Quality Manager (Maui, HI)

Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center is a Federally Qualified Health Center (FQHC) and a fully integrated behavioral health, dental, and primary care system. Our 100+ professionals and providers serve the people of Maui at three clinics—two locations in Wailuku and one in Lahaina. We have behavioral health providers who partner with the primary care clinicians to assist in a vast number of activities including warm handoffs for acute behavioral health crisis management, substance abuse counseling, tobacco cessation counseling, chronic disease self management counseling, and long-term individual and family therapy. We have been serving the Maui community since 1993.  Since 2015, we have served over 11,000 patients of which 97% are living at or below 200% of the Federal poverty level.  Our philosophy is for all professionals to work at the top of their license.  We are a learning organization that focuses on Patient Centered Medical Home (PCMH), Trauma-Informed Care, and Team-Based Care.  Please visit our website https://ccmaui.org/ to view our unique focus projects, our professional staff, and to learn more about our health center.  Join our growing team of caring, competent, and committed professionals in serving the underserved communities on Maui.

  JOB SUMMARY:
The Quality Manager reports to the Clinical Operations Director to support our quality assurance system and team that promotes customer satisfaction and that positively impacts the financial performance of Mālama I Ke Ola Health Center. The Quality Manger is one member of a team to champion continuous quality improvement efforts in the organization.
In conjunction with the Clinical Operations team, this position provides oversight, data-synthesis, coordination, and direction to impact performance on key metrics of quality and safety and achieve or maintain programmatic excellence standards. Collaborates with the medical staff and other key professionals to design comprehensive programs to create a culture of safety, proactively identify risk, and reduce clinical variation to assure evidence-based care delivery and prevent patient harm. This team facilitates organization-wide learning on the part of leaders, clinicians and staff; and facilitates individual improvements required for the safest possible health care.
WAGE CLASSIFICATION:            Salaried, Exempt
 
POSITION SUPERVISES:             Quality Team (Quality Coordinators)

REPORTS TO:                                 Clinical Operations Director          
ESSENTIAL DUTIES AND FUNCTIONS :

1. TEAMWORK 

• Participates in the clinic policies and procedures with the Clinical Operations team.
• Collects, organizes and summarizes data for performance measurement, internal, state, and federal reporting and decision-making.
• Works with Population Health/HIT on patient access and engagement as it relates to the Quality Program. 
• Works with Clinical Operations team to review patient feedback.  
• Acts as a resource for process improvement projects.  
• Acts as a resource regarding compliance with PCMH/MU standards.  
• Educates and trains employees as to their impact to continuous quality improvement.

1. PROBLEM SOLVING AND ANALYSIS 

• Facilitates root cause analysis for sentinel events. 
• Routinely gathers, analyzes, and disseminates information regarding patient feedback, incidents, and sentinel events. 

1. COMMUNICATION 

• Meets regularly with the clinical leaders and managers to address issues and needs. 
• Facilitates communication of organization wide quality goals at the site level with providers and operations. 
• Liaison to, or member of, organizational committees as appropriate. 
• Represent Mālama I Ke Ola externally on committees and/or collaborations as designated by the Clinical Operations Director, Chief Medical Officer, or Chief Executive Officer.
• Works with Clinical Operations Director and Senior Leadership on the annual Quality Plan, the selection and measurement of aims, and develop data reports. Effectively coordinates this process and provides support for related QI projects.
• Maintains and communicates dashboard results to organization throughout the year in collaboration with the Clinical Operations Director and Health Information Data Analyst. 
• Routinely coordinates PCMH/MU applications with the Clinical Operations Director and Health Information Data Analyst. .  

1. WORK GROUP EFFECTIVENESS 

• Offers options when making requests for action. 
• Fosters an environment for self-direction and correction. 
• Highlights learning, both formal and informal, that occurs. 
• Balances focus on final results with focus on team, community, and collective effort.  

1. WORKPLACE COMPUTERS AND EQUIPMENT 

• Acts as data champion for the clinic by mastering EMR and related report building and project software. 
• Validate data from generated reports and uses data to monitor quality standards, in conjunction with the Health Information Data Analyst.  
• Monitors and analyzes data from various sources (e.g. patient feedback, PSATs, external reviews, incident reports) to determine areas that require improvement. 

1. CHECKING, EXAMINING, AND RECORDING 

• Maintains appropriate documentation of all work activities.
• Performs and/or coordinates audits of relevant and timely issues. 

1. COMPLIANCE, POLICIES, AND PROCEDURES 

• Assists Clinical Operations Director with policy and procedures reviews and revision that pertain to operations efficiency, patient engagement, regulatory practices, HIPAA compliance, OSHA, HIPAA, Title X, Perinatal Support Services, staff TB program, and BPHC UDS and other required accrediting/regulatory/grant/federal programs. 

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential job function assigned satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education: 

• Associates degree preferred in a health-related field, continuous quality improvement methods, data analysis, and basic knowledge of medical terminology.  High School/GED required.

Experience: 

• Two or more years of experience with continuous quality improvement programs, including the ability to follow, edit, and update job-related protocols, policies, and procedures. Experience in a health-related field preferred and will consider other fields with potential transfer skills to healthcare.

Skills/Competencies:

• Excellent verbal and written communication skills, including active listening.
• Ability to plan and organize projects.
• Must have ability to logically analyze and optimize patient schedules.
• Must possess leadership skills.
• Computer literate in word processing and spreadsheets. Knowledge/skills of basic computer operations, i.e. word processing, Microsoft Suite, with Excel proficiency, database, project management, and ability to learn our electronic medical records system.
• Other requirements:
  TB Clearance within the past 12 months
  Proof of COVID-19 Vaccination as required by federal mandate or ability to provide acceptable medical or religious exemption.

Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. We embrace a friendly, warm, and welcoming environment so that we can deliver on our promise to provide quality care to our community. E komo mai (Welcome)

Equal Employment Opportunity Statement
We are an equal opportunity employer. We do not discriminate on the basis of age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, lactation, arrest and court record or any other protected category recognized by state and federal laws.

This is a management position
This is a full time position