Quality - Quality Manager (on-site)

San Diego Community Health Center•San Diego, CA
•$85,000 - $110,000•Onsite

About The Position

The Quality Manager leads the organization’s quality improvement activities to achieve measurable improvements in clinical quality, preventive care, and grant-required performance measures. The role oversees performance monitoring and improvement initiatives related to HEDIS, GPRA, HRSA, and grant-specific measures, and drives sustained improvement through workflow redesign, data analysis, patient outreach strategies, and cross-functional collaboration. The position focuses on systems improvement and performance outcomes rather than direct clinical care. The Quality Manager works with clinical, operational, care management, outreach, and grants teams to identify performance gaps, implement corrective actions, and ensure improvement efforts are documented, measurable, and sustainable. The role also supports staff training, grant deliverables, audits, regulatory compliance, and organizational quality and patient safety practices. Other duties may be assigned, and management may modify or reassign duties and responsibilities. This position requires maintaining current BLS certification with an in-person skills assessment, consenting to annual background checks, complying with for-cause drug screening, and keeping required renewals current, including licenses, certifications, physical examinations, TB testing, and assigned regulatory training. The organization may change the position’s funding allocation based on organizational needs, funding availability, and grant requirements. The job description states that the employee must be available for all shifts and, when required, work evenings and weekends.

Requirements

  • Minimum 3–5 years of experience in healthcare quality improvement, population health, or performance management.
  • Bachelor’s degree from an accredited college or university in Nursing, Quality, Social Work, or another health-related field is preferred.
  • Maintain a current Basic Life Support (BLS) certification from the American Heart Association, American Red Cross, or an equivalent organization; certification must include an in-person, hands-on skills assessment, and online-only certification is not accepted.
  • Consent to annual background checks as a condition of continued employment.
  • Comply with drug screening requirements when initiated by the organization for cause.
  • Maintain required annual renewals, including professional licenses, certifications, physical examinations, TB testing, and assigned mandatory regulatory training.
  • Knowledge or skills in clinical compliance, best practices, medical record review, legal aspects of documentation, or medical coding and billing are preferred.
  • Ability to work independently and collaboratively.
  • Strong presentation skills and ability to create educational materials.
  • Excellent written and oral communication skills.
  • Computer proficiency, including Microsoft Office programs such as Word and Excel, email, and internet research; proficiency in the Microsoft Suite or related programs.
  • Ability to educate and train staff on compliance and clinical standards.
  • Excellent time management, organization, and attention to detail, including development and maintenance of regulatory paperwork.
  • Ability to maintain confidentiality and meticulous records; reliability and trustworthiness.
  • Effective interpersonal skills and ability to work with diverse individuals and maintain cooperative working relationships.
  • Ability to perform basic mathematical calculations.
  • Ability to lift or move up to 10 pounds and move from place to place.
  • Ability to sit at a desk and work on a computer for prolonged periods, and to stand, bend, and reach for prolonged periods.
  • Ability to organize and prioritize workload, work effectively under stress, supervise, multitask, and understand and follow instructions.
  • Ability to read, write, speak, and understand English proficiently.
  • Availability for all shifts and, when required, evenings and weekends.
  • Adherence to workplace safety, infection prevention, regulatory, privacy, and security requirements.

Nice To Haves

  • Experience in compliance, risk management, quality management, documentation standards, billing, or coding.
  • Experience serving a multinational, multicultural population.
  • Background in a Federally Qualified Health Center (FQHC).
  • Familiarity with community health clinics or Indian Health Clinics.
  • Experience with ECW EHR.
  • Knowledge of clinical compliance, best practices, medical record review, legal aspects of documentation, or medical coding and billing.
  • Bachelor’s degree in Nursing, Quality, Social Work, or another health-related field.

Responsibilities

  • Oversee tracking, monitoring, validation, and timely reporting of HEDIS, GPRA, HRSA clinical quality, and grant-specific performance measures.
  • Review quality performance data to identify gaps, trends, and opportunities for improvement.
  • Maintain dashboards and reports for leadership, clinical teams, and grant stakeholders.
  • Analyze clinical and operational workflows affecting quality outcomes, including screening, follow-up, documentation, and patient engagement.
  • Design and implement workflow changes to improve performance and close care gaps; ensure changes are standardized, documented, and scalable.
  • Monitor results after workflow changes to ensure improvements are measurable and sustained.
  • Partner with non-clinical patient outreach efforts, including calls, reminders, follow-up coordination, appointment scheduling support, and referral follow-up tracking.
  • Develop patient contact protocols for outreach intended to close care gaps, and monitor outreach effectiveness.
  • Work with PSRs, care coordinators, CHWs, and other teams to align outreach activities with quality goals.
  • Collaborate with clinical leadership, care management, PSR, referrals, IT, grants, and other teams to drive quality improvement and accountability.
  • Align quality initiatives with grant requirements and funding objectives, and coordinate with Grants and Finance teams on quality performance and grant sustainability.
  • Bring data-driven recommendations to leadership regarding underperforming measures.
  • Support grant-funded programs by aligning workflows and activities with required performance measures; monitor grant deliverables and timelines.
  • Provide documentation and evidence of improvement for grant reporting, audits, and site visits; work with program managers to address underperforming measures that may affect funding.
  • Train and guide staff on quality workflows, documentation standards, and measure requirements; translate measure definitions into practical operational steps.
  • Support change management and adoption of new workflows, and reinforce shared responsibility for quality improvement.
  • Maintain documentation, policies, procedures, and QI plans; support audits, site visits, and monitoring activities; ensure quality improvement activities align with regulatory and grant requirements.
  • Support the organization’s mission, vision, core values, customer service standards, quality improvement activities, policies, procedures, and new initiatives.
  • Participate in infection prevention and follow safe-work, regulatory, privacy, security, and corporate-integrity requirements; report unsafe conditions or unethical, fraudulent, or unlawful activity.
  • Maintain confidentiality and protect patient, employee, and volunteer information, accessing it only on a need-to-know basis for business purposes.
  • Perform other duties as assigned and adapt to changes in assigned duties and responsibilities.
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