Director of Clinical Quality

Cornerstone Family Healthcare•Cornwall, NY

1d•Onsite

About The Position

Cornerstone Family Healthcare is actively recruiting for a Director of Clinical Quality to join our growing team in Cornwall, NY. This is a full-time, mission-driven role focused on leveraging data to improve patient care. The Director will lead a population health and quality improvement portfolio across various primary care and specialty services. This role serves as an operational bridge between the Informatics team and clinical operations, utilizing data and performance metrics to enhance patient outcomes, provider performance, and care team workflows. The position involves hands-on work in pre-visit planning, care gap closure, and embedding quality improvement into daily practice.

Requirements

Bachelor’s degree in Nursing, Social Work, Public Health, or a related healthcare field.
Experience in population health, clinical quality improvement, or care management.
Experience working directly with ambulatory care teams and providers in a team-based care model.
Strong understanding of PCMH principles and clinical quality measures, with the ability to train and influence multidisciplinary teams.

Responsibilities

Lead the Clinical Quality Division and integrate population health data into routine care.
Oversee and participate in pre-visit planning, train providers and care teams, and monitor performance related to care gap closure.
Design, implement, and evaluate QI programs aligned with organizational goals and regulatory requirements (HRSA, PCMH, VBC Models).
Ensure ongoing audit readiness.
Develop and oversee an academic internship program supporting population health and quality improvement projects (e.g., diabetes, hypertension, preventive screenings, social determinants of health).
Coordinate high-risk / high-cost patient identification and warm handoffs with Care Management, Health Homes, and supportive care networks.
Embed quality improvement methods into care team workflows, manage PCMH compliance, and produce balanced scorecards and monthly provider report cards.
Moderate risk patients represent individuals at moderate risk for worsening chronic disease or missed preventive care. These patients benefit from proactive identification of care gaps and integration of quality improvement activities into routine clinical workflows.
High risk / High-cost patients represent individuals with significant medical expense associated with chronic illness, behavioral health conditions, and/or social determinants of health. These patients often require intensive coordination between clinical care, care management, and social support services.
Lead the Clinical Quality Division.
Integrate population health data into daily clinical practice.
Partner with the Informatics Division to operationalize analytic insights.
Serve as a liaison between care teams, care management, health homes, and supportive care networks.
Train care team on identifying gaps in care, maximizing the use of information systems that can identify gaps in care, pre-visit planning methods, and interventions for patients who have an identified care gap.
Maintain and provide oversight for a cohort of patients for whom direct care management is provided.
Actively participate in and oversee pre-visit planning activities.
Train providers and care teams in pre-visit planning best practices.
Evaluate provider and care team pre-visit planning performance.
Identify care gaps prior to patient visits through chart review and alerts.
Support pre-visit planning across primary care and specialty departments.
Embed quality improvement activities into daily care team workflows.
Monitor pre-visit planning compliance with care teams and providers.
Produce balanced scorecards and monthly provider performance report cards.
Coordinate with medical assistants and clinical staff.
Manage PCMH compliance at the provider and care team level.
Participate in risk management and corporate compliance activities.
Provide PCMH workflow optimization training.
Deliver quality improvement education to care teams.
Support documentation accuracy and improvement initiatives.
Review high-risk patient registries provided by the Informatics Division.
Collaborate with primary care providers to validate high-risk patients.
Facilitate warm handoffs to Care Management, Health Homes, and Supportive Care Networks.
Ensure appropriate transitions for patients requiring intensive support.
Develop and oversee a structured internship program in partnership with Cornell University.
Supervise interns supporting population health and quality improvement initiatives.
Support projects related to diabetes, hypertension, preventive screenings, social determinants of health, and program evaluation.
Support the strategic development and use of dashboards, analytics, and reporting tools used by executive leadership, providers, managers, and care teams to monitor performance and guide improvement efforts.
Attend and participate in monthly department, All Staff, leadership, and other required meetings.
Be familiar with and adhere to all clinical, administrative, and general policies and procedures as outlined in the Cornerstone Family Healthcare Policy and Procedure Manual and Employee Handbook.
Maintain confidentiality of all aspects of Cornerstone Family Healthcare including, but not limited to, patient confidentiality, financials, strategic initiatives, and employee relations.
Perform other related duties as assigned.