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Position Summary

The Director, Clinical Quality, HMG will support the vision and direction for the clinical care delivered at all HMG and other assigned HMC practices. The Director is responsible for clinical standards for all licensed and unlicensed personnel. As the leader of clinical operations, the Director facilitates the development and implementation of clinical workflows, education, policy, procedures and protocols, as well as working with the Senior Leadership, Operations Directors, Practice Managers and Medical Directors to ensure identification and resolution of clinical quality and compliance related issues. The Director ensures that Best Practice Standards are communicated and implemented in all aspects of clinical care. The Director works in collaboration with the CMO-HHP, senior leadership, as well as other appropriate stakeholders to ensure adherence to third party payer quality incentive programs as well as CMS innovative programs and PCMH Accreditation. The Director supervises and has direct responsibility for population health planners, as well as population health initiatives. The Director is also responsible to work with Practice Managers and Medical Directors to ensure compliance with all State and governmental agencies including DOH, CLIAA, OSHA and JCAHO (where applicable). Lastly, the Director has responsibility to plan, organize, and support employed practices with patient experience reporting, and employee recognition programs.

Primary Position Responsibilities

1. Primary Lead for CMS Primary Care Innovation Program and Level III PCMH Accreditation ($2.5M in reimbursement to the Health System), which includes coordination and submission of appropriate information to third parties, working with stakeholders to ensure adherence to required standards related to these programs and responsibility for population health initiative which includes direct supervision of population health planners.

2. Responsible for planning, organizing, and supporting employed practices Patient Experience Programs.

3. Oversees the development, implementation, and monitoring of scope of practice and clinical standards for clinical employees to ensure competency, ongoing education and training. Direct responsibility for nurse educator.

4. Directs the development, implementation, and consistent application of effective organizational policies, procedures, protocols and practices for clinical care.

5. Strategizes and drives process improvement focused on innovative care delivery and/or operational models designed to improve operations, outcomes, and patient safety.

6. Maintains accountability for achieving excellence and creates measurable, sustainable results and change.

7. Develops a culture of continuous improvement, through delivery, expert advice, facilitation, coaching and guidance; Reviews, prepares, analyzes, and presents reports and recommendations to senior leadership.

Qualifications

Minimum Education:

Required:

Associates Degree Nursing

Preferred:

Bachelor’s Degree in Nursing

Minimum Years of Experience (Amount, Type and Variation):

Required:

Three (3) years progressive management experience in a medical environment.

Preferred:

Five (5) years progressive management experience in a medical environment.

License, Registry or Certification:

Required:

Registered Nurse

Knowledge, Skills and/or Abilities:

Required:

? Maintain a working knowledge of current clinical practice and regulatory requirements and demonstrate in-depth knowledge of Best Practice Standards.

? Ability to foster a patient-care culture that emphasizes patient safety and excellence in all aspects of care.

? Expert verbal, written and presentation skills are required. Excellent communication skills.

? Must possess high level knowledge and maintain accountability for clinical standards, licensure, certifications, education, privileging and education for clinical staff.

? Must have the ability to work collaboratively as project team lead, effecting change largely through influence.

? Must demonstrate high level of analytical and critical thinking skills in all domains of patient care and practice operations.

Preferred:

Knowledge of CMS Innovative Primary Care Programs as well as PCMH and JCAHO Accreditation requirements

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).