Clinical Quality & Risk Management Director

People's Community Clinic • Austin, TX

3h • Onsite

About The Position

Supports the mission of People's Community Clinic by providing oversight of the organization’s integrated quality improvement and clinical risk management programs. The Director of Clinical Quality and Risk Management ensures compliance with Federal Tort Claims Act (FTCA) requirements, supports continuous quality improvement, and mitigates organizational risk across all service lines.

Requirements

• RN, graduate of an accredited school of nursing.
• At least 5 years’ experience in healthcare, including working in a clinic environment
• At least 1 year of experience in healthcare quality
• At least 1 year’s experience in a supervisory role
• Experience leading quality improvement and quality assurance efforts
• Experience with program planning and evaluation
• Experience writing policies and procedures
• Experience providing training
• Strong analytic ability, including problem identification and resolution
• Ability to work effectively with diverse individuals and populations
• Excellent written and oral communication skills
• Ability to work independently with minimal supervision
• Able to lead cross-functional teams and influence without direct supervisory authority
• Knowledge of quality improvement principles and practices, such as Six Sigma, Lean, and Plan-Do-Check-Act (PDCA) cycle
• Knowledge of regulatory requirements for FQHCs, such as HRSA, PCMH, and The Joint Commission
• Current professional license to practice in the State of Texas.

Nice To Haves

• Certified Professional in Healthcare Quality (CPHQ) within the first 3 years of employment, if not already certified upon hire.

Responsibilities

• Maintain the clinic’s Quality Assurance and Performance Improvement (QAPI) program in accordance with HRSA standards.
• Responsible for developing, implementing, and maintaining a vision and plan for providing quality improvement initiatives using data-driven methods such as Plan-Do-Study-Act (PDSA) cycles, Lean or Six Sigma.
• Monitor clinical quality metrics (e.g., UDS measures, patient safety indicators, PCMH) and lead action planning based on trends and gaps.
• Develop, track, and report key performance indicators (KPIs) related to clinical quality, patient safety, and operational efficiency.
• Oversee and manage clinical peer review processes to ensure adherence to current evidence-based clinical guidelines, standards of care, and standards of practice in the provision of health center services.
• Ensure that clinical policies adhere to current evidence-based clinical guidelines, standards of care, and standards of practice in the provision of health center services.
• Oversee patient feedback efforts (e.g., annual and quarterly patient satisfaction surveys, comment cards, etc.), present results to management, and lead efforts to address identified concerns.
• Prepare and submit quality improvement reports to regulatory agencies and other stakeholders (i.e. PCMH, Board of Directors, HRSA, etc.).
• Promote, model, and train on the use of a standard method for quality improvement work.
• Serve as the designated Clinical Risk Manager for FTCA compliance.
• Oversee and maintain systems required to meet FTCA deeming and re-deeming application requirements, including risk management and quality improvement.
• Monitor and report adverse events, clinical incidents, near misses, and patient complaints; conduct root cause analyses and recommend system-level improvements.
• Lead the implementation and monitoring of risk reduction strategies aligned with clinical best practices.
• Coordinate internal risk assessments and ensure findings are addressed in a timely and effective manner.
• Collaborate with the Chief Transformation Officer and leadership on FTCA claims management and communication with HRSA.
• Facilitate case conferences, as needed or requested.
• Coordinate root cause analysis based on the severity of the incident and/or incident report trends.
• Partner with Medical, Nursing, and Administrative leadership to promote a culture of safety and accountability.
• Chair the Quality Improvement Committee and Risk Management Committee.
• Support the Change Process & Data Governance Committee as the quality and risk liaison.
• Serve as a resource and educator for clinical and non-clinical staff on topics related to quality, safety and risk management.
• Manage assigned work groups, including hiring, onboarding, and training, and regularly assess competencies; identify and oversee new or additional training as needed.
• Support emergency preparedness and infection control activities.
• Adhere to HIPAA guidelines.

Benefits

• 18 PTO days per year & 11 paid holidays
• Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
• Dental & Vision
• Flexible Spending Accounts
• Employer-paid Life Insurance
• Employer-paid Short-Term and Long-Term Disability
• Annual Training
• 403(b) with 5% employer matching

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree