Quality Manager - Piedmont Health Services

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee. 

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title – Quality Manager

Department - Quuality and Compliance

Reports to – Chief Compliance and Quality Officer

Benefits - 

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position: The CHC Quality and Compliance Manager, under the Chief Compliance and Quality Officer leadership, oversees a collaborative approach to quality and compliance at PHS Community Health Centers. A hands-on approach will be taken to ensure that sites have a good understanding of their responsibility for the implementation and documentation of the quality process. Quality will be maintained throughout the CHCs – all departments and/or services. The manager is responsible for ensuring regulatory compliance with the quality aspects of accreditation bodies, i.e. The Joint Commission and NCQA.  Serves as the Joint Commission and PCMH Coordinator. Functions as an objective body that reviews and evaluates compliance issues/concerns within the organization. Maintains and updates the CHC clinical dashboard.  Works in conjunction with the Director of Corporate Compliance and Quality to ensure the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies. Ensures that company policies and procedures are being followed and that behavior in the organization meets the company's Standards of Conduct. Practices within the scope of Piedmont Health Services policies, procedures and standards. 

• Work Location: Admin Corporate Office
• Schedule: Monday - Friday 8:00 am - 5:00 pm
  
• Travel: Requires travel to all PHS sites,Minimal overnight travel

Duties/ Responsibilities – 

• Works closely with the Corporate Compliance and Quality Director, CHC Medical Director, CMO and other Senior Leadership to continuously assess and improve the quality of care in the health centers.
• Collects and analyzes Quality data to provide feedback to the providers and staff for the purpose of facilitating systems improvements.
• Collaborates with site leadership to present data and create work plan for improvement.
• Serves as The Joint Commission Coordinator.
• Serves as the PCMH Coordinator.
• Attends and takes minutes for the Board Quality Committee Meeting and CHC Quality and Safety Meeting, regularly providing updates to the committee.
• Maintains and updates the Quality dashboard and distributes to the health center sites.
• Attends at minimum 1 meeting involving quality at each health center site monthly and assists the sites with PDSA Documentation.
• Be a liaison to Value-Based programs .
• Assists in the development and implementation of quality initiatives at the sites (i.e. patient satisfaction areas for improvement).
• Ensures collaborative approach to regulatory compliance in the health centers in all departments and services.
• Works in conjunction with the Director of Corporate Compliance and Quality and other leadership to ensure the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies.
• Monitors that company policies and procedures are being followed and that behavior in the organization meets the company's Standards of Conduct.
• Updates job knowledge by studying trends in and developments in regulatory agencies; participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
• Works closely with the Medical Director and Director of Corporate Compliance and Quality to continuously assess and improve compliance with regulatory agencies i.e. PCMH, HRSA, CMS.
• Submits new applications for regulatory agencies as necessary.
• Assist with training of staff to improve corporate compliance and knowledge of policies and procedures.
• Performs other duties as assigned to fulfill the mission and strategic plan of the organization.

Qualifications – 

Education: RN, BA/BS, MPH or related field of study                 

Required: 

Experience in healthcare; demonstrated leadership; experience working with many levels of staff, i.e. medical providers, nurses, support staff, senior leadership and board members; familiarity with operational, financial, quality and human resources procedures. Experience with work in quality and with regulatory agencies, i.e. HRSA, TJC, PCMH, CMS

Preferred: 

Ability to use computerized tracking tools; Experience with data collection, analysis and reporting for regulatory and compliance issues, including chart audits and clinical analysis.  Excellent skill with EMR and Microsoft Office programs (Excel and Word).  Experience with population management principles.  

Current/valid License: N/A

Immunizations: PHS required immunizations

Pay Range - $76,424.00 - $88,596.00

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

DEI Statement

Piedmont Health Services, Inc. (PHS) endeavors to maintain an inclusive workplace, one that is reflective of the patient population that we serve and the individuals whom we employ. We strive to incorporate inclusiveness throughout our work culture, including the way that we recruit, support, and retain employees. We believe that having employees from diverse backgrounds, cultures, and experiences is an asset. It helps us to view the world through different lenses embodying the perspectives, opinions, approaches, and values that our employees bring to work daily. In fact, inclusion is woven into the very fabric of our work life, which allows our employees to perform at their highest possible potential.

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