Quality Manager

San Diego, CA - USA

Monthly Salary: Not Disclosed

Posted on: 3 hours ago

Vacancies: 1 Vacancy

Job Summary

Quality Manager
San Diego CA
Fulltime

Essential Duties and Responsibilities:

Oversees tracking monitoring and reporting of quality measures including but not limited to:
HEDIS measures.
GPRA measures.
HRSA clinical quality measures.
Grant-specific performance indicators.
Reviews performance data regularly to identify gaps trends and improvement opportunities.
Ensures quality measures are calculated validated and reported accurately and timely.
Maintains dashboards and reports for leadership clinical teams and grant stakeholders.
Workflow Analysis & Process Improvement

Leads analysis of clinical and operational workflows impacting quality outcomes.
Identifies breakdowns in processes related to screening follow-up documentation and patient engagement.
Designs and implements workflow changes to improve performance and close care gaps.
Ensures workflow changes are standardized documented and scalable across sites or departments.
Monitors post-implementation results to ensure improvements are sustained and measurable.
Patient Outreach & Gap Closure Strategies
Partners with non-clinical patient outreach efforts to improve quality measure performance including:
Outreach calls reminders and follow-up coordination.
Appointment scheduling support.
Referral follow-up tracking.
Develop protocols for patient contact when outreach is needed to close care gaps.
Works with PSRs care coordinators CHWs and other teams to ensure outreach activities align with quality goals.
Monitors outreach effectiveness and adjust strategies based on results.

Cross-Department Collaboration & Accountability

Partners with clinical leadership care management PSR referrals IT and grants teams to drive quality improvement.
Aligns quality initiatives with grant requirements and funding objectives.
Coordinates with Grants and Finance teams to ensure quality performance supports grant sustainability.
Brings data-driven recommendations to leadership to address underperforming measures.
Ensures accountability across teams contributing to quality outcomes.

Gant & Program Quality Support

Supports grant-funded programs by aligning workflows and activities with required performance measures.
Monitors quality-related grant deliverables and timelines.
Provides documentation and evidence of improvement for grant reporting audits and site visits.
Works with program managers to remediate underperforming measures that may impact funding.

Training Guidance & Change Management

Provides training and guidance to staff on quality workflows documentation standards and measure requirements.
Translates complex measure definitions into practical operational steps for staff.
Supports change management efforts to ensure adoption of new workflows.
Reinforces the importance of quality improvement as a shared organizational responsibility.

Compliance Documentation & Audit Readiness

Ensures quality improvement activities are well-documented and audit ready.
Maintains policies procedures and QI plans related to quality management.
Supports internal and external audits site visits and monitoring activities.
Ensures quality improvement efforts align with regulatory and grant requirements. Quality and patient safety to adopt best practices.

Qualifications:

Bachelors degree from an accredited college or university in Nursing Quality Social Work or other health related field preferred.
Minimum 3 5 years experience in healthcare quality improvement population health or performance management.
Some knowledge of Clinical Compliance Best Practices Medical Record Review Legal Aspects of Documentation or medical coding and billing preferred.

Preferred:

Experience in Compliance Risk Management Quality Management Documentation Standards Billing and Coding knowledge.
Experience serving a multinational multicultural population.
FQHC background.
Familiarity with Community Health Clinics and/or Indian Health Clinics.
ECW EHR.

Quality Manager San Diego CA Fulltime Essential Duties and Responsibilities: Oversees tracking monitoring and reporting of quality measures including but not limited to: HEDIS measures. GPRA measures. HRSA clinical quality measures. Grant-specific performance indicators. Reviews performance dat...