Quality Director

 The Director of Quality Management supports the mission of Medical Associates Plus by providing strategic oversight and operational leadership of quality initiatives across all clinical sites. This role is responsible for ensuring compliance with all federal and state quality standards, PCMH recognition, FTCA requirements, and HRSA operational site visit standards. The Director collaborates with leadership and clinical teams to drive performance improvement, patient safety, infection control, and data integrity.

Responsibilities and Duties

 · Collaborates with the CMO to ensure all quality performance metrics, FTCA, PCMH, UDS, and risk management standards are met.

· Oversees the planning, design, implementation, and evaluation of the organization-wide Continuous Quality Improvement (CQI) program.

· Serves as the clinical liaison for provider staff, assisting with performance improvement plans and quality initiatives.

· Works with Clinical and Operations Managers to monitor timely access to care and improve patient experience.

· Leads the Quality Improvement (QI) Committee and co-chairs meetings, ensuring follow-up on action items and corrective plans.

· Provides oversight of infection prevention and control, including training, policy updates, and compliance monitoring.

· Coordinates the completion of clinical components of the annual UDS report and assists with preparation for HRSA Operational Site Visits and FTCA deeming.

· Develops and updates clinical policies, protocols, and procedure manuals in accordance with current guidelines and regulatory requirements.

· Participates in strategic planning and risk management activities and monitors clinical outcomes across all sites.

· Maintains oversight of internal clinical audits, peer review processes, and adverse event investigations.

· Ensures all sites maintain Level III PCMH recognition and  ACO, and Medicare demonstration requirements.

· Ensures appropriate coordination of care and transitions for patients discharged from hospitals or specialty care.

· Collaborates with the Chief Technology Officer to ensure EHR optimization for capturing quality metrics.

· Provides orientation and training new employees regarding quality standards and organizational compliance expectations.

Qualifications:

 Knowledge, skills and abilities

• Strong knowledge of HRSA, FTCA, PCMH, UDS,  compliance requirements.
• Demonstrated leadership and team collaboration abilities.
• Excellent written and verbal communication skills.
• Ability to develop, implement, and monitor quality improvement initiatives.
• Skilled in data analysis, report preparation, and regulatory compliance.
• Proficient in using EHR systems (preferably eClinicalWorks and Athena) and Microsoft Office Suite.
• Familiarity with infection control, risk management, and emergency preparedness practices.

Education & Experience

• Minimum of 5 years of nursing experience, with at least 3 years in a supervisory or quality leadership role in a healthcare or FQHC setting.
• Graduate of an accredited school of nursing; must hold and maintain a current RN license in the state of Georgia. (Role doesn’t require RN license)

 Working Conditions

 · Must be able to perform all essential duties with or without reasonable accommodation.

· Requires prolonged periods of sitting, standing, and computer use.

· May require occasional lifting of up to 30 pounds.

· May involve occasional evening or weekend work during audits, emergencies, or special projects.

· Work is performed in a healthcare office environment, with frequent interaction with clinical staff, leadership, and external agencies.

Medical Associates Plus reserves the right to manage and direct its workforce in accordance with applicable federal, state, and local laws. This includes, but is not limited to, determining work location, work schedule, job duties, and assignments, based on the needs of the organization.

The job description is intended to outline the general scope, essential functions, and responsibilities of the position. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the role. The organization reserves the right to modify job duties or descriptions at any time, with or without notice, in compliance with applicable laws and business needs.