Works with leadership and staff to create policies and procedures that reflect current regulatory standards and best practice.

•Collaborates with the leadership team to develop and maintain processes that promote the integration of services; including, the development and implementation of forms, workflows and data collection and reporting.

•Assists with the integration of quality improvement activities among different professional disciplines including primary and pediatric care, dental care, behavioral health and housing; participates in data collection for program analysis reports and prepares presentations for various Executive Committees as directed.

•Assists with preparation for internal and external audits ensuring that all required data has been obtained and is available for review; educates and assists department managers to maintain appropriate policies and procedures to fulfill requirements.

•Reports data as appropriate to meet standards of CARF, HEDIS, Medicaid and State and Federal performance standards.

•Participates in risk management and safety activities.

•Provides education and training focused on quality data and performance improvement projects.

•Maintains diplomatic working relationships with all members of the leadership team and staff to ensure optimum performance improvement and quality management services.

•Participates in the development of agency workflows to assure FQHC, NCQA, and other regulatory standards; assures staff adherence to policies and procedures.

•Participates in meetings/conferences and continuing education and demonstrates a genuine desire to develop strategies for improved clinic operations and high level patient care; keeps abreast of applicable federal and state laws and regulations.

•Promotes the integration of services including primary care, behavior health, dental services and supportive housing; serves as a resource to other providers and staff.

•All other duties as assigned.

Qualifications and Skills

•Prior work experience in Federally Qualified Health Centers (FQHC) preferred

•Prior experience with HRSA/UDS, PCMH, Title X, Meaningful Use and Community Mental Health preferred

•Ability to work cooperatively with staff and others involved in the delivery of service to patients

•Experience in managing multiple tasks simultaneously and meeting critical deadlines

•Must maintain confidentiality relating to treatment in accordance with HIPAA guidelines

•Prior Quality Assurance/Improvement experience preferred

•Must have the ability and flexibility to adapt to change determined by agency funding

Education / Experience

Successful completion of an accredited Master’s Degree in Social Work, psychology, nursing or public health administration program

Credentialing / licensure

•Aptitude to manage multiple responsibilities efficiently within a broad scope of functional areas

•Excellent verbal and written communication skills; strong analytical and/or operational problem-solving skills

•Ability to facilitate change, clarify assignments, establish priorities, and translate intent to others

•Demonstrated ability to conduct and interpret quantitative/qualitative analyses

•Discretion, confidentiality, tact, and sound judgment to deal with sensitive issues

•Strong MS Excel experience required

•Proficiency with Electronic Health Records


Central City Integrated Health
17950 Woodward Ave.
Detroit, Michigan 48203