Clinical Risk and Quality Improvement Manager

Fair Haven Community Health Care • New Haven, CT

8d • $77,000 - $100,000

About The Position

The Clinical Risk and Quality Improvement Manager manages the day-to-day operations of Fair Haven Community Health Care’s clinical risk mitigation and quality improvement analysis. The role ensures ongoing compliance with Federal Tort Claims Act (FTCA) deeming standards and HRSA Health Center Program requirements. The manager identifies clinical vulnerabilities through formal assessments and works with the Data and Analytics Department to interpret dashboards and lead performance improvement projects.

Reporting to the Chief Corporate Compliance Officer (CCO), the manager oversees clinical risk and quality improvement programs, including FTCA application preparation, clinical risk assessments, incident investigations, grievance processes, credentialing and privileging compliance monitoring, regulatory audits, quality improvement projects, accreditation readiness, staff training, and policy development. The role also provides clinical risk data and evidence-based findings to support reporting to the Quality Improvement Committee and Board of Directors.

Requirements

• Bachelor’s degree.
• At least 5 years of professional experience.
• Excellent verbal, written, and presentation communication skills.
• Strong project management skills, including managing complex, multifaceted projects that produce measurable successes and program growth.
• Skills in quality improvement, systems change, and policy development.
• Strong analytical skills and experience mining an EHR for required data.
• Demonstrated knowledge of federal and state regulations.

Nice To Haves

• Graduate degree in nursing, public health, or another relevant field.

Responsibilities

• Lead technical data collection and administrative assembly of the Risk Management and Credentialing and Privileging sections of annual FTCA deeming and redeeming applications.
• Conduct comprehensive annual clinical risk assessments across departments to identify vulnerabilities and meet federal requirements.
• Facilitate investigations of clinical incidents and near misses, including leading Root Cause Analysis in collaboration with clinical leadership.
• Oversee the formal patient grievance process and identify systemic issues to mitigate organizational liability.
• Prepare high-level clinical risk reports for the CCO, CMO, and Board of Directors.
• Coordinate the Risk Management Committee, including preparing agendas and taking minutes.
• Monitor Credentialing and Privileging compliance for Licensed Independent Practitioners, Other Licensed or Certified Practitioners, and Other Clinical Staff against HRSA standards.
• Conduct periodic audits of credentialing files and tracking systems to verify that primary source verification and fitness-for-duty documentation are correctly recorded.
• Monitor the administrative framework for timely completion of Focused Professional Practice Evaluations and Ongoing Professional Practice Evaluations.
• Provide analyzed clinical data and evidence-based findings to the CCO to support reporting to the QIC and Board of Directors.
• Partner with the Data and Analytics Department to review dashboards, identify trends, and find opportunities for clinical performance improvement.
• Design and execute targeted quality improvement projects based on FTCA, The Joint Commission Ambulatory Care and PCMH requirements, and clinical outcomes.
• Facilitate Plan-Do-Study-Act cycles for clinical teams and provide just-in-time coaching on quality improvement methodologies.
• Maintain clinical documentation for The Joint Commission and NCQA PCMH status and ensure workflows meet patient safety standards.
• Design and implement the annual clinical risk and privacy training plan for staff to satisfy mandatory FTCA requirements.
• Conduct education sessions for clinical and administrative staff on risk reduction and regulatory compliance.
• Draft and periodically revise clinical risk policies to reflect regulatory changes and internal audit outcomes.

Benefits

• Major medical, dental, and vision coverage.
• Voluntary benefits, including AFLAC plan, short-term disability, long-term disability, and life insurance.
• Paid holidays.
• Generous paid time off.
• Tuition reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager