Director, Clinical Performance and Patient Safety

Eagle Telemedicine•Atlanta, GA

2d•Hybrid

About The Position

Owns Eagle’s patient safety process and the clinical performance data used for physician review, client reporting, and recredentialing. Responsible for the clinical event record from intake through classification, triage, turnaround, closure, and documentation. Maintains the enterprise clinical policy library and the FPPE and OPPE processes required by clients and the enterprise. Serves as the single intake point for client-raised clinical concerns, regardless of which Eagle relationship first receives them. The role determines whether a clinical event requires escalation, but does not determine physician consequences; those decisions belong to the Enterprise Medical Director and Chief Medical Officer. The Director provides direct leadership and oversight for the Clinical Data Coordinator, including hiring, onboarding, coaching, and performance management, and establishes workflows, documentation standards, and turnaround expectations for clinical events. The position administers the Clinical Governance Committee under the Chief Medical Officer as chair; collaborates with clinical, operational, credentialing, and legal teams; supports physician performance review and patient safety initiatives; and aligns clinical safety and performance measures with client requirements and enterprise strategy. This is a hybrid role, with an expectation of working in the office three to four days per week, subject to manager approval.

Requirements

Active, unrestricted RN license.
BSN required.
At least 5 years of clinical experience in an acute care hospital or health system setting.
At least 3 years in patient safety, clinical quality, or medical staff services, including direct responsibility for event review and FPPE and OPPE administration.
Working knowledge of patient safety event management, including classification, triage, and root cause review.
Direct experience administering FPPE and OPPE.
Knowledge of peer review processes and applicable peer review protections.
Knowledge of clinical policy development, maintenance, and version control.
Data analysis and trend reporting capability, including spreadsheet and reporting tools.
Clear written documentation suitable for client quality review and committee presentation.
Ability to work across clinical, operations, credentialing, and legal functions.
Sound clinical judgment under time pressure; discretion with sensitive clinical and personnel information; accountability, follow-through, attention to detail, professionalism, integrity, and collaboration across Clinical, Operations, Licensing and Credentialing, and Legal.
Able to work in the office 3 to 4 days per week, subject to manager approval.
Able to sit for prolonged periods and work on a computer.
Able to lift 15 pounds.

Nice To Haves

MSN preferred.
Experience supporting peer review or a medical staff committee structure strongly preferred.
Experience with Joint Commission, DNV, or equivalent accreditation standards preferred.
Telemedicine or multi-site experience preferred.

Responsibilities

Own the clinical event log end to end, including intake, classification, severity tiering, triage, turnaround, closure, and documentation.
Conduct initial clinical review and disposition of events against written criteria for matters resolved at this level.
Escalate significant patient safety concerns to the CMO within 24 hours and escalate concerns below that threshold to the CMO or Enterprise Medical Director.
Serve as the defined intake channel for client-raised clinical concerns and coordinate the clinical review supporting the client-facing response.
Oversee clinical performance and safety data, working with the Clinical Data Coordinator to collect and analyze physician performance data, including client- and enterprise-required FPPE and OPPE.
Maintain accountability for clinical policies and procedures; ensure documents are current, audited for accuracy, and version controlled.
Produce event and performance trend analyses by specialty, site, and provider; route physician-attributable findings to the Enterprise Medical Director and site- or program-level findings to Operations.
Produce the enterprise quality reporting package, including cross-specialty benchmarking data against the standard set by the Enterprise Medical Director.
Administer the Clinical Governance Committee, including its agenda, materials, minutes, and follow-up tracking, under the Chief Medical Officer as chair.
Coordinate with Specialty Medical Directors on service-line trends involving clinical care, documentation, and professional conduct, supporting education and correction.
Support physician performance review with the CMO and Enterprise Medical Director; ensure reviews are timely, educational, non-punitive in approach, and conducted within applicable peer review protections.
Coordinate with Medical Staff to provide current and historical performance information for recredentialing, and with Operations to inform site placement.
Coordinate with Legal on compliance and risk assessment.
Align clinical safety and performance measures with client requirements and enterprise strategy.
Support the clinical leadership team on enterprise patient safety initiatives.
Directly lead and oversee the Clinical Data Coordinator, including hiring, onboarding, coaching, and performance management.
Establish workflow, documentation standards, and turnaround expectations for the clinical event process.